Preoperative repeat endoscopy for colorectal cancer: What is its role and when is it necessary?

Summary Many surgeons consider repeat endoscopy to be the standard of care for colorectal cancer; however, its utility in the preoperative setting is not well understood, especially given the lack of standardized guidelines on appropriate tumour localization and colonoscopic reporting. This often re...

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Bibliographic Details
Published in:Canadian Journal of Surgery 2016-12, Vol.59 (6), p.427-428
Main Authors: Choi, Woo Jin, BSc, Cleghorn, Michelle C., MSc, Quereshy, Fayez A., MD, MBA
Format: Article
Language:English
Subjects:
Cancer therapies
Care and treatment
Colonoscopy
Colonoscopy - standards
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - surgery
Colorectal Surgery - standards
Diagnosis
Discussions in Surgery
Endoscopy
Humans
Localization
Medical diagnosis
Patient education
Patients
Preoperative Care - standards
Surgeons
Surgery
Tattoos
Unnecessary Procedures - standards
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Summary:Summary Many surgeons consider repeat endoscopy to be the standard of care for colorectal cancer; however, its utility in the preoperative setting is not well understood, especially given the lack of standardized guidelines on appropriate tumour localization and colonoscopic reporting. This often results in patients undergoing an unnecessary medical procedure during their preoperative evaluation. We discuss some of the issues surrounding the practice of preoperative repeat endoscopy as well as patient perspectives on the procedure. Our observations suggest that repeat endoscopy in the setting of colorectal cancer surgery may play a role in enabling transition of patient care between the initial endoscopist and the treating surgeon and in improving the patient experience. Patients with operable colorectal cancer appear to understand and support the current use of repeat endoscopy. However, improving preoperative care will require further research and ultimately the development of evidence-based clinical guidelines.
ISSN:0008-428X
1488-2310
DOI:10.1503/cjs.005116