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- Title
Preoperative repeat endoscopy for colorectal cancer: What is its role and when is it necessary?
- Authors
Woo Jin Choi; Cleghorn, Michelle C.; Quereshy, Fayez A.; Choi, Woo Jin
- Abstract
<bold>Summary: </bold>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.
- Subjects
ENDOSCOPY; COLON cancer diagnosis; COLON cancer treatment; ENDOSCOPIC surgery; COLONOSCOPY
- Publication
Canadian Journal of Surgery, 2016, Vol 59, Issue 6, p427
- ISSN
0008-428X
- Publication type
journal article
- DOI
10.1503/cjs.005116