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Effekten ved primær koloskopi versus kontrolkoloskopi i kolorektal cancer-screening

Forfatter(e)
Rasmus Krøijer1, 2 & Gunnar Baatrup1, 2
1) Kirurgisk Afdeling A, Odense Universitetshospital 2) Klinisk Institut, Syddansk Universitet

Ugeskr Læger 2019;181:V07180521

Reference: 
Ugeskr Læger 2019;181:V07180521

Rasmus Krøijer & Gunnar Baatrup:

The effect of primary colonoscopy versus follow-up colonoscopy in screening for colorectal cancer

Ugeskr Læger 2019;181:V07180521

Balancing indications for primary and follow-up colonoscopy in screening is important. In the lowest faecal test positive range of 100-150 ng/ml the rate of cancer is 1.9%, and the rate of intermediate and high-risk adenomas is 16.7%. International studies suggest, that only selected groups have comparable rates of significant findings at follow-up, and the risk normalises after one colonoscopy. In this review it is found, that in the current Danish screening programme for colon cancer the indications of primary screening and follow-up colonoscopy seem to be off-balance, but no national data exist on follow-up.

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