Clin Endosc.  2012 Mar;45(1):25-43. 10.5946/ce.2012.45.1.25.

Korean Guidelines for Colorectal Cancer Screening and Polyp Detection

Affiliations
  • 1Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 2Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • 4Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.
  • 5Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. hyskim@yonsei.ac.kr
  • 6Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
  • 7Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea.
  • 8Department of Internal Medicine, Ajou University School of Medicine, Suwon, Korea.
  • 9Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea.
  • 10Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 11Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
  • 12Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
  • 13Department of Radiology, Konkuk University School of Medicine, Seoul, Korea.

Abstract

Now colorectal cancer is the second most common cancer in males and the fourth most common cancer in females in Korea. Since most of colorectal cancers occur after the prolonged transformation of adenomas into carcinomas, early detection and removal of colorectal adenomas are one of the most effective methods to prevent colorectal cancer. Considering the increasing incidence of colorectal cancer and polyps in Korea, it is very important to establish Korean guideline for colorectal cancer screening and polyp detection. The guideline was developed by the Korean Multi-Society Take Force and we tried to establish the guideline by evidence-based methods. Parts of the statements were draw by systematic reviews and meta-analyses. Herein we discussed epidemiology of colorectal cancers and adenomas in Korea and optimal methods for screening of colorectal cancer and detection of adenomas including fecal occult blood tests, radiologic tests, and endoscopic examinations.

Keyword

Early detection of cancer; Colorectal neoplasms; Occult blood; Colonoscopy; Computed tomographic colonography
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