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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 7/2012

Open Access 01-07-2012 | Letters

Relationship Between Distal and Proximal Neoplasia

Authors: Dimitra Dodou, PhD, J. C. F. de Winter, PhD

Published in: Journal of General Internal Medicine | Issue 7/2012

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Excerpt

Authors Reply:--- In a recent meta-analysis, we found that all types of distal lesions are predictive of proximal neoplasia (PN) and that on average 60 % of PN are isolated, that is, not accompanied by distal lesions.1 A commentary by Dr. Filik concluded that if all types of distal lesions are predictive of PN, colonoscopy should be performed instead of flexible sigmoidoscopy (FS). We thank Dr. Filik for his comment. In this reply we highlight why FS should not be abandoned in favor of colonoscopy. …
Literature
1.
Dodou D, De Winter JCF. The relationship between distal and proximal colonic neoplasia: A meta-analysis. J Gen Intern Med. 2012;27:361–370.PubMedCrossRef
2.
Levin TR, Palitz A, Grossman S, et al. Predicting advanced proximal colonic neoplasia with screening sigmoidoscopy. JAMA. 1999;281:1611–1617.PubMedCrossRef
3.
Neugut AI, Lebwohl B. Colonoscopy vs sigmoidoscopy screening. Getting it right. JAMA. 2010;304:461–462.PubMedCrossRef
4.
Imperiale TF, Wagner DR, Lin CY, Larkin GN, Rogge JD, Ransohoff DF. Using risk for advanced proximal colonic neoplasia to tailor endoscopic screening for colorectal cancer. Ann Intern Med. 2003;139:959–965.PubMed
Metadata
Title
Relationship Between Distal and Proximal Neoplasia
Authors
Dimitra Dodou, PhD
J. C. F. de Winter, PhD
Publication date
01-07-2012
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 7/2012
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-012-2073-x

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