Docteur André GIBERT - Hépato- Gastro- Entérologie
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surveillance des polypes coliques par coloscopie

Brenner H et al., Gastroenterology 2010 Mar ;138(3) :870-6.)
Le dépistage des polypes du côlon repose sur la coloscopie. Dans ce travail, les auteurs ont évalué la prévalence du cancer colorectal chez des sujets ayant une coloscopie négative. Les résultats étaient comparés à ceux de sujets n'ayant pas eu de coloscopie de dépistage. Aucun cancer n'était mis en évidence chez les sujets ayant bénéficié du dépistage endoscopique avec un recul de plus de 11,9 ans . Le dépistage des adénomes avancés était également très limité après une première coloscopie négative, avec un risque de 0,53 après plus de 16 ans de suivi.
Ainsi, l'intervalle entre deux coloscopies après un examen endoscopique du côlon normal pourrait être élargi à 10 ans.

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