LETTER

Guidelines for colonoscopic screening in acromegaly are inconsistent with those for other high risk groups

A G Renehan¹, S T O’Dwyer¹, S M Shalet²

¹ Department of Surgery, Christie Hospital NHS Trust, Manchester, UK
² Department of Endocrinology, Christie Hospital, NHS Trust, Manchester, UK

Correspondence to:
Correspondence to:
Dr A Renehan Department of Surgery, Christie Hospital NHS Trust, Wilmslow Road, Manchester M20 4BX, UK;
arenehan@picr.man.ac.uk

Keywords: acromegaly; guidelines; colonoscopy; colorectal cancer; screening

The first 150 words of the full text of this article appear below.

We welcome the joint work of the British Society of Gastroenterology and the Association of Coloproctology of Great Britain and Ireland in commissioning guidelines for colorectal cancer screening in high risk groups (Gut 2002;51(suppl 5):V13–14). In the absence of direct evidence from randomised trials for most of the groups, the various authors have balanced a wealth of recent genetic and epidemiological evidence estimating an individual’s levels of elevated risk against the risks associated with screening. The end result is the recognition that within the label "high risk" there is a spectrum of risks such that colonoscopic screening and surveillance must be tailored accordingly. This avoids the ineffective, costly, and potentially harmful "blanket-type" approach, which formerly prevailed.

However, within the guideline series, there is one exception—screening and surveillance in patients with acromegaly. We and other researchers^1–3 have repeatedly stated that the studies undertaken by the authors of . . . [Full text of this article]

P J Jenkins³, P D Fairclough³

³ Departments of Medicine and Endocrinology, St Bartholomew’s Hospital, West Smithfield, London, UK

Correspondence to:
Correspondence to:
Dr P J Jenkins;
p.j.jenkins@qmul.ac.uk

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This article has been cited by other articles:

• Hurlstone, D P, Cross, S S, Lobo, A J, Sanders, D S (2003). High magnification chromoscopic colonoscopy as a screening tool in acromegaly. Gut 52: 1797-1798 [Full Text]  

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High-magnification-chromoscopic-colonoscopy as a screening tool in acromegaly

David P Hurlstone, et al.

Gut Online, 18 Jul 2003 [Full text]