Curbside Consultation of the Colon: 49 Clinical Questions

Brooks D. Cash, MD, FACP, CDR, MC, USN

Question 5: The Board Of Directors Of My Hospital Wants To Know The Current Colorectal Cancer Screening Options And Will Go With Whatever I Recommend. What Does The Evidence Say Is The Best Colorectal Cancer Screening Regimen? (continued)

Brennan Spiegel, MD, MSHS; Inder Singh, MD

There are books written on this topic, so answering this question requires a bit of streamlining. We should start from the premise that colorectal cancer (CRC) screening, in any form, is undoubtedly effective and life saving compared to offering no screening. With the advent of increased age-appropriate CRC screening, patients now receive preventive and therapeutic treatments for this common disease at stages far earlier than ever before. The current widely available tools for CRC screening include: (1) fecal occult blood testing (FOBT),1 (2) double contrast barium enema, (3) flexible…