{"id":147,"date":"2019-05-03T13:15:09","date_gmt":"2019-05-03T12:15:09","guid":{"rendered":"http:\/\/www.www.thebirminghamcolorectalclinic.com\/?page_id=147"},"modified":"2020-01-16T17:11:56","modified_gmt":"2020-01-16T17:11:56","slug":"colorectal-cancer-screening","status":"publish","type":"page","link":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/colorectal-cancer-screening\/","title":{"rendered":"Colorectal Cancer Screening"},"content":{"rendered":"<p><section class=\"ffb-id-2tf2geid fg-section fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#24949e&quot;}\" class=\"fg-bg-layer fg-bg-type-color \" style=\"opacity: 1; background-color: #24949e;\"><\/span><\/span><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row fg-row-no-gutter   fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;1&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-2tf2geie fg-col col-xs-7 col-sm-5 col-sm-push-1 col-md-5 col-lg-6 col-lg-push-0 fg-text-dark\"><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><h1 class=\"ffb-id-2ts298qb fg-heading text-center    fg-text-light\">COLORECTAL CANCER SCREENING<\/h1><\/div><\/div><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-2tf2geid{ padding-top: 30px;padding-bottom: 30px;}@media (min-width:768px) { .ffb-id-2tf2geid{ padding-top: 40px;padding-bottom: 40px;}}@media (min-width:1200px) { .ffb-id-2tf2geid{ padding-top: 80px;padding-bottom: 80px;}}.ffb-id-2tf2geie{ padding-top: 0px;padding-bottom: 0px;}@media (min-width:768px) { .ffb-id-2tf2geie{ padding-top: 100px;padding-bottom: 100px;}}.ffb-id-2tf2geie{ text-transform: none !important;}.ffb-id-2tf2geie:before,.ffb-id-2tf2geie:after,.ffb-id-2tf2geie:hover,.ffb-id-2tf2geie:focus,.ffb-id-2tf2geie *,.ffb-id-2tf2geie *:before,.ffb-id-2tf2geie *:after,.ffb-id-2tf2geie *:hover,.ffb-id-2tf2geie *:focus{ text-transform: none !important;}.ffb-id-2tf2geie{ font-weight: 400 !important;text-align: left !important;}.ffb-id-2tf2geie ,.ffb-id-2tf2geie:before,.ffb-id-2tf2geie:after,.ffb-id-2tf2geie:hover,.ffb-id-2tf2geie:focus,.ffb-id-2tf2geie *,.ffb-id-2tf2geie *:before,.ffb-id-2tf2geie *:after,.ffb-id-2tf2geie *:hover,.ffb-id-2tf2geie *:focus{ font-weight: 400 !important;text-align: left !important;}.ffb-id-2ts298qb ,.ffb-id-2ts298qb:before,.ffb-id-2ts298qb:after,.ffb-id-2ts298qb *,.ffb-id-2ts298qb *:before,.ffb-id-2ts298qb *:after{ color: #ffffff !important;}.ffb-id-2ts298qb{ text-transform: uppercase !important;}.ffb-id-2ts298qb:before,.ffb-id-2ts298qb:after,.ffb-id-2ts298qb:hover,.ffb-id-2ts298qb:focus,.ffb-id-2ts298qb *,.ffb-id-2ts298qb *:before,.ffb-id-2ts298qb *:after,.ffb-id-2ts298qb *:hover,.ffb-id-2ts298qb *:focus{ text-transform: uppercase !important;}.ffb-id-2ts298qb{ line-height: 1 !important;}.ffb-id-2ts298qb ,.ffb-id-2ts298qb:before,.ffb-id-2ts298qb:after,.ffb-id-2ts298qb:hover,.ffb-id-2ts298qb:focus,.ffb-id-2ts298qb *,.ffb-id-2ts298qb *:before,.ffb-id-2ts298qb *:after,.ffb-id-2ts298qb *:hover,.ffb-id-2ts298qb *:focus{ line-height: 1 !important;}<\/style><script type=\"text\/javascript\"><\/script><section class=\"ffb-id-32jt6jcl fg-section fg-text-dark\"><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row    fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;1&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-32jt6jcm fg-col col-xs-12 col-sm-6 col-md-5 fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;image&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;url&quot;:&quot;http:\\\/\\\/www.thebirminghamcolorectalclinic.com\\\/wp-content\\\/uploads\\\/2019\\\/09\\\/Doctor-Greeting-Patient-before-Starting-Treatment-1.jpg&quot;,&quot;size&quot;:&quot;cover&quot;,&quot;repeat&quot;:&quot;no-repeat&quot;,&quot;attachment&quot;:&quot;scroll&quot;,&quot;position&quot;:&quot;right center&quot;}\" class=\"fg-bg-layer fg-bg-type-image \" style=\"opacity: 1; background-image: url(&quot;http:\/\/www.thebirminghamcolorectalclinic.com\/wp-content\/uploads\/2019\/09\/Doctor-Greeting-Patient-before-Starting-Treatment-1.jpg&quot;); background-repeat: no-repeat; background-attachment: scroll; background-position: right center; background-size: cover;\"><\/span><span data-fg-bg=\"{&quot;type&quot;:&quot;slant&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;color&quot;:&quot;#ffffff&quot;,&quot;edge&quot;:&quot;right&quot;,&quot;direction&quot;:&quot;up&quot;,&quot;angle&quot;:&quot;15&quot;,&quot;hidden_xs&quot;:&quot;yes&quot;,&quot;hidden_sm&quot;:&quot;yes&quot;}\" class=\"fg-bg-layer fg-bg-type-slant hidden-xs hidden-sm\" style=\"opacity: 1\"><\/span><\/span><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><\/div><\/div><\/div><\/div><div class=\"ffb-id-32jt6jcn fg-col col-xs-12 col-sm-6 col-md-7 fg-text-dark\"><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><section class=\"ffb-id-32jt6jcq section-heading fg-text-dark\"><h2 style=\"font-weight:400;  text-transform:uppercase; \" class=\"fg-text-dark ffb-h2-1\">Colorectal Cancer Screening<\/h2><\/section><div class=\"ffb-id-32jt6jcr fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<p>Globally, colorectal cancer (CRC) is the fourth most common cancer in men and the third most common in women, accounting for approximately one million new cases per year. The five-year survival rate for early stage CRC is greater than 90%, whereas the five-year survival rate for those diagnosed with widespread cancer is less than 10%. The natural history of CRC provides an important window of opportunity to diagnose CRC at an early [even pre-malignant] stage. Screening for CRC is an effective method of reducing incidence and mortality rates.<\/p>\n<h4><strong>Types of screening<\/strong><\/h4>\n<p>In the UK there are currently two types of screening for colorectal cancer: faecal occult blood testing followed by colonoscopy, or flexible sigmoidoscopy. There are, additionally, other alternatives that have been studied.<\/p>\n<p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-2tf2geid{ \npadding-top: 30px;\npadding-bottom: 30px;\n\n}\n@media (min-width:768px) { \n.ffb-id-2tf2geid{ \npadding-top: 40px;\npadding-bottom: 40px;\n\n}\n}@media (min-width:1200px) { \n.ffb-id-2tf2geid{ \npadding-top: 80px;\npadding-bottom: 80px;\n\n}\n}.ffb-id-2tf2geie{ \npadding-top: 0px;\npadding-bottom: 0px;\n\n}\n@media (min-width:768px) { \n.ffb-id-2tf2geie{ \npadding-top: 100px;\npadding-bottom: 100px;\n\n}\n}.ffb-id-2tf2geie{ \ntext-transform: none !important;\n}\n.ffb-id-2tf2geie:before,\n.ffb-id-2tf2geie:after,\n.ffb-id-2tf2geie:hover,\n.ffb-id-2tf2geie:focus,\n.ffb-id-2tf2geie *,\n.ffb-id-2tf2geie *:before,\n.ffb-id-2tf2geie *:after,\n.ffb-id-2tf2geie *:hover,\n.ffb-id-2tf2geie *:focus{ \ntext-transform: none !important;\n}\n.ffb-id-2tf2geie{ \nfont-weight: 400 !important;\ntext-align: left !important;\n}\n.ffb-id-2tf2geie ,\n.ffb-id-2tf2geie:before,\n.ffb-id-2tf2geie:after,\n.ffb-id-2tf2geie:hover,\n.ffb-id-2tf2geie:focus,\n.ffb-id-2tf2geie *,\n.ffb-id-2tf2geie *:before,\n.ffb-id-2tf2geie *:after,\n.ffb-id-2tf2geie *:hover,\n.ffb-id-2tf2geie *:focus{ \nfont-weight: 400 !important;\ntext-align: left !important;\n}\n.ffb-id-2ts298qb ,\n.ffb-id-2ts298qb:before,\n.ffb-id-2ts298qb:after,\n.ffb-id-2ts298qb *,\n.ffb-id-2ts298qb *:before,\n.ffb-id-2ts298qb *:after{ \ncolor: #ffffff !important;\n}\n.ffb-id-2ts298qb{ \ntext-transform: uppercase !important;\n}\n.ffb-id-2ts298qb:before,\n.ffb-id-2ts298qb:after,\n.ffb-id-2ts298qb:hover,\n.ffb-id-2ts298qb:focus,\n.ffb-id-2ts298qb *,\n.ffb-id-2ts298qb *:before,\n.ffb-id-2ts298qb *:after,\n.ffb-id-2ts298qb *:hover,\n.ffb-id-2ts298qb *:focus{ \ntext-transform: uppercase !important;\n}\n.ffb-id-2ts298qb{ \nline-height: 1 !important;\n}\n.ffb-id-2ts298qb ,\n.ffb-id-2ts298qb:before,\n.ffb-id-2ts298qb:after,\n.ffb-id-2ts298qb:hover,\n.ffb-id-2ts298qb:focus,\n.ffb-id-2ts298qb *,\n.ffb-id-2ts298qb *:before,\n.ffb-id-2ts298qb *:after,\n.ffb-id-2ts298qb *:hover,\n.ffb-id-2ts298qb *:focus{ \nline-height: 1 !important;\n}\n.ffb-id-32jt6jcn{ padding-top: 40px;padding-bottom: 40px;}@media (min-width:768px) { .ffb-id-32jt6jcn{ padding-left: 40px;}}@media (min-width:1200px) { .ffb-id-32jt6jcn{ padding-top: 80px;padding-bottom: 80px;padding-left: 80px;}}.ffb-id-32jt6jcq .ffb-h2-1 ,.ffb-id-32jt6jcq .ffb-h2-1:before,.ffb-id-32jt6jcq .ffb-h2-1:after,.ffb-id-32jt6jcq .ffb-h2-1 *,.ffb-id-32jt6jcq .ffb-h2-1 *:before,.ffb-id-32jt6jcq .ffb-h2-1 *:after{ color: #24949e !important;}.ffb-id-32jt6jcq{ margin-bottom: 0px;padding-top: 20px;padding-bottom: 20px;}@media (min-width:992px) { .ffb-id-32jt6jcq{ padding-top: 0px;}}.ffb-id-32jt6jcq{ text-transform: uppercase !important;}.ffb-id-32jt6jcq:before,.ffb-id-32jt6jcq:after,.ffb-id-32jt6jcq:hover,.ffb-id-32jt6jcq:focus,.ffb-id-32jt6jcq *,.ffb-id-32jt6jcq *:before,.ffb-id-32jt6jcq *:after,.ffb-id-32jt6jcq *:hover,.ffb-id-32jt6jcq *:focus{ text-transform: uppercase !important;}.ffb-id-32jt6jcq{ line-height: 1 !important;text-align: left !important;}.ffb-id-32jt6jcq ,.ffb-id-32jt6jcq:before,.ffb-id-32jt6jcq:after,.ffb-id-32jt6jcq:hover,.ffb-id-32jt6jcq:focus,.ffb-id-32jt6jcq *,.ffb-id-32jt6jcq *:before,.ffb-id-32jt6jcq *:after,.ffb-id-32jt6jcq *:hover,.ffb-id-32jt6jcq *:focus{ line-height: 1 !important;text-align: left !important;}@media (min-width:768px) { .ffb-id-32jt6jcq{ text-align: left !important;}}@media (min-width:768px) { .ffb-id-32jt6jcq ,.ffb-id-32jt6jcq:before,.ffb-id-32jt6jcq:after,.ffb-id-32jt6jcq:hover,.ffb-id-32jt6jcq:focus,.ffb-id-32jt6jcq *,.ffb-id-32jt6jcq *:before,.ffb-id-32jt6jcq *:after,.ffb-id-32jt6jcq *:hover,.ffb-id-32jt6jcq *:focus{ text-align: left !important;}}.ffb-id-32jt6jcm{ padding-top: 100px;padding-bottom: 100px;}@media (min-width:768px) { .ffb-id-32jt6jcm{ padding-top: 0px;padding-bottom: 0px;}}<\/style><script type=\"text\/javascript\"><\/script><section class=\"ffb-id-32jtcomg fg-section fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#f7f8fa&quot;}\" class=\"fg-bg-layer fg-bg-type-color \" style=\"opacity: 1; background-color: #f7f8fa;\"><\/span><\/span><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row    fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;1&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-32jtcomi fg-col col-xs-12 col-sm-6 col-md-12 fg-text-dark\"><div class=\"fg-match-column-inside-wrapper\"><div class=\"ffb-id-3d34d19o fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<h4><strong>Faecal occult blood testing<\/strong><\/h4>\n<p><\/div><p class=\"ffb-id-3d329ebj fg-paragraph text-left    fg-text-dark\"><\/p>\n<p>Faecal occult blood testing has been shown in a randomized controlled trial to result in a 15% reduction in mortality from colorectal cancer.  When a positive test is obtained as part of screening it is recommended that the patient undergo a colonoscopy to examine the colon.<\/p>\n<p><\/p><div class=\"ffb-id-32jtcomm fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<h4><strong>Colonoscopy<\/strong><\/h4>\n<p><\/div><p class=\"ffb-id-3d34d4n3 fg-paragraph text-left    fg-text-dark\"><\/p>\n<p>Colonoscopy remains the most accurate test for CRC.  However, it is recognised that polyps (abnormal growths of tissue) can be missed, as may cancers occasionally.  Colonoscopy is also associated with a higher risk of complications than other tests.  Serious harm from colonoscopy appears to be about ten times more common (3.1 per 1000 procedures) than with flexible sigmoidoscopy (3.4 per 10,000 procedures).<\/p>\n<p><\/p><div class=\"ffb-id-3d34alp4 fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<h4><strong>Flexible sigmoidoscopy<\/strong><\/h4>\n<p><\/div><p class=\"ffb-id-3d34ar7q fg-paragraph text-left    fg-text-dark\"><\/p>\n<p>The UK Flexible Sigmoidoscopy Screening Trial offered screening by a single flexible sigmoidoscopy to patients aged 55 to 64 years.  The study, which was reported in The Lancet in 2010, showed that the incidence of colorectal cancer in people attending screening was reduced by 33% and mortality by 43%.<\/p>\n<p><\/p><div class=\"ffb-id-3d4kgirj fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<h4><strong>CT virtual colonoscopy [CTVC]<\/strong><\/h4>\n<p><\/div><p class=\"ffb-id-3d4kglul fg-paragraph text-left    fg-text-dark\"><\/p>\n<p>Published reports on CT virtual colonoscopy (CTVC) screening suggest at least comparable sensitivity to colonoscopy for CRC and large polyps (10 mm or larger).  CTVC also allows screening for other intra-abdominal abnormalities, but at the expense of a radiation dose.<\/p>\n<p><\/p><div class=\"ffb-id-3d4kitb3 fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<h4><strong>Faecal Immunochemical Test (FIT)<\/strong><\/h4>\n<p><\/div><p class=\"ffb-id-3d4kj0qi fg-paragraph text-left    fg-text-dark\"><\/p>\n<p>FIT is a stool test that detects very small amounts of blood in faeces. It is more sensitive than FOBT and is replacing it as part of the National Bowel Cancer Screening Program.<\/p>\n<p><\/p><div class=\"ffb-id-3d4kl10q ffg-empty-space fg-text-dark\"><\/div><div class=\"ffb-id-3d4kkht0 fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<h4><strong>National recommendations United Kingdom<\/strong><\/h4>\n<p><\/div><div class=\"ffb-id-3d4kkldg fg-paragraph ff-richtext text-left    fg-text-dark\"><\/p>\n<p>The NHS Bowel Cancer Screening Programme <a href=\"http:\/\/www.cancerscreening.nhs.uk\/bowel\/\">http:\/\/www.cancerscreening.nhs.uk\/bowel\/<\/a> offers screening every two years to all men and women aged 60 to 69 by faecal occult blood testing. Around 2 in 100 people will receive an abnormal result. They will be referred for further investigation and usually offered a colonoscopy. \u2028 For a population of patients &gt;50 years undergoing screening colonoscopy 5-6% can be expected to be found to have cancer or an advanced colonic polyp (an abnormal growth of tissue).<\/p>\n<p>See also the links for <a href=\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/colon-cancer\/\">Colon Cancer<\/a> and <a href=\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/rectal-cancer\/\">Rectal Cancer.<\/a><\/p>\n<p><\/div><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-32jt6jcn{ \npadding-top: 40px;\npadding-bottom: 40px;\n\n}\n@media (min-width:768px) { \n.ffb-id-32jt6jcn{ \npadding-left: 40px;\n\n}\n}@media (min-width:1200px) { \n.ffb-id-32jt6jcn{ \npadding-top: 80px;\npadding-bottom: 80px;\npadding-left: 80px;\n\n}\n}.ffb-id-32jt6jcq .ffb-h2-1 ,\n.ffb-id-32jt6jcq .ffb-h2-1:before,\n.ffb-id-32jt6jcq 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