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The Role of Colonoscopy

Richard M. Skibba, MD; William K. Gourley, MD; Arthur P. Klotz, MD

Arch Intern Med. 1976;136(8):890-892.

Abstract
The incidence of and mortality associated with colon cancer has not decreased during the past 25 years despite several innovations in therapy. Earlier detection and prevention by polypectomy through the sigmoidoscope and colonoscope have been suggested as one alternative offering improvement. The polyp-cancer sequence is controversial, but recent evidence indicates that polyps with a papillary component have a substantial potential for becoming malignant. Fortyfour polyps were resected from 26 patients. Nineteen polyps from 14 patients had papillary features or "in-situ" carcinoma. Thus, colonoscopic polypectomy may play an important role not only in early detection but also in the prevention of colon cancer.

(Arch Intern Med 136:890-892, 1976)

Author Affiliations
From the Department of Medicine, Division of Gastroenterology (Drs Skibba and Klotz), and the Department of Pathology (Dr Gourley), University of Kansas Medical Center, Kansas City, Kan.

Footnotes
Received for publication June 13, 1975; accepted Jan 21, 1976.

Reprint requests to the Wichita Clinic, 3244 E Douglas, Wichita, KS 67206 (Dr Skibba).

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