Screening Guidelines for Colorectal Cancer
The ACS recommendations for colorectal cancer are for men and women 50 years and older have 1 of the 5 screening options:
1) Fecal Occult Blood Test--every year starting at 50 years old OR
2) Flexible Sigmoidoscopy at 50 years old and every 5 years
3) Yearly FOBT plus flexible sigmoidoscopy every 5 years OR
4) Colonoscopy at 50 years old and every 10 years
5) Double Contrast Barium Enema -- at 50 years and every 5 years
The ACS prefers choice #3 above.
- The FOBT test refers to collecting and testing 6 samples from 3 consecutive stools at home.
- Flexible Sigmoidoscopy is a procedure that allows direct visual examination of the distal part of the colon and rectum with a flexible scope after a thorough cleansing of the colon and rectum.
- Colonoscopy is a procedure that allows direct visual examination of the entire colon and rectum using a colonoscope.
- Double contrast barium enema is a procedure that allows X-ray examination of the entire colon and rectum by instilling both barium and air to be able to visualize everything.