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Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

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Published on: July 11, 2025

Colonoscopy is the preferred colorectal cancer screening method in a population-based program.

U A Marbet¹, P Bauerfeind, J Brunner

¹Division of Gastroenterology, Department of Medicine, District Hospital of Uri, Switzerland.

|July 9, 2008

Summary

Participation in colorectal cancer (CRC) screening was low despite information campaigns. Colonoscopy was the preferred and safe screening method, with patient factors influencing uptake.

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Published on: August 1, 2019

Area of Science:

Gastroenterology
Public Health
Oncology

Background:

Professional societies promote various colorectal cancer (CRC) screening methods.
Limited data exist on factors influencing patient participation in CRC screening programs.
Understanding participation determinants is crucial for population-based screening success.

Purpose of the Study:

Identify factors influencing CRC screening acceptance and method preference.
Evaluate colonoscopy success, neoplasia detection, and patient satisfaction.

Main Methods:

A public awareness campaign offered CRC screening to individuals aged 50-80.
Screening options included fecal occult blood tests, flexible sigmoidoscopy, a combination, or colonoscopy.

Main Results:

Only 12.0% of the target population participated in screening.
Access to information and positive attitudes were key participation drivers.
Colonoscopy was preferred by 74.8%; advanced neoplasia found in 8.5% (higher in males, increasing with age).
Colonoscopy complications occurred in 0.5% (related to polypectomy/sedation).
Over 90% of patients were satisfied and would choose colonoscopy again.

Conclusions:

Low CRC screening uptake was observed despite an extensive information campaign.
Colonoscopy emerged as a preferred and safe screening modality.
Demographic factors and screening determinants can inform improved screening strategies.