French Society of Digestive Endoscopy (SFED) Guidelines on performing a colonoscopy

Colonoscopy is the standard examination for diagnosing colorectal diseases and treating colorectal superficial neoplasms. Colonoscopy must be performed under the best conditions for optimum results. However, it is difficult to lay down rules as there is a scant amount of scientific data or available references on numerous points and because the practice is different from country to country, so that consulting the international literature is of limited use. Most of the options set out below are only the result of consulting experts. These guidelines are provisional and for guidance only as they are liable to change as and when new scientific information comes to light.

References

• 1 Recommandations pour la pratique clinique: Endoscopie digestive basse. Indications en dehors du dépistage en population. ANAES avril 2004
• 2 Information des patients. Recommandations destinées aux médecins. ANAES mars 2000
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• 8 Napoleon B, Boneu B, Maillard L, Samama C M, Schved J F, Gay G. et al . Management of Patients on Anticoagulants or Antiplatelet Agents before Digestive Endoscopy.  . 2006;  38 632-638
• 9 Barthet M, Napoleon B, Gay G, Ponchon T, Sautereau D, Arpurt J P. et al . Antibiotic prophylaxis for digestive endoscopy.  Endoscopy. 2004;  36 1123-1125
• 10 Recommandation SFED: utilisation des électrocoagulateurs. 
• 11 Anderson J C, Messina C R, Cohn W, Gottfried E, Ingber S, Bernstein G. et al . Factors predictive of difficult colonoscopy.  Gastrointest Endosc. 2001;  54 558-562
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• 17 Hixson L J, Fennerty M B, Sampliner R E, McGee D, Garewal H. Prospective study of the frequency and size distribution of polyps missed by colonoscopy.  J Natl Cancer Inst. 1990;  82 1769-1772
• 18 Rex D K, Cutler C S, Lemmel G T, Rahmani E Y, Clark D W, Helper D J. et al . Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies.  Gastroenterology. 1997;  112 24-28
• 19 Rembacken B J, Fujii T, Cairns A, Dixon M F, Yoshida S, Chalmers D M, Axon A T. Flat and depressed colonic neoplasms: a prospective study of 1000 colonoscopies in the UK.  Lancet. 2000;  355 1211-1214
• 20 Suzuki N, Talbot I C, Saunders B P. The prevalence of small, flat colorectal cancers in a western population.  Colorectal Dis. 2004;  6 15-20
• 21 Kiesslich R, Fritsch J, Holtmann M, Koehler H H, Stolte M, Kanzler S. et al . Methylene blue-aided chromoendoscopy for the detection of intraepithelial neoplasia and colon cancer in ulcerative colitis.  Gastroenterology. 2003;  124 880-888
• 22 Rutter M D, Saunders B P, Schofield G, Forbes A, Price A B, Talbot I C. Pancolonic indigo carmine dye spraying for the detection of dysplasia in ulcerative colitis.  Gut. 2004;  53 256-260
• 23 Brooker J C, Saunders B P, Shah S G, Thapar C J, Thomas H J, Atkin W S. et al . Total colonic dye-spray increases the detection of diminutive adenomas during routine colonoscopy: a randomized controlled trial.  Gastrointest Endosc. 2002;  56 333-338
• 24 Hurlstone D P, Cross S S, Slater R, Sanders D S, Brown S. Detecting diminutive colorectal lesions at colonoscopy: a randomised controlled trial of pan-colonic versus targeted chromoscopy.  Gut. 2004;  53 376-380
• 25 Recommandations SFED: indication de la réalisation de biopsies lors d’une endoscopie digestive basse. 
• 26 Recommandations SFED: polypectomie, mucosectomie.