Postcolonoscopy colorectal cancer (PCCRC)
| Malleable causes of PCCRC | Potential solutions |
|---|---|
| Endoscopist inexperience/skill | Ensure adequate annual volume |
| Careful technique | |
| Quality assurance | |
| Incomplete colonoscopy | Repeat colonoscopy (or CT colonography) |
| Inadequate bowel preparation | Use split dose preparation |
| Inadequate treatment of advanced neoplasia | Careful polypectomy technique |
| Appropriate postpolypectomy surveillance36 | |
| Failure to recognise flat lesion | Endoscopist awareness and vigilance |
| Scenarios associated with increased risk (older women, diverticular disease, prior abdominal or pelvic surgery) | As above |