**Author details**

Alberto Vannelli1\*, Michel Zanardo1 , Valerio Basilico1 , Baldovino Griffa2 , Fabrizio Rossi2 , Massimo Buongiorno3 , Luigi Battaglia4 , Vincenzo Pruiti5 , Sara De Dosso6 and Giulio Capriata1

\*Address all correspondence to: info@albertovannelli.it

1 Division of Oncologic & Gastrointestinal Surgery Valduce Hospital, Como, Italy

2 Division of General Surgery Valduce Hospital, Como, Italy

3 Finance Ca Foscari University, Venice, Italy

4 Division of General Surgery B Foundation Irccs "National Institute of Tumour", Milan, Ita‐ ly

5 Azienda Ospedaliera Universitaria Policlinico "G. Martino", Messina, Italy

6 Oncology Institute of Southern Switzerland, Bellinzona, Switzerland

### **References**


[5] Goodwin, J. S, Singh, A, Reddy, N, Riall, T. S, & Kuo, Y. F. Overuse of screening colo‐ noscopy in the Medicare population. Arch Intern Med. (2011). , 171(15), 1335-43.

plied especially in the health care with diversified systems as ours, can be a useful tool to

, Valerio Basilico1

1 Division of Oncologic & Gastrointestinal Surgery Valduce Hospital, Como, Italy

5 Azienda Ospedaliera Universitaria Policlinico "G. Martino", Messina, Italy

6 Oncology Institute of Southern Switzerland, Bellinzona, Switzerland

, Vincenzo Pruiti5

4 Division of General Surgery B Foundation Irccs "National Institute of Tumour", Milan, Ita‐

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and

,

calculate the regional needs in order to carry out screening campaigns.

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\*Address all correspondence to: info@albertovannelli.it

3 Finance Ca Foscari University, Venice, Italy

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Massimo Buongiorno3

Giulio Capriata1

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Alberto Vannelli1\*, Michel Zanardo1

88 Colonoscopy and Colorectal Cancer Screening - Future Directions


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**Section 2**

**Managing Precursor Lesions: Resection**

**Techniques and Beyond**


**Managing Precursor Lesions: Resection Techniques and Beyond**

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**Chapter 4**

**Evolution and Strategy of Endoscopic Treatment for**

Wolff and Shinya published their experience with *therapeutic* colonoscopy in September 1969 in JAMA [2], three months after they had commenced to perform diagnostic fiber colonoscopy. Since then, this has become an increasingly significant arm of minimally invasive colorectal surgery, complementing, even possibly replacing procedures that were once performed using

Following the introduction of the fiber-optic colonoscopy for diagnostic evaluation of the lower gastrointestinal tract, enabling all parts of the colon to the assessed under direct vision and instrumentation as reported by Deyhle and Demling in 1971, and Sakai in 1972, [4-5] mastery of these techniques by Williams and colleagues have enabled therapeutic interven‐

Propelling this "endoscopic therapy" movement is the increasing evidence of the "adenomacarcinoma" polyp-cancer sequence introduced by Morson and Bussey from 1968 to 1970. [7] This fundamental concept has enabled a form of prevention of colorectal cancer by endoscopic removal of precursor lesions and is the basis of colonoscopic screening for colorectal cancer,

Winawer and colleagues in 1993 provided strong evidence that the prevention of colorectal cancer can be achieved by colonoscopic polypectomy. [9] Data and statistics from the National

and reproduction in any medium, provided the original work is properly cited.

© 2013 Sharon et al.; licensee InTech. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use,

© 2013 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution,

distribution, and reproduction in any medium, provided the original work is properly cited.

**Colorectal Tumours**

Tsang B.S. Charles

**1. Introduction**

**1.1. History**

http://dx.doi.org/10.5772/53342

"open" surgical techniques. [1-3]

tions to be performed endoscopically. [6]

**2. Polypectomy in the colon**

resulting in the effective cessation to their progression to cancer.

Koh Z.L. Sharon, H. Yamamoto and

Additional information is available at the end of the chapter
