New guidelines from the American Society for Gastrointestinal Endoscopy (ASGE) back the American College of Gastroenterology’s recently updated practice guidelines for colorectal cancer screening in African Americans beginning at age 45. Other minority groups, such as Hispanics and Native Americans, also are recommended for early detection.
“… every effort should be made to increase the availability of screening tests” in these groups, as well as Asian Americans/Pacific Islanders and Native Americans/Alaska Natives, because “several GI diseases demonstrate racial and ethnic differences in their epidemiology.” “Ethnic Issues in Endoscopy” emphasizes some of the more important differences in gastrointestinal (GI) disease patterns among minority ethnic groups in the United Sattes that may influence the practice of endoscopy in these patient groups.
In addition to ASGE’s suggestion for colorectal screening at age 45 for average-risk African Americans and its recommendation for screening to be emphasized among other minority ethnic groups that have lower utilization rates, ASGE also suggests in its guidelines:
Screening esophagogastroduodenoscopy (EGD) for adenocarcinoma or squamous cell carcinoma of the esophagus be based on clinical considerations and not upon ethnicity.
Not to deviate from usual screening for and treating H pylori based on ethnicity.
Surveillance for those found to have gastric intestinal metaplasia with an increased risk of gastric cancer due to ethnic background or family history.
Screening EGD for gastric cancer in new U.S. immigrants from Asia, Russia, and South America, especially if there is a family history in a first-degree relative.