How is gut health monitored in the US?

The social responsibility of a doctor is to inform, call for prevention. In Russia, the share of colonoscopies does not exceed 8.9% in the structure of endoscopic examinations. This is extremely small for the prevention of early colon cancer. While the publication was being prepared, the figures from the US Department of Health were late. So here for comparison. About 750 thousand colonoscopies were performed in Russia in 2013 . In the USA in 2012 – 15 million. In the structure of gastrointestinal endoscopy, colonoscopy in the USA among men takes 57%, among women 59%.

Dear Colleagues, Here is some belated information straight from the heart of the US Department of Health.

Approximately 15 million colonoscopies were performed in the US in 2012 . In its current state, the US health care system has been able to perform enough colonoscopies to reach 80% of all adults between the ages of 50 and 75 for colorectal cancer prevention by 2024. However, the model used in this study does not account for screening barriers. such as being able to afford screening or having access to screening in your area.

The 2012 Endoscopic Capacity Study (SECAP) estimated the number of colonoscopies performed and the number that can be performed. According to the SECAP survey, an estimated 15 million colonoscopies were performed in 2012, and an additional 10.5 million colonoscopies are needed to reach 84% of this age group.

In 2009, over 55 million procedures were performed with GI endoscopic devices, of which nearly 50 percent were colonoscopies.


“Patterns of Endoscopy in the United States: An Analysis of Data from Centers for Medicare and Medicaid Services and the National Endoscopy Database.”


The most COMMON endoscopic procedure was colonoscopy (variously reported CMS 53%, CORI 58%) followed by endoscopy (37%, 32%) and flexible sigmoidoscopy (10%, 10%). In women, the data in CMS were 59% EGDs, 57% colonoscopies , and 56% flexible sigmoidoscopies , and in the CORI data, the corresponding data were 57%, 55%, and 54%, respectively. Compared to their US Census distribution, black patients in both databases underwent relatively more EGDs and fewer colonoscopies . The most common upper GI diagnosis was GERD, followed by GI bleeding, gastric and duodenal ulcers. The most common diagnosis of lower GI endoscopy was a colorectal polyp. During the period 1999-2003, the rates of colorectal cancer diagnosed by colonoscopy decreased.

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