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Volume 84 - 2021 - Fasc.3 - Editorial

Essential reading from the editor’s desk

Colorectal cancer remains the third most prevalent cancer in both females (after breast and lung cancer) and males (after prostate and lung cancer) in Belgium with incidence rates of 2809 and 2956 per 100,000 person years respectively (1). Since 2009 and 2013 a colorectal screening program was initiated in Wallonia and Flanders respectively, currently both using immunochemical fecal occult testing (2). In case of positive screening, a total colonoscopy should follow to detect high-risk lesions. Self-evidently, quality of the endoscopic procedure is a key parameter for an effective screening program. Widely accepted quality measures for screening colonoscopy include cecal intubation rate, withdrawal time, adenoma detection rate, quality of polyp resection and bowel preparation (3,4). In this edition of Acta Gastro-Enterologica Belgica Dikkanoglu et al. compared the effect of bowel preparation explained by a secretary (control) vs. a physician (intervention) in addition to written instructions (5). Even if there were no differences in adenoma detection rate in this series of 150 patients, education by the physician resulted in significantly better bowel preparation scores compared to the standard. This study highlights the importance of proper instruction by a member of staff who is experienced with the practical aspects of bowel preparation, rather than a member of the administrative staff.