Postcolonoscopy colorectal cancer: What we need to know in the age of screening and magnifying endoscopy techniques

doi:10.4253/wjge.v17.i7.107430

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Endosc. Jul 16, 2025; 17(7): 107430
Published online Jul 16, 2025. doi: 10.4253/wjge.v17.i7.107430

Postcolonoscopy colorectal cancer: What we need to know in the age of screening and magnifying endoscopy techniques

Maria Delgado Galan, Elvira Quintanilla Lazaro, Luis Ramon Rabago Torre

Maria Delgado Galan, Elvira Quintanilla Lazaro, Department of Gastroenterology, Hospital Severo Ochoa, Leganes 28914, Madrid, Spain

Luis Ramon Rabago Torre, Department of Gastroenterology, San Rafael Hospital, Madrid 28016, Spain

Author contributions: Delgado Galan M was responsible for preparing the initial draft of the manuscript, conducting the literature review, and composing the text in Spanish; Quintanilla Lazaro E revised the draft, contributed additional ideas, and restructured the manuscript using EndNote; Rabago Torre LR performed the final revision, completed the initial translation into English, and responded to the reviewers’ suggestions.

Conflict-of-interest statement: We do not have any conflict-of-interest.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Luis Ramon Rabago Torre, MD, PhD, Department of Gastroenterology, San Rafael Hospital, Street Serrano 199, Madrid 28016, Spain. lrabagot@gmail.com

Received: March 24, 2025
Revised: April 10, 2025
Accepted: June 7, 2025
Published online: July 16, 2025
Processing time: 108 Days and 8.9 Hours

Core Tip

Core Tip: Post-colonoscopy colorectal cancer (PCCRC) remains the most reliable parameter for assessing colonoscopy quality, as it reflects its effectiveness in diagnosing and preventing colorectal cancer. More than 80% of cases are attributed to preventable factors, making their reduction a key challenge for endoscopy units. While technological advancements will enhance procedural quality, the most crucial step in reducing PCCRC is the continuous evaluation of endoscopy units to identify limitations and implement targeted improvement strategies.