{"id":2157,"date":"2026-03-15T14:36:18","date_gmt":"2026-03-15T14:36:18","guid":{"rendered":"https:\/\/blogs.bmj.com\/jmg\/?p=2157"},"modified":"2026-03-15T14:36:28","modified_gmt":"2026-03-15T14:36:28","slug":"colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/jmg\/2026\/03\/15\/colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston\/","title":{"rendered":"Colonoscopy Surveillance in Lynch Syndrome: What It Prevents and What It Doesn&#8217;t (Contributed by Dr. Richard S Houlston)"},"content":{"rendered":"<p>This paper re-evaluates how effectively regular colonoscopy protects people with Lynch syndrome, a common inherited cause of bowel cancer. While colonoscopy saves lives by detecting cancers at an early stage, large contemporary studies show it does not reliably prevent cancers from developing. This is because Lynch syndrome cancers can grow rapidly or arise without visible polyps that can be removed. The review explains why earlier studies likely overestimated cancer prevention, highlighting important differences between the different Lynch syndrome genes, and shows that surveillance mainly reduces death rather than cancer incidence. It also identifies priorities for improving care, including higher-quality colonoscopy, better adherence, and complementary strategies such as aspirin, biomarkers, and AI-assisted detection. (<a href=\"https:\/\/jmg.bmj.com\/content\/early\/2026\/03\/13\/jmg-2025-111311\">https:\/\/jmg.bmj.com\/content\/early\/2026\/03\/13\/jmg-2025-111311<\/a>)<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This paper re-evaluates how effectively regular colonoscopy protects people with Lynch syndrome, a common inherited cause of bowel cancer. While colonoscopy saves lives by detecting cancers at an early stage, large contemporary studies show it does not reliably prevent cancers from developing. This is because Lynch syndrome cancers can grow rapidly or arise without visible [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/jmg\/2026\/03\/15\/colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":123,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2157","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Colonoscopy Surveillance in Lynch Syndrome: What It Prevents and What It Doesn&#039;t (Contributed by Dr. Richard S Houlston) - JMG Contact blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/jmg\/2026\/03\/15\/colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Colonoscopy Surveillance in Lynch Syndrome: What It Prevents and What It Doesn&#039;t (Contributed by Dr. Richard S Houlston) - JMG Contact blog\" \/>\n<meta property=\"og:description\" content=\"This paper re-evaluates how effectively regular colonoscopy protects people with Lynch syndrome, a common inherited cause of bowel cancer. While colonoscopy saves lives by detecting cancers at an early stage, large contemporary studies show it does not reliably prevent cancers from developing. This is because Lynch syndrome cancers can grow rapidly or arise without visible [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/jmg\/2026\/03\/15\/colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston\/\" \/>\n<meta property=\"og:site_name\" content=\"JMG Contact blog\" \/>\n<meta property=\"article:published_time\" content=\"2026-03-15T14:36:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-15T14:36:28+00:00\" \/>\n<meta name=\"author\" content=\"hqqu\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@HuiQiQu\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"hqqu\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/03\\\/15\\\/colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/03\\\/15\\\/colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston\\\/\"},\"author\":{\"name\":\"hqqu\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#\\\/schema\\\/person\\\/be0250f8d5b52412c3e7c222dabd591b\"},\"headline\":\"Colonoscopy Surveillance in Lynch Syndrome: What It Prevents and What It Doesn&#8217;t (Contributed by Dr. Richard S Houlston)\",\"datePublished\":\"2026-03-15T14:36:18+00:00\",\"dateModified\":\"2026-03-15T14:36:28+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/03\\\/15\\\/colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston\\\/\"},\"wordCount\":139,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#organization\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/03\\\/15\\\/colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/03\\\/15\\\/colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/03\\\/15\\\/colonoscopy-surveillance-in-lynch-syndrome-what-it-prevents-and-what-it-doesnt-contributed-by-dr-richard-s-houlston\\\/\",\"name\":\"Colonoscopy Surveillance in Lynch Syndrome: What It Prevents and What It Doesn't (Contributed by Dr. Richard S Houlston) - 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