Colon cancer: risk factors and screening

Author(s):  
Mark Natanson

Colon and rectal cancers are usually combined under the same term "colorectal cancer". It should be noted that the lesion of the colon is much more common. Colorectal cancer ranks fourth in the overall structure of oncological pathology in terms of prevalence, and in some countries even comes third after lung and stomach cancer. Risk factors that contribute to the development of colorectal cancer include bowel polyps, ulcerative colitis and Crohn's disease, and a genetic predisposition. Most often, neoplastic transformation occurs at the site of an adenoma or dysplastic lesion of the intestinal mucosa. Due to the high risk of neoplastic process in a sufficiently large number of elderly people, it is recommended that every person over the age of 50 should undergo compulsory screening to detect latent cancer. The simplest, but at the same time insufficiently informative method is a blood culture test - analysis for the presence of blood in the feces. Method of total colonoscopy and double-contrast radiography is distinguished by a higher information content, but at the same time a higher cost. It is recommended to have these examinations every three to five years after the age of 50 years without clinical manifestations, and after the age of 40 for those at risk for colorectal cancer.

2019 ◽  
Vol 30 ◽  
pp. ix133
Author(s):  
C.G. Trisina ◽  
C.L. Driansha ◽  
C.L. Driansha ◽  
R. Martianus ◽  
L.W. Soesilopranoto ◽  
...  

2012 ◽  
Vol 26 (12) ◽  
pp. 889-893 ◽  
Author(s):  
Maida J Sewitch ◽  
Robert Hilsden ◽  
Lawrence Joseph ◽  
Linda Rabeneck ◽  
Lawrence Paszat ◽  
...  

BACKGROUND: Previously developed screening colonoscopy algorithms based on diagnostic and endoscopy procedural variables have not been sufficiently accurate for use in epidemiological and health services research.OBJECTIVE: To increase understanding of the administrative health database variables that could help to discern screening and nonscreening colonoscopy.METHODS: A qualitative study using physician focus groups was conducted in Montreal (Quebec), Calgary (Alberta) and Toronto (Ontario). Specialty-specific focus group sessions were held among family physicians and gastroenterologists – the physicians responsible for referring patients to and performing screening colonoscopy, respectively. Interview guides were developed to better understand physician clinical and billing practices. Discussions were audiotaped, transcribed verbatim and analyzed using the constant comparative approach.RESULTS: Forty family physicians and seven gastroenterologists participated in five focus group sessions. Patient variables included demographics (age) and medical history (colorectal cancer risk factors/symptoms, medication for colorectal cancer risk factors/symptoms, gastrointestinal disorders, severe disease). Clinical practice variables included timing of the colonoscopy (evenings, weekends, holidays, during hospitalization; same-day endoscopist consultation and colonoscopy), use of services (hospitalization, annual examination, transfer from other facility) and procedure use patterns (large bowel or other medical/surgical procedure before and subsequent to colonoscopy). However, wide variability in clinical and billing practices will likely preclude the development of a reasonably accurate screening colonoscopy algorithm. Physicians suggested adding a screening colonoscopy code to the administrative health data.CONCLUSIONS: Failure to acknowledge the limitations of the provincial administrative health databases to identify screening colonoscopy may lead to incorrect conclusions and the establishment of inappropriate health care policies.


2010 ◽  
Vol 25 (8) ◽  
pp. 983-988 ◽  
Author(s):  
Jimmy C. M. Li ◽  
Janet F. Y. Lee ◽  
Simon S. M. Ng ◽  
Raymond Y. C. Yiu ◽  
Sophie S. F. Hon ◽  
...  

Author(s):  
Gabriel S. Makar ◽  
Michael Makar ◽  
Chioma Obinero ◽  
William Davis ◽  
John P. Gaughan ◽  
...  

2015 ◽  
Vol 14 (5) ◽  
pp. 44-50 ◽  
Author(s):  
I. V. Feldblum ◽  
M. H. Alyeva ◽  
A. O. Kanina ◽  
V. N. Gryaznov ◽  
D. V. Zitta

Colorectal cancer (CRC) dominants in incidence and mortality among all malignant tumors, it is observed both globally and different regions of Russia. The results of analytical epidemiological study «case-control» on the impact of the colorectal cancer risk factors are presented. Considered risk factors were associated with the sources of water consumption and the some features of diet in Permski Krai. Questionnaire surveys of 200 patients with CRC and 200 healthy individuals were performed. Observation and control groups were spread evenly by sex, age and ethnicity. It was determined following risk factors: consumption of municipal unboiled water and well water, sour cream intake, high concentration of salt in the food, fat, fried and spicy meal as well. There were protective factors such us consumption of municipal boiled water and intake of total dairy products more than 1000 g per week.


2020 ◽  
Vol 29 (2) ◽  
pp. 127-133
Author(s):  
Takuya Okada ◽  
Tomoyuki Odagaki ◽  
Francisco López-Köstner ◽  
Alejandro J. Zárate ◽  
Alejandra Ponce ◽  
...  

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