Colonoscopic screening and follow-up for coiorectal cancer in the elderly

来源 :World Journal of Gastroenterology | 被引量 : 0次 | 上传用户:hy1330
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AIM:To improve the prevention and treatment of senilepatients with colorectal cancer by evaluating the importanceof colonoscopy in clinical screening and follow-up.METHODS:Clinical screening of colonoscopy wasperformed for 2196 patients aged 60-90 years old accordingto the protocol,and 1740 of them(79.2 %)were followed-up.RESULTS:Colorectal cancer was found in 52 patients,andthe detectable rate was 2.4 %.Among them,19 werediagnosed as early colorectal cancer,accounting for 36.5 %of the detected colorectal cancer.Among the followed-uppatients,early colorectal cancer was found in 9,accountingfor 45.0 % of the detected colorectal cancer.The resectablerate and 5 years survival rate of colorectal cancer were 97.7% and 80.9 % respectively.The incidence of complicationwas 0.05 %,and the successful rate of cecum intubationwas 98.9 %.CONCLUSION: Colonoscopic screening and follow-up of the elderly for colorectal cancer and pre-cancerous lesion (adenomatoid polyp) can increase the detectable rate of early colorectal cancer and improve its prevention and treatment. AIM:To improve the prevention and treatment of senilepatients with colorectal cancer by evaluating the importanceof colonoscopy in clinical screening and follow-up.METHODS:Clinical screening of colonoscopy wasperformed for 2196 patients aged 60-90 years old according to the protocol,and 1740 of them (79.2 %)were followed-up.RESULTS:Colorectal cancer was found in 52 patients,andthe detectable rate was 2.4 %.Among them,19 werediagnosed as early colorectal cancer,accounting for 36.5 % of the detected colorectal cancer.Among the followed- Uppatients,early colorectal cancer was found in 9,accountingfor 45.0 % of the detected colorectal cancer.The resectablerate and 5 years survival rate of colorectal cancer were 97.7% and 80.9 % respectively.The incidence of complicationwas 0.05 %, and the successful rate of cecum Intubationwas 98.9 %.CONCLUSION: Colonopathy screening and follow-up of the elderly for colorectal cancer and pre-cancerous lesion (adenomatoid polyp) can increase the detectable rate Of early colorectal cancer and improve its prevention and treatment.
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