COLORECTAL SCREENING. FIRST RESULTS
https://doi.org/10.17650/2220-3478-2017-7-4-31-37
Abstract
Objective: retrospective evaluation of the results of the 2nd stage of implemented colorectal screening program by colonoscopy.
Materials and methods. In 2015–2017, The Department of Health of the Tyumen region is implementing a colorectal screening program. First stage of the program: the test for occult blood, 2nd stage: screening colonoscopy.
Results. Achieved 2157 screening colonoscopies for patients aged 55–65 years with a positive fecal immunochemical test for fecal occult blood. In 531 (24.6 %) patients adenoma and adenocarcinoma of the rectum and colon were revealed (adenomas verified in 365 (23.1 %) cases, adenocarcinoma – in 33 (1.5 %) cases). Of the total number of verified neoplasia (618 cases of localization), 365 (59 %) cases of adenoma and adenocarcinoma were located in the rectum and sigmoid colon, 253 (41 %) cases – in the descending colon, transverse colon, ascending colon and cecum.
Conclusions. In the completed study, the fecal immunochemical test and, with a positive result, a video-colonoscopy were performed at the 1st stage of colorectal screening for patients aged 50–65 years. In 98 % of cases, intubation of the cecum and the time of colonoscope removal for at least 6 minutes allowed to obtain a value of adenoma detection rate ~25 %, which is indicator of the effectiveness of the performed colorectal screening.About the Authors
E. N. Desyatov
Multifunctional Medical Clinic ‘Medical City’
Russian Federation
Russian Federation
32 Barnaulskaya St., Tyumen 625041
F. Sh. Aliyev
Tyumen State Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
54 Odesskaya St., Tyumen 625023
V. Yu. Zuev
Multifunctional Medical Clinic ‘Medical City’
Russian Federation
Russian Federation
32 Barnaulskaya St., Tyumen 625041
A. S. Kir’yanova
Multifunctional Medical Clinic ‘Medical City’
Russian Federation
Russian Federation
32 Barnaulskaya St., Tyumen 625041
V. Yu. Kuznetsov
Multifunctional Medical Clinic ‘Medical City’
Russian Federation
Russian Federation
32 Barnaulskaya St., Tyumen 625041
K. V. Schepkin
Multifunctional Medical Clinic ‘Medical City’
Russian Federation
Russian Federation
32 Barnaulskaya St., Tyumen 625041
References
1. Алиев Ф.Ш., Десятов Е.Н., Крутских А.Г. и др. Эпидемиология колоректального рака: мировые и региональные тенденции. Медицинская наука и образование Урала 2016;17(4): 125–8. [Aliev F.Sh., Desyatov E.N., Krutskikh A.G. et al. Epidemiology of colorectal cancer: global and regional trends. Meditsinskaya nauka i obrazovanie Urala = Medical Science and Education of the Ural Region 2016;17(4):125–8. (In Russ.)].
2. Fearon E.R., Vogelstein B.A. A genetic model for colorectal tumorigenesis. Cell 1990;61(5):759–67. PMID: 2188735.
3. Muto T., Bussey H.J.R., Morson B.C. The evolution of cancer of the colon and rectum. Cancer 1975;36(6):2251–70. PMID: 1203876.
4. Winawer S.J., Zauber A.G., O’Brien M.J. et al. Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps. The National Polyp Study Workgroup. N Engl J Med 1993;328(13):901–6. DOI: 10.1056/NEJM199304013281301.
5. Cancer reference information (April 1, 2006). Available at: http://www.cancer.org.
6. Levin B., Lieberman D.A., McFarland B. et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a Joint Guideline from the American Cancer Society, the US MultiSociety Task Force onColorectal Cancer and the American College of Radiology. CA Cancer J Clin 2008;58(3):130–60. DOI: 10.3322/CA.2007.0018.
7. Rockey D.C., Paulson E., Niedzwiecki D. et al. Analysis of air contrast barium enema, computed tomographic colonography and colonoscopy: prospective comparison. Lancet 2005;365(9456):305–11. DOI: 10.1016/S0140-6736(05)17784-8.
8. Bond J.H. Polyp guideline: diagnosis, treatment and surveillance for patients with colorectal polyps. Practice Parameters Committee of the American College of Gastroenterology. Am J Gastroent 2000;95(11):3053–63. DOI: 10.1111/j.1572-0241.2000.03434.x.
9. Sung J.J., Lau J.Y., Young G.P. et al. Asia Pacific consensus recommendations for colorectal cancer screening. Gut 2008;57(8):1166–76. DOI: 10.1136/gut.2007.146316.
10. Halligan S., Altman D.G., Taylor S.A. et al. CT colonography in the colorectal polypsт and cancer: systematic review, metaanalysis and minimum data set for study level reporting. Radiology 2005;237(3):893–904. DOI: 10.1148/radiol.2373050176.
11. Pickhard P.J. et al. Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults. New Engl J Med 2003;349(23):2191–200. DOI: 10.1056/NEJMoa031618.
12. Ривкин В.Л., Кирьянов И.В., Никитин А.М., Лукин В.В. Полипы и полипоз толстой кишки. М.: Медпрактика-М, 2005. 152 с. [Rivkin V.L., Kiryanov I.V., Nikitin A.M., Lukin V.V. Polyps and polyposis of the colon. Moscow: MedpraktikaM, 2005. 152 p. (In Russ.)].
13. Newcomb P.A., Norfleet R.G., Storer B.E. et al. Screening sigmoidoscopy and colorectal cancer mortality. J Natl Cancer Inst 1992;84(20):1572–5. PMID: 1404450.
14. Imperiale T.F., Wagner D.R., Lin C.Y. et al. Risk of advanced proximal neoplasms in asymptomatic adults according to the distal colorectal findings. N Engl J Med 2000;343(3):169–74. DOI: 10.1056/NEJM200007203430302.
15. Kudo Sh. The role of magnifying colonoscopy in colonoscopic examination with an emphasize on depressed type lesion. Dis Colon Rectum 2004;47(2):1034.
16. Rex D. Colonoscopy in colorectal cancer prevention. Clin Gastroenterol Hepatol 2008;6(10):506–14.
17. Shimazaki J. Recurrence after endoscopic management for early colorectal cancer. Dis Colon Rectum 2004;47(11):1081.
18. Hoff G., Holme O., Bretthauer M. et al. Cecum intubation rate as quality indicator in clinical versus screening colonoscopy. Endosc Int Open 2017;5(6):E489–95. DOI: 10.1055/s-0043-106180.
19. Rabeneck L., Souchek J., El-Serag H.B. Survival of colorectal cancer patients hospitalized in the Veterans Affairs Health Care System. Am J Gastroenterol 2003;98(5):1186–92. DOI: 10.1111/j.1572-0241.2003.07448.x.
20. Rex D.K., Cutler C.S., Lemmel G.T. et al. Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies. Gastroenterology 1997;112(1):24–8. PMID: 8978338.
21. Barclay R.L., Vicari J.J., Doughty A.S. et al. Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. N Eng J Med 2006;355(24):2533–41. DOI: 10.1056/NEJMoa055498.
22. Millan M.S., Gross P., Manilich E., Church J.M. Adenoma detection rate: the real indicator of quality in colonoscopy. Dis Colon Rectum 2008;51(8):1217–20. DOI: 10.1007/s10350-008-9315-3.
23. Anderson J.C., Butterly L.F. Colonoscopy: quality indicators. Clin Transl Gastroenterol 2015;6(2):e77. DOI: 10.1038/ctg.2015.5.
24. Gatto N.M., Frucht H., Sundararajan V. et al. Risk of perforation after colonoscopy and sigmoidoscopy: a population-based study. J Natl Cancer Inst 2003;95(3): 230–36. PMID: 12569145.
Review
Views:
786
Email this article 