Diagnostische Bedeutung und Akzeptanz der Vorsorgekoloskopie - erste Ergebnisse
| Autor: | L. Lemberg, Dietrich Hüppe, G. Felten |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Adenoma medicine.diagnostic_test Colorectal cancer business.industry General surgery medicine.medical_treatment Perforation (oil well) Gastroenterology Colonoscopy medicine.disease Polypectomy Surgery Patient satisfaction medicine business Prospective cohort study Mass screening |
| Zdroj: | Zeitschrift für Gastroenterologie. 42:591-598 |
| ISSN: | 1439-7803 0044-2771 |
| DOI: | 10.1055/s-2004-813126 |
| Popis: | BACKGROUND In Germany screening colonoscopy was introduced into the national program on colorectal cancer prevention in October 2002 for asymptomatic subjects older than 55 years. It is the aim of this program to reduce the rate of mortality of colorectal cancer (CRC) during the next decade. Up to now no data are available concerning the outcome and patient tolerance of screening colonoscopy. METHODS Patients were enrolled in the prospective study between October 2002 and June 2003. The diagnoses from colonoscopy and complications were recorded. A short interview provided information on individual family risks of CRC. During June 2003 all subjects were handed a questionnaire to evaluate their satisfaction and tolerance concerning screening colonoscopy. All subjects were offered sedation (Disoprivan: Propofol). RESULTS A total of 1117 subjects (776 [69.5 %] female, 341 [30.5 %] male) underwent screening colonoscopy; age: 64.3 +/- 6.9 years. 1104 (98.8 %) requested sedation. In 1090 cases (97.6 %) colonoscopy was completed to the cecum (photographic documentation of cecal landmarks). A total of 11 patients had invasive cancer (1 %), 4 of these had adenomas containing invasive carcinoma. The stage was T1/N0 or T2/N0. A total of 138 (12.4 %) patients had 168 polypoid lesions, which were treated by complete polypectomy. 402 small polypoid lesions (< 0.5 cm) were only detected by biopsy. In this group 233 adenomas (20.9 %) were found. Complications were: 1 perforation and 4 haemorrhages after polypectomy. Patient tolerance was very high. 99.4 % of all subjects agreed to a control colonoscopy or recommended screening colonoscopy to their relatives and friends. CONCLUSION Screening colonoscopy is an effective and well-accepted method in our unit for gastroenterology. The high prevalence of adenoma and invasive carcinoma suggests that screening colonoscopy should be provided for all persons at the age of 55, especially for men. |
| Databáze: | OpenAIRE |
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