Questionnaire-Based Survey on Management of Ulcerative Colitis-Associated Cancer in East Asian Countries
Autor: | Toshio Watanabe, Akihito Nagahara, Jose D. Sollano, Satoshi Motoya, Kazunari Murakami, Shin'ichi Takahashi, Ryuichi Iwakiri, Hiroyuki Kato, Ki Baik Hahm, Satoru Yamaguchi, Abdul Aziz Rani, Fock Kwong Ming, Kinro Sasaki, Francis K.L. Chan, Hidekazu Suzuki, Takeshi Kamiya, Udom Kachintorn, Shin Fukudo, Qi Zhu |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Laparoscopic surgery medicine.medical_specialty Peritoneal metastasis Consensus Adolescent Biopsy medicine.medical_treatment Questionnaire based survey Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Internal medicine medicine Humans Stage (cooking) Child Early Detection of Cancer Aged Aged 80 and over Management of ulcerative colitis Asia Eastern business.industry Gastroenterology Cancer Colonoscopy Middle Aged medicine.disease Ulcerative colitis Advanced cancer Population Surveillance 030220 oncology & carcinogenesis Colitis Ulcerative Female 030211 gastroenterology & hepatology Colorectal Neoplasms business |
Zdroj: | Digestion. 99:86-94 |
ISSN: | 1421-9867 0012-2823 |
DOI: | 10.1159/000494419 |
Popis: | Background/Aims: To elucidate the current management of ulcerative colitis (UC)-associated cancer, a questionnaire-based survey was conducted to gather current opinions on colitis-associated cancer in different East Asian countries. Methods: The questionnaire, based on physicians, contains 9 questions focused on UC management and cancer surveillance. In addition, the questionnaire based on neoplastic cases, which contains 17 questions, was collected and analyzed. Results: With regard to the diagnosis of UC-associated cancer, most respondents started surveillance colonoscopy within 10 years from onset, favored targeted biopsies, and thought advanced imaging was useful. As for morphology, the frequency of elevated lesion and type 4 lesions was most common in early and advanced cancer, respectively. Peritoneal metastasis was frequently observed, and undifferentiated tumor was frequently developed. Laparoscopic surgery was widely used because it is less invasive. The prognostic outcome was poor, particularly in stage III and undifferentiated type. Conclusions: The current survey elucidated the current management in Asian countries and characteristics of colitis-associated cancer in these countries. |
Databáze: | OpenAIRE |
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