Endoscopic and surgical complications of work-up in screening for colorectal cancer

Kewenter, J; Brevinge, Hans

doi:10.1007/bf02056949

Cited by 57 publications

(33 citation statements)

References 12 publications

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“…In the Minnesota trial 38% of the group offered annual screening and 28% of the group offered biennial screening had at least one colonoscopy 8. Some 2%-3% of the screening group in the Nottingham and Funen trials 9 10and about 6% in the Gothenburg trial14had at least one endoscopy (colonoscopy or sigmoidoscopy). About 4% of the screening group in the New York study were investigated for a positive Hemoccult test, most of these having colonoscopy 12…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the effects of screening for colorectal cancer using the faecal occult blood test, Hemoccult

Towler

Irwig

Glasziou

et al. 1998

BMJ

492

229

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Objective: To review effectiveness of screening for colorectal cancer with faecal occult blood test, Hemoccult, and to consider benefits and harms of screening. Design: Systematic review of trials of Hemoccult screening, with meta-analysis of results from the randomised controlled trials. Subjects: Four randomised controlled trials and two non-randomised trials of about 330 000 and 113 000 people respectively aged >40 years in five countries. Main outcome measures: Meta-analysis of effects of screening on mortality from colorectal cancer. Results: Quality of trial design was generally high, and screening resulted in a favourable shift in the stage distribution of colorectal cancers in the screening groups. Meta-analysis of mortality results from the four randomised controlled trials showed that those allocated to screening had a reduction in mortality from colorectal cancer of 16% (relative risk 0.84 (95% confidence interval 0.77 to 0.93)). When adjusted for attendance for screening, this reduction was 23% (relative risk 0.77 (0.57 to 0.89)) for people actually screened. If a biennial Hemoccult screening programme were offered to 10 000 people and about two thirds attended for at least one Hemoccult test, 8.5 (3.6 to 13.5) deaths from colorectal cancer would be prevented over a period of 10 years. Conclusion: Although benefits of screening are likely to outweigh harms for populations at high risk of colorectal cancer, more information is needed about the harmful effects of screening, the community's responses to screening, and costs of screening for different healthcare systems before widespread screening can be recommended.

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Section: Resultsmentioning

confidence: 99%

A systematic review of the effects of screening for colorectal cancer using the faecal occult blood test, Hemoccult

Towler

Irwig

Glasziou

et al. 1998

BMJ

492

229

View full text Add to dashboard Cite

show abstract

“…Questionnaires distributed to Japanese surgeons revealed 8.5% of submucosal invasive cancers to be associated with lymph node metastasis. If a tumor with nodal metastasis can be recognized endoscopically, endoscopic resection should be not done due to the risks of bleeding and perforation [8,10], and curative surgical resection including metastatic lymph nodes should be performed instead. The risks of bleeding and perforation were reported to be 0.8% and 0.2%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic resection for submucosally invasive colorectal cancer

et al. 1999

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“…Out of 1,987 patients who underwent DCBE, no cases of colorectal perforation occurred. 93 In a large survey conducted among board-certified radiologists in the UK, the rate of colorectal perforation was one per 25,000 cases (0.004%), and the rate of perforation was around one per 10,000 cases. 94 These rates are lower than that of perforation after colonoscopy (0.1%).…”

Section: ) Dcbementioning

confidence: 99%

Korean Guidelines for Colorectal Cancer Screening and Polyp Detection

Lee

Hong

Kim

et al. 2012

J Korean Soc Radiol

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According to the statistical yearbook of the Ministry of Health and Welfare, crude colorectal cancer incidence rates in Korea in 2008 were 54.7 and 36.9 per 100,000 among males and females, respectively. Colorectal cancer is thus the second most common cancer in males and the fourth most common Clin Endosc 2012;45:25-43 Copyright © 2012 The Korean Society of Gastrointestinal Endoscopy 25 cancer in females. 1 The mortality rates (the number of deaths per 100,000 people, %) of colorectal cancer in 2008 were 15.4% among males and 12.1% among females. Colorectal cancer is thus the fourth most common cause of cancer death among Korean males and the second most common cause of cancer death among Korean females. The age-standardized mortality rates of colorectal cancer continue to increase, unlike those of other common cancers, including lung cancer, liver cancer and stomach cancer, whose mortality rates have decreased in recent years. Increases in the incidence of colorectal cancer may be partly due to Westernization of many Koreans' lifestyles. Greater public awareness of colorectal cancer and the addition of colorectal cancer in 2004 to the national cancer screening program are likely also responsible in part for the increased incidence rates. Participation rates in the national colorectal screening program increased from ap Now colorectal cancer is the second most common cancer in males and the fourth most common cancer in females in Korea. Since most of colorectal cancers occur after the prolonged transformation of adenomas into carcinomas, early detection and removal of colorectal adenomas are one of the most effective methods to prevent colorectal cancer. Considering the increasing incidence of colorectal cancer and polyps in Korea, it is very important to establish Korean guideline for colorectal cancer screening and polyp detection. The guideline was developed by the Korean Multi-Society Take Force and we tried to establish the guideline by evidence-based methods. Parts of the statements were draw by systematic reviews and meta-analyses. Herein we discussed epidemiology of colorectal cancers and adenomas in Korea and optimal methods for screening of colorectal cancer and detection of adenomas including fecal occult blood tests, radiologic tests, and endoscopic examinations.

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Endoscopic and surgical complications of work-up in screening for colorectal cancer

Abstract: Complications occurred in 0.3 percent of the endoscopies, and 5 percent of patients had to undergo laparotomy again. No mortality occurred. If mortality attributable to colorectal cancer will decrease because of screening, we find the complication rate is acceptable.

Cited by 57 publications

References 12 publications

A systematic review of the effects of screening for colorectal cancer using the faecal occult blood test, Hemoccult

A systematic review of the effects of screening for colorectal cancer using the faecal occult blood test, Hemoccult

Endoscopic resection for submucosally invasive colorectal cancer

Korean Guidelines for Colorectal Cancer Screening and Polyp Detection

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