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. 2002 Apr;8(2):267-9.
doi: 10.3748/wjg.v8.i2.267.

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

Jun Wan  1 , Zi-Qi Zhang, Cheng Zhu, Meng-Wei Wang, Dong-Hai Zhao, Yong-He Fu, Jian-Ping Zhang, Ya-Hong Wang, Ben-Yan Wu
Affiliations

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

Jun Wan et al. World J Gastroenterol. 2002 Apr.

Abstract

Aim: To improve the prevention and treatment of senile patients with colorectal cancer by evaluating the importance of colonoscopy in clinical screening and follow-up.

Methods: Clinical screening of colonoscopy was performed 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, and the detectable rate was 2.4%. Among them, 19 were diagnosed as early colorectal cancer, accounting for 36.5% of the detected colorectal cancer. Among the followed-up patients, early colorectal cancer was found in 9, accounting for 45.0% of the detected colorectal cancer. The resectable rate and 5 years survival rate of colorectal cancer were 97.7% and 80.9% respectively. The incidence of complication was 0.05%, and the successful rate of cecum intubation was 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.

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Figures

Figure 1
Figure 1
The survival curve of 44 operated patients with colorectal cancer
See this image and copyright information in PMC

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