“About 5-6 years ago, we started to see some young patients with colorectal cancer, including some people in their 20s or 30s, which had never been seen before,” Memorial Sloan Kettering Cancer Center (MSK ) Said Dr. Julio Garcia-Aguilar, the director of the colorectal project”.”
Common risk factors for colorectal cancer
En son AICR raporu, yaşam tarzı faktörlerinin, özellikle de diyet ve fiziksel aktivitenin, kolorektal kanserin oluşmasında veya önlenmesinde önemli bir rol oynadığını göstermektedir. Tam tahılların ve egzersizin riski azalttığı, işlenmiş et ve obezitenin ise kanser riskini arttırdığı tespit edildi.
Factors that reduce the risk of colorectal cancer
■ Dietary fiber: Previous evidence has shown that dietary fiber can reduce the risk of colorectal cancer, and this report is further supplemented by reporting that 90 grams of whole grains per day can reduce the risk of colorectal cancer by 17%.
■ Tam tahıllar: AICR / WCRF çalışması ilk kez bağımsız olarak tam tahılları kolorektal kanserle ilişkilendirdi. Tam tahıl tüketimi kolorektal kanser riskini azaltabilir.
■ Egzersiz: Egzersiz yapmak kolon kanseri riskini azaltabilir (ancak rektal kanser riskini azalttığına dair hiçbir kanıt yoktur).
■ Diğerleri: Sınırlı kanıtlar, balıkların, C vitamini içeren yiyeceklerin (portakal, çilek, ıspanak vb.), multivitaminlerin, kalsiyum ve süt ürünlerinin de kolorektal kanser riskini azaltabileceğini göstermektedir.
Factors that increase the risk of colorectal cancer
■ Sığır eti, domuz eti, sosisli sandviç vb. dahil olmak üzere kırmızı et ve işlenmiş etin yüksek miktarda alımı (haftada > 500 gram): Önceki çalışmalar kırmızı et ve işlenmiş etin kanser riskiyle ilişkili olduğunu göstermiştir. Dünya Sağlık Örgütü'nün (WHO) kanser ajansı olan Uluslararası Kanser Araştırma Ajansı (IARC), 2015 yılında işlenmiş eti "insanlar için kanserojen faktör" olarak sınıflandırdı. Ayrıca menopoz öncesi kadınlar üzerinde yapılan çalışmalar, yüksek miktarda kırmızı et tüketiminin meme kanseri riskini artırabileceğini göstermiştir.
■ Günlük olarak şarap veya bira gibi ≥ 2 çeşit alkollü içecek (30 gram alkol) için.
■ Nişastasız sebze/meyveler, hem demiri içeren gıdalar: Alım az olduğunda kolorektal kanser riski yüksektir.
■ Aşırı kilo, obezite ve boy gibi diğer faktörler de kolorektal kanser riskini artırabilir.
A colonoscopy reduces the risk of death by 72%
Küçük poliplerden ölümcül kolorektal kansere kadar genellikle 10 ila 15 yıl sürer, bu da erken önleme ve tedavi için yeterli bir zaman penceresi sağlar ve kolonoskopi şu anda kolorektal kanser taramasında tercih edilen yöntemdir.
Both the lesion can be found and can be removed in time. The effect of colonoscopy on early detection of colorectal cancer has been fully recognized!
Indiana Üniversitesi ve Amerikan Gaziler Tıp Merkezi'nin araştırma ekibi ortaklaşa bir vaka kontrol çalışması yürüterek yaklaşık 5,000 kanserli gaziyi seçti ve yaklaşık 20,000 yaştan oluşan bir kontrol grubunu 1: 4 oranına göre benzer faktörlerle eşleştirdi. Kolorektal kanser mortalitesinde kolonoskopinin etkisi.
The analysis showed that only 13.5% of the veterans in the case group had undergone enteroscopy before being diagnosed with cancer, compared with 26.4% in the control group, and the relative frequency of the case group was only 39%, which again proved the effectiveness of enteroscopy in the early diagnosis of cancer;Compared with patients who have not had colonoscopy, the overall risk of death of patients who have had colonoscopy has decreased by 61%, especially the left half of colon cancer patients who have more colonoscopy exposure, the risk of death has dropped by 72%!
Enteroscopy is necessary for these symptoms
Ayrıca kolorektal kansere benzer belirtiler ortaya çıkarsa nedeninin bir an önce bulunması da önemlidir! Çoğu durumda kolorektal kansere benzeyen bu semptomlar hemoroid, irritabl bağırsak sendromu veya inflamatuar bağırsak hastalığından kaynaklanabilir. Ancak bir veya daha fazla semptomunuz varsa nedenini bulmak için hastaneye gitmek en iyisidir.
(1) Those who have symptoms such as bloody stools and black stools, or a positive long-term stool occult blood test.
(2) Those who have mucus and pus in the stool.
(3) Those who have a large number of stools, are not shaped, or have diarrhea.
(4) Those who have difficulty in bowel movements or irregular bowel movements recently.
(5) Those whose stool becomes thinner and deformed.
(6) Those with long-term abdominal pain and bloating.
(7) Unexplained weight loss and weight loss.
(8) Anemia of unknown cause.
(9) Abdominal masses of unknown cause need to be diagnosed.
(10) Those with elevated CEA (carcinoembryonic antigen) of unknown cause.
(11) Long-term chronic constipation, which cannot be cured for a long time.
(12) Chronic colitis, long-term medication, and a long-term cure.
(13) Suspected colon cancer, but negative in barium enema X-ray examination.
(14) Abdominal CT or other examinations found thickening of the intestinal wall, and those with colorectal cancer should be excluded.
(15) Hemorrhage lesions can be found in the lower gastrointestinal tract to determine the cause of the bleeding, and hemostasis can be performed under the microscope if necessary.
(16) Patients with schistosomiasis, ulcerative colitis and other diseases.
(17) Colorectal cancer requires regular review of colonoscopy after surgery. Patients undergoing colorectal cancer surgery generally require a colonoscopy every 6 months to 1 year.
- If colonoscopy fails to examine the entire colon due to colonic obstruction before surgery, colonoscopy should be performed 3 months after surgery to determine the presence of colonic polyps or colon cancer in other parts.
(18) Those who have been found to have colon polyps and need to be removed under colonoscopy.
(19) Colorectal polyps require regular review of colonoscopy after surgery.
- Colorectal polyps may recur after surgery and should be reviewed regularly.
- Villous adenoma, serrated adenoma, and high-grade epithelial polyps are prone to relapse and cancer. It is recommended to review colonoscopy every 3-6 months.
- Other polyps are recommended to be reviewed once every 12 months.
- If the recheck colonoscopy is negative, recheck it 3 years later.
(20) Patients with a family history of colorectal cancer should undergo a colonoscopy.
- If one person in the family has colorectal cancer, his immediate family members (parents, children, siblings) should have a physical examination for colonoscopy, even if there are no symptoms or discomfort.
- A large number of studies have shown that if a person has colorectal cancer, his immediate family members (parents, children, siblings) are 2-3 times more likely to get colorectal cancer than the normal population.
(21) People with a family history of colorectal polyps also need a colonoscopy.
(22) People over the age of 40, especially long-term high-protein high-fat diet and long-term alcoholics, it is best to perform a colonoscopy for routine physical examination in order to detect asymptomatic early colorectal cancer as early as possible.
Where should colonoscopy be done?
Gastroscopy and enteroscopy have always been relatively contradictory tests for Chinese patients, but they are also the most effective way to detect gastric and intestinal cancer early. In Japan, the professionalism of the medical staff, the degree of tenderness and patience, and the comfort of the visiting environment have greatly reduced the discomfort of stomach and colonoscopy. At the same time, the very early discovery will cure the disease without causing any pain to the patient. And to achieve ultra-early discovery, you need to rely on “diagnostic doctors” who are familiar with the latest inspection methods.
Dünyaca ünlü
doctor with “eyes of God”-Kudo Jinying
Kudo Jinying is a world-renowned doctor for the treatment of colorectal cancer. He is reputed to have “God’s Eyes” and “Endoscopic God Hands”. It takes only 5 minutes to complete the endoscopy painlessly. Dr. Kudo discovered the world’s first very rare colorectal cancer called “phantom cancer.” No matter what kind of stomach cancer and colorectal cancer can not escape his eyes, it can really cure 100% of early gastric cancer and colorectal cancer in the budding stage. About 350,000 cases of gastrointestinal endoscopy have been completed so far, which is a world-class master in bowel cancer colonoscopy.
The problem in colorectal cancer is the so-called “recessed” cancer. “This cancerous lesion is in a concave state and will not have direct contact with the stool, so it will not show the typical early symptoms of colorectal cancer,” blood stool “. Therefore, it is difficult for general stool red blood cell examination, barium enema X-ray, and large intestine CT examination Make a judgment. And such cancers deteriorate twice as fast as the usual colorectal cancer, and the later you find the accompanying risks, the more and more.
