摘要
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.
AIM: To improve the prevention and treatment of senilepatients with colorectal cancer by evaluating the importanceof colonoscopy in clinical screening and follow-up.METHODS: Clinical screening of colonoscopy wasperformed for 2196 patients aged 60-90 years old accordingto the protocol,and 174lO of them (79.2 %) were followed-up.RESULTS: Colorsctal cancer was found in 52 patients, and the detectable rate was 2. 4 %. Among them, 19 werediagnosed as early colorectsl cancer, accounting for 36. 5 %of the detected colorectal cancer. Among the followed-uppatients, early colorectsl cancer was found in 9, accountingfor 45.0 % of the detected colorsctal cancer. The resectsblerate and 5 years survival rate of colorectsl cancer were 97.7% and 80.9 % respectively. The incidence of complicationwas 0.05 %, and the successful rate of cecum intubationwas 98.9 %.CONCLUSION: Colonuscopic screening and follow-up of theelderly for colorectsl cancer and pre-cancerous lesion(adenomatoid polyp) can increase the detectable rate ofearly colorectal cancer and improve its prevention andtreatment.