Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 22 aprilie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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COLORECTAL CANCER SCREENING OF AVERAGE–RISK POPULATION FROM SUCEAVA COUNTY
Liliana Croitoru (1), Anca Trifan (2), C. Stanciu (2)
(1) County Hospital Suceava
(2) Gastroenterology and Hepatology Institute Iasi
“Gr. T. Popa” University of Medicine and Pharmacy, Iaşi
Jurnalul de chirurgie 2010; 6 (4): 467-472
Full text:
Format PDF (Română/Romanian)

Abstract:

Colorectal cancer (CRC) is the second leading cause of cancer death both in the USA and Europe. Although CRC is the most preventable visceral form of cancer, there is tremendous variation in screening practices around the world and most people do not have access to CRC screening. In Romania, the incidence of CRC has doubled during the last decade and despite evidence that CRC screening decreases CRC–related incidence and mortality only a minority of Romanians undergoes CRC screening. The aim of our study was to detect CRC and assess the feasibility of a fecal occult blood test (FOBT) – based screening program of average-risk population from Suceava County. From January 2006 to December 2009 invitations were sent to 1116 asymptomatic individuals aged ≥ 50 years from Suceava County. They were invited to an interview where a gastroenterologist suggested FOBT as a screening option.  546 (48.9%) subjects were interviewed and 521 agreed to a FOBT (Hemoccult SENSA); out of them, 501 have returned the tests for interpretation, so that the overall compliance was 44.9%. There were 48 (9.6%) subjects with FOBT positive and 43 (90%) of them accepted to undergo colonoscopy. Cancers and advanced adenomas (defined as adenomas ≥ 10 mm or histological high-degree dysplasia or villous component) were found in 5 (0.99%) and 11 (2.19%) subjects, respectively. The caecum was intubated in 40 (92%) colonoscopies, and the procedure was generally well tolerated without complications. In conclusion, a FOBT-based screening study for CRC in average-risk population from Suceava County was feasible, well accepted and safe in identifying a significant number of advanced neoplasms and cancers at a curable stage, suggesting the necessity of a national CRC screening in our country.

KEY WORDS: COLORECTAL CANCER SCREENING, FECAL OCCULT BLOOD TEST, COLONOSCOPY

Correspondence to: Prof. Dr. Anca Trifan, Gastroenterology and Hepatology Institute Iasi, Bd. Independenţei 1, Iaşi, 700111; e-mail: .



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.