COLORECTAL SCREENING. FIRST RESULTS

E. N. Desyatov; Десятов Е. Н.; F. Sh. Aliyev; Алиев Ф. Ш.; V. Yu. Zuev; Зуев В. Ю.; A. S. Kir’yanova; Кирьянова А. С.; V. Yu. Kuznetsov; Кузнецов В. Ю.; K. V. Schepkin; Щепкин К. В.

doi:10.17650/2220-3478-2017-7-4-31-37

COLORECTAL SCREENING. FIRST RESULTS

Authors: Desyatov E.N.¹, Aliyev F.S.², Zuev V.Y.¹, Kir’yanova A.S.¹, Kuznetsov V.Y.¹, Schepkin K.V.¹
Affiliations:
1. Multifunctional Medical Clinic ‘Medical City’
2. Tyumen State Medical University, Ministry of Health of Russia
Issue: Vol 7, No 4 (2017)
Pages: 31-37
Section: ORIGINAL REPORT
Published: 27.02.2018
URL: https://onco-surgery.info/jour/article/view/232
DOI: https://doi.org/10.17650/2220-3478-2017-7-4-31-37
ID: 232

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Abstract

Objective: retrospective evaluation of the results of the 2nd stage of implemented colorectal screening program by colonoscopy.

Materials and methods. In 2015–2017, The Department of Health of the Tyumen region is implementing a colorectal screening program. First stage of the program: the test for occult blood, 2nd stage: screening colonoscopy.

Results. Achieved 2157 screening colonoscopies for patients aged 55–65 years with a positive fecal immunochemical test for fecal occult blood. In 531 (24.6 %) patients adenoma and adenocarcinoma of the rectum and colon were revealed (adenomas verified in 365 (23.1 %) cases, adenocarcinoma – in 33 (1.5 %) cases). Of the total number of verified neoplasia (618 cases of localization), 365 (59 %) cases of adenoma and adenocarcinoma were located in the rectum and sigmoid colon, 253 (41 %) cases – in the descending colon, transverse colon, ascending colon and cecum.

Conclusions. In the completed study, the fecal immunochemical test and, with a positive result, a video-colonoscopy were performed at the 1st stage of colorectal screening for patients aged 50–65 years. In 98 % of cases, intubation of the cecum and the time of colonoscope removal for at least 6 minutes allowed to obtain a value of adenoma detection rate ~25 %, which is indicator of the effectiveness of the performed colorectal screening.

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32 Barnaulskaya St., Tyumen 625041

Russian Federation

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