Abstract
Surveillance Colonoscopy After Colorectal Cancer Resection: Are We Doing It Right?
The American journal of gastroenterology, v 113(Supplement), pp S124-S124
01 Oct 2018
Abstract
Introduction: Surveillance colonoscopy 1-year after resection of colorectal cancer (CRC) is recommended by National Comprehensive Cancer Network, American Cancer Society, American Society of Clinical Oncology and US Multi society Task Force. The purpose of surveillance colonoscopy post resection is early identification of those patients who might potentially be cured by further surgical intervention and to screen for other primary cancers and polyps. Our study assesses adherence to post CRC resection surveillance colonoscopy guidelines at a large tertiary care center. Methods: A retrospective study was conducted for patients who underwent curative resection for colorectal cancer between January 2016 to June 2017. Several factors were collected such as demographics, cancer staging, type of surgery, and documentation of surveillance. Results: A total of 29 patients with CRC post-resection were included in the study. Of those, 38% had stage 2 and 62% had stage 3 CRC. Majority (79%) of the patients were male and Caucasian (97%) with a mean age of 65.6 ± 12 years. Also, 52% of the patients had obstructed or partially obstructed CRC. Average time from diagnosis to resection was 72 days. A total of 19 (65.5%) patients underwent surveillance colonoscopy, of which 36.8% were within 1-year, and 63.1% proceeded to have it within the first one and a half years. Interestingly, 26.3% of patients who underwent surveillance colonoscopy had a personal history of adenomas and 31.6% of patients had a family history of colon cancer. All patients who did not have a surveillance colonoscopy (34.5%) did not have a family history of CRC or personal history of adenomas. Conclusion: Our prelim results indicate that despite appropriate guidelines, overall only 65.5% patients underwent surveillance colonoscopies. The results also showed that patients with a family history of CRC and a personal history of adenomas were more likely to have surveillance colonoscopies. Thus a bias might exist in patients themselves and clinicians while pushing their patients for recommended surveillance. Based on these results it is important to identify barriers to non-adherence with surveillance colonoscopy post resection and establish protocols to improve follow up by patients and physicians. Further prospective studies with larger sample sizes are warranted.
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Details
- Title
- Surveillance Colonoscopy After Colorectal Cancer Resection: Are We Doing It Right?
- Creators
- Nabeeha Mohy-ud-din - Allegheny Health NetworkAslam Syed - Allegheny Health NetworkShifa Umar - Allegheny Health NetworkShyam Thakkar - Allegheny Health NetworkDulabh Monga - Allegheny Health Network
- Publication Details
- The American journal of gastroenterology, v 113(Supplement), pp S124-S124
- Publisher
- Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
- Resource Type
- Abstract
- Language
- English
- Academic Unit
- General Internal Medicine
- Other Identifier
- 991022076806604721