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Related Concept Videos

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Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
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Related Experiment Video

Updated: Apr 27, 2026

Evaluation of Colorectal Cancer Risk and Prevalence by Stool DNA Integrity Detection
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Stool methylated DNA markers decrease following colorectal cancer resection--implications for surveillance.

John B Kisiel1, Tracy C Yab, William R Taylor

  • 1Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street Southwest, Rochester, MN, 55905, USA, kisiel.john@mayo.edu.

Digestive Diseases and Sciences
|July 5, 2014
PubMed
Summary
This summary is machine-generated.

Methylated gene markers in stool decrease after colorectal cancer (CRC) resection, returning to normal levels unless disease persists. Postoperative stool testing can aid in CRC surveillance.

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Area of Science:

  • Oncology
  • Molecular Diagnostics
  • Gastroenterology

Background:

  • Colorectal cancer (CRC) molecular changes are detectable in stool DNA.
  • These molecular markers may persist after tumor removal surgery.

Purpose of the Study:

  • To investigate if methylated gene markers in stool normalize post-CRC resection.
  • To assess the clinical utility of these markers in postoperative surveillance.

Main Methods:

  • Studied stool samples from 22 CRC patients before and after surgery, and 80 controls.
  • Assayed methylated NDRG4 and BMP3 genes using quantitative real-time target and signal amplification.
  • Dichotomized results using 95% specificity cutoffs.

Main Results:

  • Median levels of methylated NDRG4 and BMP3 significantly decreased post-resection (p = 0.003 and p < 0.0001).
  • 93% of CRC cases with elevated preoperative levels normalized after surgery (p = 0.0002).
  • One case with rising methylated NDRG4 showed recurrent CRC.

Conclusions:

  • Methylated gene markers in stool clear after CRC resection if no disease is present.
  • Postoperative stool marker levels are informative for CRC surveillance.