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Emergency presentation of colorectal cancer in Northwestern Saudi Arabia
Ibrahim A Albalawi1, Ahmad A Abdullah, Mohammed E Mohammed
1Faculty of Medicine, University of Tabuk, Tabuk, Kingdom of Saudi Arabia. E-mail. drbalawi@yahoo.com.
Insights
Emergency colorectal carcinoma (CRC) presentation is common in Saudi Arabia, often occurring in advanced stages. Early detection through screening and education is crucial for better outcomes.
Area of Science:
- Oncology
- Gastroenterology
- Public Health
Background:
- Colorectal carcinoma (CRC) is a significant health concern globally.
- Understanding emergency presentations of CRC is vital for timely intervention.
Purpose of the Study:
- To determine the incidence and clinical features of emergency colorectal carcinoma (CRC) presentations.
- To analyze CRC cases in the Tabuk Region of Saudi Arabia from 2010 to 2015.
Main Methods:
- Retrospective, descriptive, hospital-based study.
- Data collected from King Salman Military Hospital, King Khalid Hospital, and King Fahad Hospital.
- Inclusion of all CRC cases presenting between 2010 and 2015.
Main Results:
- Thirty-one percent (30.6%) of CRC cases presented as emergencies.
- Emergency presentations were more frequent in elderly patients but also affected younger individuals.
- Intestinal obstruction was the primary emergency presentation, with 40% of acute cases showing metastasis.
Conclusions:
- Emergency CRC presentation is prevalent in the Tabuk region.
- Patients frequently present with advanced disease, highlighting the need for early detection strategies.
- Health education and screening programs are recommended to improve early diagnosis of colorectal carcinoma.
Objectives:
To investigate the frequency and clinical characteristics of emergency presentation of colorectal carcinoma (CRC) in Tabuk Region of Saudi Arabia. Methods: This is a retrospective, descriptive hospital-based study. All cases with CRC that presented to the main referral hospitals in Tabuk, Saudi Arabia between 2010 and 2015 were retrieved. The relevant hospitals are: King Salman Military Hospital, King Khalid Hospital, and King Fahad Hospital. Results: Seventy-three patients were included in the study. Twenty-two patients presented emergency constituting 30.6% of the total. Emergency CRC presentation was more common in elderly patients (81.8%), but a greater proportion of young patients was also affected (40% versus 29% in elderly patients). The disease is more common in females (37%) than males (26.7%) and intestinal obstruction was the sole form of presentation. Patients presenting emergency had more right-sided (61.9%) than left-sided tumors (30.2%). Advanced presentation with metastasis was noted in 40% of the patients presenting acutely. Conclusion: Emergency CRC presentation is common in the Tabuk region. Patients tend to present at an advanced stage, which necessitates an endeavor to detect the disease in its early stages, possibly through initiation of health education programs and suitable screening projects.
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