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Colorectal Cancer and the Obese Patient: A Call for Guidelines.
Nikoletta A Petrou1, Henna Rafique1,2, Shahnawaz Rasheed1
1Department of General Surgery, The Royal Marsden Hospital, London SW3 6JJ, UK.
Obesity increases colorectal cancer risk. Current guidelines inadequately address obese patients, necessitating tailored recommendations for diagnosis, treatment, and surveillance. A multidisciplinary approach is crucial.
Area of Science:
- Oncology
- Public Health
Background:
- Rising global obesity rates correlate with increased colorectal cancer incidence.
- Obese patients present unique challenges in colorectal cancer management.
Purpose of the Study:
- To review existing colorectal cancer guidelines for obese patients.
- To develop specific recommendations for this patient cohort.
Main Methods:
- Comparative analysis of NCCN, ESMO, and JSCCR guidelines.
- Identification of gaps in current guidelines regarding obesity.
- Formulation of tailored recommendations.
Main Results:
- Existing guidelines do not adequately address the specific needs of obese colorectal cancer patients.
- Recommendations are proposed for diagnostic work-up, surgical pathways, perioperative care, and metastatic disease management.
Conclusions:
- Current colorectal cancer guidelines require modification to include obese patients.
- A multidisciplinary approach, integrating bariatric surgery principles, is recommended for consensus.
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