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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Updated: May 28, 2026

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
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Should Bariatric Surgery Candidates Be Screened for Colorectal Cancer? A Systematic Review.

Basak Kayaalp1, Servet Karagul2, Cuneyt Kayaalp2

  • 1Department of General Surgery, Faculty of Medicine, Bahcesehir University, Istanbul 34734, Turkey.

Journal of Clinical Medicine
|May 27, 2026
PubMed
Summary

Pre-bariatric surgery colonoscopies can detect significant pathologies, including colorectal cancer (CRC). Individualized screening based on age, family history, and symptoms is recommended for bariatric surgery candidates.

Keywords:
adenomabariatric surgerycolonoscopycolorectal cancerobesityscreening

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Area of Science:

  • Gastroenterology
  • Oncology
  • Bariatric Surgery

Background:

  • Obesity is linked to increased colorectal cancer (CRC) risk.
  • Bariatric surgery is a common weight-loss intervention.
  • Routine CRC screening guidelines for bariatric surgery candidates are lacking.

Purpose of the Study:

  • To systematically review the necessity and role of pre-operative screening colonoscopy in patients undergoing bariatric surgery.
  • To evaluate the incidence of colorectal pathologies in this patient population.

Main Methods:

  • Systematic literature review adhering to PRISMA guidelines.
  • Searches conducted in PubMed and Google Scholar.
  • Protocol registered with INPLASY (registration number: INPLASY202630078).

Main Results:

  • 623 patients underwent pre-bariatric surgery colonoscopy.
  • 9.1% of patients had pathologies, including 1.0% with colorectal cancer.
  • CRC was detected in patients over 45, particularly those over 60.

Conclusions:

  • Individualized colorectal cancer screening is crucial for bariatric surgery candidates.
  • Screening decisions should consider age (≥45), family history, symptoms, and comorbidities.
  • Bariatric surgeons should integrate CRC screening into preoperative assessments.