在患有胃癌的术前患者进行全面结肠镜查的有效性
Yusuke Koseki1, Makoto Hikage1,2, Masanori Terashima3
1Division of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Annals of surgical oncology
|November 5, 2023
概括
胃癌 (GC) 的术前全结肠镜 (TCS) 有效地查同步结肠直肠癌 (SCRC),使治疗治疗和预防与SCRC相关的死亡. 这种查改善了患者的生存结果.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 大肠直肠癌 (CRC) 经常与胃癌 (GC) 一起发生.
- 在GC患者中同步结直肠癌 (SCRC) 的长期结果仍未得到充分研究.
- 总结肠镜 (TCS) 是一种潜在的CRC查工具,用于GC患者.
研究的目的:
- 评估手术前查TCS对GC与生存结果相关的意义.
- 分析风险因素,临床病理特征和GC患者中SCRC的存活率.
- 评估查TCS的成本效益,以预防CRC死亡率.
主要方法:
- 796名接受手术前查TCS的GC患者的回顾性分析.
- 对SCRC的风险因素,临床病理特征和生存结果的检查.
- 成本效益评估,重点关注减少CRC死亡率.
主要成果:
- 在5.4%的患者 (43/796) 中检测到同步结直肠癌 (SCRC).
- 所有SCRC患者都获得了治愈治疗 (内镜或手术).
- 没有死亡被归因于SCRC,尽管与GC相关的死亡发生在12.6%的患者中.
结论:
- 术前查TCS对GC是有效的检测SCRC.
- 早期发现和治疗SCRC导致了有利的生存结果.
- 查TCS有助于预防GC患者的SCRC相关死亡率.
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