EP.TU.313Colorectal cancer follow up: Can CT Colonography replace Colonoscopy?
نویسندگان
چکیده
Abstract Aims Current guidelines recommend surveillance colonoscopy at one year following Colorectal Cancer Resection (CCR), yearly CT chest, abdomen and pelvis, CEA, in 3 years. Previous studies showed no significant difference between CTC detection rates of colorectal cancer or polyps >6mm. A review abnormalities detected on colonoscopies CCR. If the incidence is low Colonography (CTC) would be an alternative to and, when performed simultaneously with chest cost-effective, help selective use colonoscopy. Methods retrospective analysis one-year CCR 2016 a health board three different sites. Normal criteria included: polyps, tumour, abnormality anastomosis. Subtotal colectomy, panproctocolectomies incomplete were excluded. Results 111 post Age range 30-87 years (39 patients above 75). Ninety scopes normal (81.1%). Eight identified only hyperplastic (7.2%); indirectly making over 88% unremarkable. Detected abnormalities: nine low-grade adenomas (8.1%), anastomotic recurrence (0.9%), new cancers (2.7%). There complications related procedure. Each costs £996 this board, significantly cheaper. Conclusion New post-CCR very low; therefore, ideal surveillance. Adding it Chest reduce number hospital attendances per patient, which more cost-effective reduces risk.
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2021
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znab311.041