Detection and treatment of synchronous lesions in colorectal cancer: the clinical implication of perioperative colonoscopy.

Detection and treatment of synchronous lesions in colorectal cancer: the clinical implication of perioperative colonoscopy. Research Abstract Details 

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Detection and treatment of synchronous lesions in colorectal cancer: the clinical implication of perioperative colonoscopy. Abstract Text:

Min Sun Kim,Young Jin Park,

AIM: To evaluate the clinical significance of pre- and intra-operative colonoscopy for the detection of synchronous lesions in colon cancer. METHODS: Two hundred and sixty-five pre-operative and 51 intra-operative colonoscopic evaluations were performed in 316 colorectal cancer patients who underwent curative resection from January 2001 to June 2006. The incidence and characteristics of synchronous lesions and their influence on surgery were evaluated. RESULTS: Two hundred and eighty-two synchronous lesions were detected in 124 (39.2%) of 316 patients including all lesions regardless of their histologic type. True adenomatous polyps were found in 91 (28.8%) of 316 patients, and 17 (5.4% of all patients) patients had synchronous colon cancers. The preoperative identification of synchronous lesions altered the planned surgery in 37 (14.0%) of 265 patients. In 18 patients among the surgically removed cases, the lesions were removed by extending the resection range. Further segmental resection or polypectomy through enterotomy was necessary in 19 patients. Nineteen (37.2%) of 51 intraoperative colonoscopy cases had synchronous lesions. Additional surgical procedures including segmental bowel resection and polypectomy with enterotomy were necessary in 7 (13.7%) of 51 intraoperative colonoscopy cases to remove the lesions. CONCLUSION: Synchronous colorectal polyps or cancer are frequent and their preoperative detection is important for optimal surgical planning and treatment. Intraoperative colonoscopy is a useful option in cases where a preoperative colonoscopy is not feasible.

Detection and treatment of synchronous lesions in colorectal cancer: the clinical implication of perioperative colonoscopy. Publishing Authors By Initials

MS Kim,YJ Park,

For similar diagnosis: prognosis research abstracts see: diagnosis: prognosis research

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Detection and treatment of synchronous lesions in colorectal cancer: the clinical implication of perioperative colonoscopy. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: World journal of gastroenterology : WJG

VOLUME: 13

Page Numbers: 4108-11

Journal Abbreviation: World J. Gastroenterol.

ISSN: 1007-9327

DAY: 14

MONTH: Aug

YEAR: 2007

Detection and treatment of synchronous lesions in colorectal cancer: the clinical implication of perioperative colonoscopy. Information

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LANGUAGE: eng

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Detection and treatment of synchronous lesions in colorectal cancer: the clinical implication of perioperative colonoscopy. Keywords Mesh Terms:

KEYWORDS: Prognosis

MESH TERMS: surgery

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Grant and Affiliation Information for Detection and treatment of synchronous lesions in colorectal cancer: the clinical implication of perioperative colonoscopy.

AFFILIATION: Department of Surgery, Dongguk University International Hospital, 814 Siksa-dong, Ilsandong-gu, Goyang-si, Gyeonggi-do 410-773, Korea.

Country: China

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MEDLINETA: World J Gastroenterol

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