1887
Volume 2003, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Intensive follow-up of cancer of the colon and rectumincludes colonoscopy 1 year after curative resection and is the current practice in Calgary. There is much debate in the literature as to the value of this intensive follow-up,including 2 prospective randomized controlled trials showing no benefit. The purpose of this study was to assess the benefit of 1-year follow-up colonoscopy by documenting the findings at the time of the procedure. One hundred and four (104) charts were randomly selected and reviewed. All had undergone peri-operative colonoscopy, resection for curative intent and follow-up colonoscopy approximately 1 year post-op. There were 16 (15%) abnormal findings at the time of follow-up colonoscopy. In 10, the colon had notbeen “cleared” peri-operatively and the polyps identified were anticipated and removed. In 6 (6%) there were newfindings not previously documented: 3 hyperplastic polyps; 2 small ( < 0.75 cm) adenomatous polyps and 1 anastomotic recurrence of a rectal cancer. The recurrent cancer was within reach of a rigid sigmoidoscope and the polyps can be considered not clinically significant. This review of our experience with surveillance colonoscopy 1 year after curative resection for cancer of the colon and rectum supports the previously published data from 2 randomized controlled trials showing no benefit.

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/content/journals/10.5339/qmj.2003.2.13
2003-12-01
2024-03-28
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References

  1. Berman JM, Cheung RJ, Weinberg DS. Surveillance after colorectal cancer resection. Lancet. 2000; 355:9201:395399.
    [Google Scholar]
  2. Schoemaker D, Black R, Giles L, Toouli J. Yearly colonoscopy, liver CT and chest radiography do not influence 5-year survival of colorectal cancer patients. Gastroenterology. 1998; 114:1:714.
    [Google Scholar]
  3. Barrier A, Houry S, Huguier M. The appropriate use of colonoscopy in the curative management of colorectal cancer. Int J Colorectal Dis. 1998; 13:2:9398.
    [Google Scholar]
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  • Article Type: Research Article
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