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FLEXIBLE FIBEROPTIC RECTOSIGMOIDOSCOPY IN THE DETECTION OF TUMORAL COLONIC LESIONS AND ITS IMPORTANCE IN PREVENTION OF LARGE BOWEL CANCER

By ΚΩΝΣΤΑΝΤΙΝΟΣ ΠΑΡΑΣΚΕΥΟΠΟΥΛΟΣ

Abstract

1084 PATIENTS WITH INTESTINAL SYMPTOMS HAVE BEEN EVALUATED WITH THE TCF-1S PANSIGMOIDOSCOPE FROM JANUARY 1979 TO DECEMBER 1980. THE FOLLOWING TECHNICAL PERFORMANCE HAVE ANALYSED: ADEQUATE PREPARATION IN 80% OF CARE, GOOD ACCEPTANCE IN84%, AVERAGE DISTANCE REACHED 51 CM, THE TIME REQUIRED FOR THE EXAM WAS LIMITED TO 10 MIN. TUMORAL COLONIC LESIONS WERE DETECTED IN 258 PATIENTS WITH A TOTAL OF 226 ADENOMAS AND 46 CANCERS. IN THE AREA 0-25 CM WE FOUND 125 LESION (98POLYPS AND 27 CANCER), WHEREAS BEYOND THIS LIMIT 220 LESIONS (201 POLYPS AND19 CANCER) WERE FOUND. THE FIBEROPTIC PANSIGMOIDOSCOPE REPRESENTS FUNDAMENTALPROGRESS IN TECHNIQUES OF DETECTION OF TUMORAL RECTOSIGMOID LESION (ADENOMAS AND CARCINOMAS). IT SHOULD REPLACE THE RIGID RECTOSIGMOIDOSCOPE WHICH OFFERS ONLY A FALSE SENSE OF SECURITY IN EXPLORATION OF THE RECTOSIGMOID. THE IMPORTANCE OF FIBEROPTIC PANSIGMOIDOSCOPY IN PREVENTION OF LARGE BOWEL CANCER IS DEBATED. IN VIEW OF THE ACCEPTANCE OF THE POLYPS-CANCER SEQUENCE AND IN VIEW OF THE PREDOMINANCE OF THE TUMORAL LESIONS IN THE RECTUM AND SIGMOID. THIS SIMPLE TECHNICAL SHOULD BE CONSIDERED AS A SCREENING PROCEDURE FOR ASYMPTOMATIC PATIENTS OVER THE AGE OF 40.

Topics: FLEXIBLE FIBEROPTIC RECTOSIGMOIDOSCOPY, Large bowel cancer, PANSIGMOIDOSCOPY, POLYPECTOMY, Polyps, TUMORAL COLONIC LESIONS, Καρκίνος παχέος εντέρου, ΟΡΘΟΚΟΛΙΚΟΙ ΟΓΚΟΙ, ΠΑΝΣΙΓΜΟΕΙΔΟΣΚΟΠΗΣΙΣ, ΠΟΛΥΠΕΚΤΟΜΗ, ΠΟΛΥΠΟΔΕΣ ΑΔΕΝΩΜΑΤΩΔΕΙΣ
Publisher: National and Kapodistrian University of Athens
Year: 1986
OAI identifier:
Provided by: Hellenic National Archive of Doctoral Dissertations

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