Universität zu Köln

Krause, Carolin and Kruis, W. (2019). Synchronous pathologic findings in patients with colorectal cancer and preoperative incomplete colonoscopy. Int. J. Colorectal Dis., 34 (8). S. 1407 - 1413. NEW YORK: SPRINGER. ISSN 1432-1262

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Abstract

Background and purpose Guidelines recommend perioperative complete colonoscopy in patients with colorectal cancer (CRC) to reduce the risk of metachronous carcinoma. Our aim was to verify these recommendations by examining the residual colon of patients with incomplete preoperative colonoscopy. Patients and methods This retrospective analysis included patients with the initial diagnosis of CRC and preoperative incomplete or no colonoscopy. Postoperative colonoscopies were investigated to identify synchronous lesions. Results In two-thirds of the patients, synchronous lesions could be detected. In 78% of the cases, the lesion was located proximal of the endpoint of the initial colonoscopy and therefore undiscovered. Two-thirds of the synchronous lesions were adenomata. Conclusions Complete perioperative colonoscopy in patients with CRC should be performed to reduce the rate of metachronous carcinoma. Postoperative completion of preoperative insufficiently colonoscoped patients is recommended.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Krause, Carolin UNSPECIFIED UNSPECIFIED UNSPECIFIED Kruis, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-134053
DOI:	10.1007/s00384-019-03330-1
Journal or Publication Title:	Int. J. Colorectal Dis.
Volume:	34
Number:	8
Page Range:	S. 1407 - 1413
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-1262
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CONTRAST BARIUM ENEMA; METACHRONOUS NEOPLASMS; CURATIVE SURGERY; RISK-FACTORS; FOLLOW-UP; RESECTION; DISTAL; COLONOGRAPHY; SURVEILLANCE; ASSOCIATION Multiple languages Gastroenterology & Hepatology; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13405