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
Full text not available from this repository.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: |
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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 | ||||||||||||
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Refereed: | Yes | ||||||||||||
URI: | http://kups.ub.uni-koeln.de/id/eprint/13405 |
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