Routine colonoscopy in the management of colorectal carcinoma

Carlos A. Weber, Karen E. Deveney, Carlos A. Pellegrinl, Lawrence W. Way

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

A prospective study of the role of preoperative and routine follow-up colonoscopy in 75 patients with colon and rectal carcinoma disclosed that additional premalignant or malignant lesions were detected and successfully treated in 44 percent of patients. These included four synchronous and three metachronous carcinomas. Timely diagnosis and treatment of such tumors and secondary prevention of metachronous carcinomas by polypectomy is a major identifiable benefit of close follow-up examinations of these patients. No other test compares favorably with colonoscopy in this regard. These data support the conclusion that colonoscopy should be performed routinely preoperatively and every 6 to 12 months after colectomy for carcinoma.

Original languageEnglish (US)
Pages (from-to)87-92
Number of pages6
JournalThe American Journal of Surgery
Volume152
Issue number1
DOIs
StatePublished - Jul 1986

ASJC Scopus subject areas

  • Surgery

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