老年人75 岁以后还需要进行结肠镜筛查吗？外科医生的视角

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Clinics in Colon and Rectal Surgery Pub Date : 2024-06-27 DOI:10.1055/s-0044-1787893

Imran Khan, Mikhael Belkovsky, Emre Gorgun

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引用次数: 0

摘要

由于额外获益较少，指南建议对 75 岁以后的患者进行结肠镜检查以筛查结肠直肠癌（CRC）做出个体化决策。这些建议都是基于专家意见和模拟模型，并没有考虑到：（1）老年人 CRC 的发病机制和癌症生物学特性的差异；（2）结肠镜检查在这一患者群体中的风险；（3）以及新的手术和非手术疗法对 CRC 的影响。在这篇综述中，我们旨在从外科医生的角度来理解结肠镜筛查在 75 岁以上患者中的作用。

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The Old: Is There Any Role for Screening Colonoscopy after the Age of 75? The Surgeon's Perspective

Guidelines recommend individualized decision making for screening colonoscopy for colorectal cancer (CRC) in patients after the age of 75 years due to low additional benefits. That should be taken with a grain of salt, as these recommendations are based on expert opinion and simulation models which do not consider (1) the differences in pathogenesis and cancer biology of CRC in elderly; (2) the risks of colonoscopy in this patient population; (3) and the impact of new surgical and nonsurgical therapies for CRC. In this review, our goal is to bring a surgeon's perspective to understand the role of screening colonoscopy in patients older than 75 years.

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来源期刊

Clinics in Colon and Rectal Surgery GASTROENTEROLOGY & HEPATOLOGYSURGERY-SURGERY

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： Clinics in Colon and Rectal Surgery is a review journal that publishes topic-specific issues on diseases of the small bowel, colon, rectum, and anus. Designed for clinicians, researchers, and educators involved with diseases of the intestinal tract, the journal covers a broad spectrum of basic information, controversial clinical issues, and established and innovative diagnostic techniques. Issue topics comprehensively cover the entire specialty over a 3-4 year period, allowing the articles to serve as study material for educational programs and certifying examinations. The inclusion of research and clinical material also allows physicians to remain knowledgeable of current advances in the specialty.