Colorectal Cancer on the Rise in Young Adults
Cancers of the colon and rectum have been declining in older adults in recent decades and have always been considered rare in young people. But scientists and doctors are reporting a sharp rise in colorectal cancers in adults as young as their 20s and 30s, an ominous trend.
Modern Medicine – Issue 4 2020
Sodium Phosphate, a More Acceptable Bowel Cleanser – MM1608
Colorectal cancer is one of the most common malignancies worldwide. In 2012 the crude incidence of colorectalcancer in Sub-Saharan Africa for both sexes was found to be 4.04 per 100 000 population (4.38 for men and 3.69 for women).
Currently, colonoscopy has been identified as a highly recommended method for cancer surveillance and diagnosis of the large intestine, owing to its cost-effectiveness and exclusive function that allows direct observation and biopsy synchronously. As is well recognized, an adequate bowel cleansing is essential for colon mucosa assessment during the examination procedure, while an incomplete preparation prolongs the procedure time and increases the likelihood of missing lesions with cancerous potential. Accordingly, bowel preparation evaluation is proposed as a crucial quality indicator of colonoscopy.
Modern Medicine – August 2016
Bowel State Impacts Colonoscopy Efficacy – MM1509
Bowel preparation is one of the most frequent reasons for patients objecting to participating in screening colonoscopies with inadequate preparation being a major obstacle to achieving a high quality colonoscopy.
Modern Medicine – September 2015
Effective Bowel Cleansing Improves Examination Results – MM1504
Colonoscopy constitutes the principal investigation for colorectal neoplasms due to its ability to detect and remove most of precancerous lesions. Diagnostic accuracy and therapeutic safety of colonoscopy strictly depends upon the quality of bowel cleansing. The ideal preparation for colonoscopy should reliably empty the colon from all faecal material allowing the optimal visualisation of the entire colonic mucosa without causing great patient discomfort or significant shifts in fluids and electrolytes.
Modern Medicine – April 2015
Pointers for Increasing Colonoscopy Efficacy – MM1504
In the past decade, the colonoscopy procedure has been largely studied to improve colorectal lesions detection resulting in the identification of quality indicators for colonoscopy procedure. Successful colonoscopy depends upon a number of factors including correct cecum intubation, cleaning of the colon, careful mucosal inspection and operator experience. With the rapidly rising costs of healthcare and the need to rationalise spending, it is important to spare costly repeat procedures, as in the cases of incomplete colonoscopy. Bowel preparation is essential for both the quality of the colonoscopy and the adenoma or adenocarcinoma detection rate.)
Modern Medicine – April 2015
