The role of postoperative colonoscopic surveillance after radical surgery for colorectal cancer: a prospective, randomized clinical study

Wang, Ting; Cui, Yi; Huang, Wen-Sheng; Deng, Yanhong; Gong, Wei; Li, Chujun; Wang, Jianping

doi:10.1016/j.gie.2008.05.017

Cited by 72 publications

(61 citation statements)

References 26 publications

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“…This was also true in our patient series. The incidence of metachronous colon cancer was only 0.8 % in our patient series, which is in concordance with the incidence rate in previous studies of 0.7-2.8 % [16,17].…”

Section: Discussionsupporting

confidence: 93%

“…This was especially evident with pulmonary metastases, which often go undiagnosed preoperatively [6]. The advantage of intensive endoscopy surveillance is to detect asymptomatic colorectal recurrence early, when it is still resectable [16]. The value of endoscopy as a surveillance method is emphasized in the follow-up of rectal cancer compared with colon cancer since the anastomotic area is easily accessible with frequent sigmoidoscopies.…”

Section: Discussionmentioning

confidence: 99%

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Pattern of rectal cancer recurrence after curative surgery

Räsänen

Carpelan-Holmström

Mustonen

et al. 2015

Int J Colorectal Dis

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Pattern of rectal cancer recurrence after curative surgery

Räsänen

Carpelan-Holmström

Mustonen

et al. 2015

Int J Colorectal Dis

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“…Jahr alle 6 Monate und danach jährlich) mit einem weniger intensiven Protokoll (nach 6, 30 und 60 Monaten) verglich [1280]. Rezidive wurden bei 8,1 % der intensiv nachgesorgten und bei 11,4 % der weniger häufig koloskopierten Patienten gefunden.…”

Section: Hintergrundunclassified

S3-Leitlinie – Kolorektales Karzinom

Schmiegel

Buchberger

Follmann³

et al. 2017

Z Gastroenterol

147

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“…eleven prospective RCts [11][12][13][15][16][17][18][19][20][21][22] have assessed surveillance outcomes for patients who underwent R0 resection (table 1). although these randomized trials vary in the frequency of visits and investigations performed at each visit, and are limited in sample size, the studies that showed improved survival 16,17,20 have increased frequency of liver imaging by ultrasound and Ct to every 3 to 6 months, in comparison with studies where liver imaging was performed annually or not at all.…”

Section: Surveillance Is Recommended For Stage II To Iii Patients Whomentioning

confidence: 99%

Practice Guideline for the Surveillance of Patients After Curative Treatment of Colon and Rectal Cancer

Steele

Chang

Hendren³

et al. 2015

Diseases of the Colon &Amp; Rectum

174

123

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Current evidence suggests improved rates of curative secondary treatment following identification of recurrence among patients who participate in a surveillance program after initial curative resection of colon or rectal cancer. The newer data show that surveillance CEA, chest and liver imaging,and colonoscopy can also improve survival through early diagnosis of recurrence; thus, these modalities are now included in the current guideline. Although the optimum strategy of surveillance for office visits, CEA, chest and liver imaging, and colonoscopy is not yet defined, routine surveillance does improve the detection of recurrence that can be resected with curative intent. Recommended surveillance schedules are shown in Table 4. However, the factors to be considered when recommending surveillance include underlying risk for recurrence, patient comorbidity, and the ability to tolerate major surgery to resect recurrent disease or palliative chemotherapy, performance status, physiologic age, preference, and compliance. The success of surveillance for early detection of curable recurrence will depend on patient and provider involvement to adhere to the surveillance schedule and avoid unnecessary examination. It should be noted that, after curative resection of colorectal cancer, patients are still at risk for other common malignancies(lung, breast, cervix, prostate) for which standard screening recommendations should be observed and measures to maintain general health (risk reduction for cardiovascular disease, eg, cessation of smoking, control of blood pressure and diabetes mellitus, balanced diet, regular exercise and sleep, and flu vaccines) should be recommended.

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The role of postoperative colonoscopic surveillance after radical surgery for colorectal cancer: a prospective, randomized clinical study

Cited by 72 publications

References 26 publications

Pattern of rectal cancer recurrence after curative surgery

Pattern of rectal cancer recurrence after curative surgery

S3-Leitlinie – Kolorektales Karzinom

Practice Guideline for the Surveillance of Patients After Curative Treatment of Colon and Rectal Cancer

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