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首页> 外文期刊>Archives of Internal Medicine >Purging the Colon While Preserving the Kidneys
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Purging the Colon While Preserving the Kidneys

机译：清除结肠同时保护肾脏

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摘要

CURRENT SCREENING TECHNIQUES BASED ON total colonic mucosal evaluation such as colonoscopy are powerful enough to actually prevent 75% to 90% of all colo-rectal cancer (CRC) cases through the identification and removal of the precursor lesions, ad-enomatous polyps. Unfortunately, the poor compliance with these tests contributes significantly to the reason that CRC still ranks as the second leading cause of cancer deaths among Americans. While there are many reasons for this patient reluctance (eg, cost, discomfort, and embarrassment), one important barrier to invasive CRC screening is the unpleasant nature of colonic purge. Indeed, a recent prospective study identified laxative preparation as the major disincentive for patients to undergo CRC screening with either colonoscopy or computed tomographic colography (virtual colonoscopy). Thus, optimizing colonic preparation may have significant public health ramifications
机译：当前基于总筛选技术结肠粘膜评价如结肠镜检查强大到足以防止75%90%的结肠直肠癌(CRC)的情况下通过识别和删除的前身病变,ad-enomatous息肉。可怜的符合这些测试的贡献CRC仍然排名显著的原因是癌症死亡的第二大原因在美国人当中。这个病人不愿(如成本、不舒服、和尴尬),一个重要的障碍入侵CRC筛选自然是不愉快的结肠清洗。研究发现泻药准备的病人接受CRC的主要阻碍筛选与结肠镜检查或计算层析colography(虚拟结肠镜检查)。因此,优化结肠准备显著的公共健康影响

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