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首页> 外文期刊>International journal of colorectal disease. >Importance of postpolypectomy surveillance and postpolypectomy compliance to follow-up screening--review of literature.
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Importance of postpolypectomy surveillance and postpolypectomy compliance to follow-up screening--review of literature.

机译：息肉切除术后监测和息肉切除术后依从性对随访筛查的重要性-文献综述。

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INTRODUCTION: Approximately 150,000 people are diagnosed with colorectal cancer each year and 56,000 may die from it annually in the United States. Colorectal cancer is the second leading cause of cancer deaths in the USA and yet, when diagnosed at an early stage, it is one of the most preventable cancers. According to the US Preventive Services Task Force, initial screening for colorectal cancer is recommended in people above 50 years of age with average risk and earlier in people with a strong family history and other risk factors. Adenomatous polyps are considered as precursors of colorectal cancer. Removal of polyps and postpolypectomy surveillance reduces the overall mortality from colorectal cancer. DISCUSSION: According to updated guidelines in 2006, a 3-year-follow-up colonoscopy is recommended in patients with adenomatous polyps>or=1 cm. An important factor in the surveillance and prevention of colorectal cancer in postpolypectomy patients is compliance with follow-up colonoscopy. In the present article, we provide an overview of the importance of postpolypectomy surveillance and summarize the compliance data for postpolypectomy surveillance. Compliance to postpolypectomy surveillance varies from one study to another and it should be expected that the compliance with follow-up would be low outside of clinical trials. Some measures that can improve patient compliance include patient education regarding a need of follow-up screening, reminder letters, and alerts in patient's charts. CONCLUSION: In conclusion, effective surveillance screening with good patient compliance in postpolypectomy patients will contribute significantly in reducing colon cancer morbidity and mortality.
机译：简介：在美国，每年约有15万人被诊断出患有大肠癌，每年可能有56,000人死于大肠癌。结直肠癌是美国癌症死亡的第二大主要原因，但是，在早期诊断时，它是最可预防的癌症之一。根据美国预防服务工作队的建议，建议在50岁以上平均风险的人群中进行大肠癌的初步筛查，并在家族病史和其他风险因素较强的人群中进行较早的筛查。腺瘤性息肉被认为是结肠直肠癌的前体。息肉的切除和息肉切除术后的监测可降低大肠癌的总体死亡率。讨论：根据2006年更新的指南，对于腺瘤性息肉>或= 1 cm的患者，建议进行3年随访结肠镜检查。息肉切除术后患者监测和预防大肠癌的重要因素是随访结肠镜检查的依从性。在本文中，我们概述了息肉切除术后监测的重要性，并总结了息肉切除术后监测的依从性数据。息肉切除术后监测的依从性在一项研究与另一项研究之间有所不同，应该期望在临床试验之外对随访的依从性较低。可以提高患者依从性的一些措施包括对患者进行有关随访筛查的教育，提醒函以及患者病历表中的警报。结论：总的来说，对息肉切除术后患者进行有效的监测筛查和良好的患者依从性将显着降低结肠癌的发病率和死亡率。

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