Archives for the month of: August, 2013

Wade Hayes performs at the Stars Go Blue For Colon Cancer benefit on March 6, 2012.

Surgeons removed approximately 70% of Hayes’ liver and more than 20 inches of his large intestine. “You just don’t expect a man in his young 40s, who was perfectly healthy in every other way, to get this kind of diagnosis,” says Hayes’ manager, Mike Robertson. “There was a part of me that was going, ‘Surely this can’t be happening.’ ” Colorectal cancer — often referred to as colon cancer — is the third leading cause of cancer death in both men and women, according to the American Cancer Society . It’s also the most preventable. Colorectal cancer usually develops slowly, over the course of 10 to 15 years, from noncancerous polyps. Approximately 90% of new cases occur in people over the age of 50. The American Cancer Society recommends colonoscopies every 10 years for people beginning at that age, unless they have high risk factors such as a family history of colorectal cancer or another gastrointestinal disease. Colonoscopies can spot and remove polyps before they become malignant. Coming clean about my first colonoscopy “Oftentimes, [colorectal cancer] has no symptoms,” says Dr. Paul Limburg , a gastrointestinal cancer prevention specialist at the Mayo Clinic who has not treated Hayes. “The most important message is that people really should understand that screening should be done regularly. It could make a substantial difference in the number of lives saved.” Hayes had no family history of gastrointestinal disease, which is one of the reasons he ignored his symptoms for so long. In fact, when he walked into the hospital in November, he was in better shape than everyone in the waiting room, Robertson remembers.

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Colorectal Cancer Awareness Month Kicks Off With Giant, Inflatable Colon in Times Square

Jordan Berlin, a gastrointestinal oncologist at the Vanderbilt-Ingram Cancer Center . “In Canada, there’s a promotion to get people to go to colon cancer screenings that had naked butts on billboards,” Berlin said. “They’re trying to say, yes, you’re embarrassed to talk about it, but it is it really worth risking your life not to talk about this?” He said colorectal cancer is one of the top five causes of rectal bleeding, but it’s the fifth one. “It’s the one you don’t want to miss,” he said. Still, he said attitudes are slowly shifting toward more openness about colon problems as people learn that colonoscopies aren’t “that bad.” A colonoscopy is a 30-minute test in which a doctor inserts a tube with a camera on the end of it into the patient’s anus to check the entire colon for cancerous or precancerous growths. The patient, of course, is sedated. The Centers for Disease Control and Prevention recommends routine colonoscopies for people over the age of 50. However, younger people with other risk factors, such as a family history of colon cancer, polyps or Crohn’s disease, should also get routine screenings. “You don’t have to be 50,” said Carlea Bauman, president of Fight Colorectal Cancer , a national advocacy group that kicked off its most recent awareness campaign with the giant colon in Times Square. “We’re trying to raise awareness among the general population,” she said. “When people are diagnosed early, it’s very survivable. When people are diagnosed late, it’s far less survivable. It can make the difference between life and death.” Pam Seijo, a teacher from West Virginia, was 39 years old and working on bulletin boards for her classroom when her colon ruptured, causing her to double over in pain, she said. Feverish and vomiting, she went to the hospital, and remembers asking the doctor if she had cancer.

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To Prevent Colon Cancer, Get Your Butt to the Doctor

ht couric mi 130306 wblog To Prevent Colon Cancer, Get Your Butt to the Doctor

Some people find the ordeal daunting, but our chatters said to get over it. And iffriends orloved ones resist the idea, Couric said to tell them to do it for the people who love and depend on them. Also, if your partner doesnt want to get screened, join them and suggest his and hers colonoscopies! she tweeted. Katie Couric Tweeted, “Get Your Butt to the Doctor!” Credit: Katie Couric. 3. Dont Die of Embarrassment There may be blood in stool, a change in bowel habits, diarrhea or a change in weight, experts from the NIH noted. Experts from Dana Farber added, A month or more narrowing of the stools, straining, change in stool shape are all symptoms of bowel problems. As many of our tweeters noted, people often ignore these symptoms or are too embarrassed to talk to the doctor about them. Here again, our chatters said to get over it. Get your butt to the doctor, Couric tweeted this comment was retweeted more than a dozen times. As Besser pointed out, however, other than polyps there may be no other symptoms in the early stages of the disease. Thats why its so important to have regular check-ups and get screened on a schedule set by you and your doctor. 4. Know the Risks Age is an important risk factor. Colon and rectal cancers most often strike people over the age of 50, but the disease can strike at any age.

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Combination of Screening Strategies Emerges for Colorectal Cancer

“Although colonoscopy is recognized as the most comprehensive colorectal examination, its role in screening is viewed very differently across health-care systems. Fecal immunochemical tests are emerging as the tests of choice in many population-based colorectal cancer screening programs,” said Uri Ladabaum, MD, MS, study author from the Division of Gastroenterology and Hepatology at Stanford University School of Medicine. “This modeling study suggests that a hybrid screening approach of fecal immunological test at younger ages and then a well-timed single colonoscopy in the mid-sixties offers the potential to deliver health benefits that are similar to those of the current screening strategies with lower resources demand.” Colorectal cancer is the second leading cause of cancer deaths among men and women in the U.S., according to the Centers for Disease Control and Prevention. This form of cancer is largely preventable through proper screening. The AGA, in conjunction with U.S. Multi-Society Task Force on Colorectal Cancer, the American Cancer Society and the American College of Radiology, has developed guidelines for colorectal cancer screening. The guidelines identify colonoscopy and fecal immunological test as two of several possible screening strategies, beginning at age 50 for all average risk people. The guidelines place an emphasis on screening tests that can detect premalignant lesions (e.g. colonoscopy), as opposed to primarily early-stage cancer (e.g. guaiac-based fecal occult blood tests). The current U.S. Preventive Services Task Force guidelines1 call for regular screening of both men and women for colorectal cancer, starting at age 50 years and continuing until age 75 years, by regimens including: annual high-sensitivity fecal immunological test; flexible sigmoidoscopy every five years (possibly combined with high-sensitivity fecal immunological test every three years); or screening colonoscopy at intervals of 10 years.

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Black patients at higher risk for colon polyps

Rex, M.D., FACG and colleagues at Indiana University Medical Center in Indianapolis, “Right Colon Retroflexion Increases Yield of Polyps in the Proximal Colon. Dr. Rex presented his findings at the 75th Annual Scientific Meeting of the American College of Gastroenterology. In retroflexion, the tip of the colonoscope is in a deflected position to better visualize the proximal side of the colon’s anatomy. “Colonoscopy has a significant miss rate for the smallest adenomas, but retroflexion in the right side of the colon could reduce the miss rate associated with lesions on the proximal sides of the folds and flexures in the colon,” explained Dr. Rex. In the study, of a total of 1000 patients who underwent colonoscopy, retroflexion in the right side of the colon was successful in 945 patients. The colonoscopists in the Indiana University study identified 500 polyps in 287 patients on forward examination of the right colon, as the colonoscope passed through, and an additional 68 polyps in 58 patients on retroflexion of the scope. Importantly, 41 percent of the patients who had polyps identified on retroflexion had negative exams on forward examination. The researchers analyzed predictors of successful retroflexion and polyp detection using logistic regression analysis. “The risk of identifying a polyp on retroflexion was three times more likely among those who had a polyp detected on forward view compared to those patients who were negative on forward examination,” according to Dr.

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Colon cancer is also known as bowel cancer or colorectal cancer. It is the cancer that occurs in the large intestines, the lower part of the digestive system. It starts as a small polyp or clumps in the cells. In the beginning it is non-cancerous but after sometimes some polyps becomes colon cancer. To prevent this cancer physicians recommend regular screening tests for identifying the polyps before they become colon cancer. United States is the leading country with the highest death rate due to this cancer every year. You are at higher threat of developing colon cancer if: You are more than 60 years. You are African American of eastern European descent Eat plenty of red meat Have polyps or clumps in the cells You suffer from inflammatory bowel disease You have a family history of colon cancer You have a personal history of breast cancer Certain hereditary diseases increase the risk of emerging this cancer- Hereditary Nonpolyposis Colorectal Cancer (HNPCC), known as Lynch syndrome and Familial Adenomatous Polyposis (FAP) Symptoms The first stage of colon cancer does not have any symptoms. Some of the warning signs are blood in the stools or thin, long pencil stools, Stomach cramps or bloating, fatigue, unexpected weight loss, loss of appetite, changes in the bowel movements, diarrhea and pelvic pain that cause later in the last stage of this cancer. Statistics Colon Cancer is the third common cancer in the United States including both males and females. According to The American Cancer Societys approximations for 2013– Total 40,340 latest cases of rectal cancer Total 102,480cases of colon cance It is expected that 50,830 deaths in 2013 will take place in America. The risk of developing this cancer is 1 in 20.

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Colon Cancer Facts

Colon Cancer Facts

Death rates for black men and women are 38 percent to 43 percent higher than for white men and women, and incidence rates are 15.5 percent to 23 percent higher in black individuals, according to background information in the article. Since 1985, as incidence rates have declined in white individuals, rates in black men have increased and remained unchanged in black women. “Colorectal cancer screening might be less effective in black individuals, if there are racial differences in the age-adjusted prevalence and location of cancer precursor lesions,” the authors write. David A. Lieberman, M.D., of Portland VA Medical Center, Portland, Ore., and colleagues measured the prevalence and location of colon polyps sized more than 9 mm in diameter in black (n = 5,464) and white (n = 80,061) patients who had undergone colonoscopy screening at 67 practice settings across the United States. The researchers found that a total of 422 black patients (7.7 percent) and 4,964 white patients (6.2 percent) had 1 or more polyps sized more than 9 mm. These differences extended across all age groups in women and men. Compared with white patients, black men had a 16 percent increased odds of having polyps sized more than 9 mm; black women had a 62 percent increased odds. There was an increased risk associated with age older than 50 years and also a significant increase in risk when patients age 60 to 69 years were compared with those age 50 to 59 years. In a subanalysis of patients older than 60 years, proximal (situated nearest to point of origin) polyps sized more than 9 mm were more likely prevalent in black men and women compared with white men and women. “In summary, we find that asymptomatic black men and women undergoing colonoscopy screening are more likely to have 1 or more polyps sized more than 9 mm compared with white individuals. The differences were especially striking among women. These findings emphasize the importance of encouraging all black men and women to be screened,” the authors write.

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Newer Colon Cancer Surgery Shows Benefits

Jesper Lagergren, the new study’s senior author and a professor at both the Karolinska Institute in Stockholm and King’s College London. Each year more than 100,000 people in the U.S. have surgery to treat obesity. Lagergren and his colleagues point out in their report, published in the Annals of Surgery, that obesity is tied to elevated risks for a number of cancers, including colorectal, breast and prostate. Whether surgery to lose weight can affect those risks is uncertain. Two earlier studies, one from the U.S. and the other from Sweden, found that the chances of obesity-related cancers decline after women have weight-loss surgery. But an earlier study from Lagergren’s group found the risks for breast and prostate cancers were unaffected by obesity surgery, and colorectal cancer risk increased. To investigate that finding further, Lagergren’s team collected 29 years’ worth of medical records on more than 77,000 people in Sweden who were diagnosed as obese between 1980 and 2009. About 15,000 of them underwent weight loss surgery. In the surgery group, 70 people developed colorectal cancer – a rate that was 60 percent greater than what would be expected for the larger Swedish population. When the researchers looked only at people who had surgery more than 10 years before the end of the study period, the number of cancer cases was 200 percent greater than the expected risk for the general population. In contrast, 373 people in the no-surgery group developed colorectal cancer, which was 26 percent more than would be expected in the population and that number remained stable over time. A two-fold increased risk for colorectal cancer is not a “negligible risk increase, but it should not be of any major concern for the individual patient since the absolute risk is still low,” Lagergren told Reuters Health in an email. In the U.S., for instance, 40 out of every 100,000 women and roughly 53 out of every 100,000 men develop colorectal cancer each year.

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In laparoscopy, surgeons see through a small camera and work with instruments that are inserted through small holes in the abdomen. Laparoscopy has been widely used to perform gallbladder surgery in the United States and Europe over the past decade, and it has been tried for other conditions. But in this country, laparoscopy has been used far less often for colon cancer and has been controversial in part because of the lack of rigorous studies showing its benefits. Some earlier reports suggested shorter hospital stays, but other studies found as many as 21 percent of the colon cancers recurring in the scars from laparoscopy. Also, laparoscopic surgery requires practice and skill that only a small number of colon cancer surgeons have acquired. Colon cancer will be diagnosed in an estimated 107,300 Americans this year, making it the third most common cancer among men and women in the United States, the American Cancer Society said. Many polyps that are on the verge of becoming cancerous or that have developed early cancer can be removed when doctors insert a flexible tube through the anus into the bowel in a nonsurgical procedure known as a colonoscopy. But most advanced colon tumors are removed in an operation that requires an incision 8 to 12 inches long. The Spanish study is the first to directly compare cancer recurrence and survival in laparoscopy and standard colon cancer surgery in a randomized controlled trial. In it, the participants agreed to leave the choice of operation to the statistical equivalent of flipping a coin. The surgical team, led by Dr. Antonio M. Lacy, was skilled in laparoscopy and performed both types of operations at the University of Barcelona. The team compared the two procedures on 219 patients from November 1993 to July 1998. Those who had laparoscopic surgery stayed in the hospital for five days, three days less than patients who had the standard operation. But other surgeons noted that patients undergoing the standard operation in American hospitals now tended to stay about six days.

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The American Joint Committee on Cancer (AJCC) and a National Cancer Institute-sponsored panel recommended that at least 12 lymph nodes be examined in patients with colon and rectal cancer to confirm the absence of nodal involvement by the tumor.[2,3,4] This recommendation takes into consideration that the number of lymph nodes… to see what happens during this surgery. What To Expect After Surgery Bowel resection requires general anesthesia . You may stay in the hospital for 4 to 7 days or as long as 2 weeks after surgery. Sometimes the two parts of the colon or rectum cannot be reattached, so the surgeon performs a colostomy . This creates an opening, called a stoma, on the outside of the body for the stool, or feces, to pass through into a colostomy bag. Usually the colostomy is temporary, until the colon or rectum heals. If the lower part of the rectum has been removed, the colostomy is permanent. Most people who have colon cancer don’t need a colostomy. Treatment after bowel resection may include radiation therapy and chemotherapy, in case there are any cancer cells remaining. Radiation therapy uses X-rays to kill cancer cells. Chemotherapy uses drugs -given either as pills or through a needle-to kill them. Follow-up care is important because colorectal cancer can come back after surgery, especially if it was not discovered when it is in an early stage. Why It Is Done In early-stage cancer, surgery is done to remove as much cancer as possible to give the greatest chance of a cure. In cases of advanced colorectal cancer that has spread (metastasized) to other parts of the body, bowel resection is often done to remove tumors that are blocking the intestine or causing bleeding.

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Colon cancer spotted by blood test

June 9, 2013 at 09:37 | Report abuse | Reply karen Both my mom and her brother had colon cancer, and survived. They both had stage 1. Read my comment. procedure is well worth the inconvenience! June 11, 2013 at 06:53 | Report abuse | metoo Having lost my mother and grandmother to colon cancer, my Aunt having her colon totally removed and having the Dr find polyps in my last 4 scopes, my Dr. recommended a blood test. That is before he knew the test would cost $3,000. and of course insurance doesn’t cover any part of it. So the YEARLY scope is my only choice. But it would be nice to know for sure before developing cancer so the next generation can be properly educated and prepared to start their life of scopes earlier and not the recommended age 50-60. June 9, 2013 at 09:51 | Report abuse | Reply Fish One of the benefits of the wars are the medical breakthroughs, one of which is a blood test for the enzymes released from dead tissues like those from TBI patients which can be used to identify a stroke I’ve read. This could be extremely advantageous in the future. June 9, 2013 at 15:09 | Report abuse | Reply Survivor Just because they found a “blood test” does not mean that it is anyway a preventative measure to colon cancer. I had my colon removed because I had too many polyps and they were all precancerous as I have a gene that predisposes me to colon cancer. This was found out through a DNA test. However, just because they took out my colon as a preventative measure doesn’t mean that I wouldn’t get cancer somewhere else.

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