Ethical dilemma of colorectal screening: What age should a screening colonoscopy start and stop?

查看全文 作　　者：Alla [1]Turshudzhyan;Alexa [2]Trovato;Micheal [3]Tadros

机构地区：[1]Department of Medicine and Gastroenterology,University of Connecticut,Farmington,CT 06030,United States;[2]Department of Medicine,Albany Medical College,Albany,NY 12208,United States;[3]Department of Gastroenterology and Hepatology,Albany Medical College,Albany,NY 12208,United States

出　　处：《World Journal of Gastrointestinal Endoscopy》索引2021年第13卷第9期,共4页

摘　　要：Many advanced age patients who are diagnosed with colorectal cancer are often not offered surgical treatment due to presumed high risks of the procedure.While there is data to support surgical treatment of colorectal cancer in advanced age patients,screening colonoscopy is not currently recommended for patients older than 85 years.Moreover,recent studies concluded that the incidence of colorectal cancer in patients 80 years and older is increasing.This raises the concern that the current guidelines are withholding screening colonoscopy for healthy elderly patients.Another concern contrary to this would be the new trend of growing incidence of advanced colorectal cancer in the younger patient population.Together they raise the ethical dilemma of how to best utilize colonoscopies as well as surgical intervention,as they are limited resources. 关键词：COLONOSCOPY Colorectal cancer SCREENING Advanced age patient Screening colonoscopy

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Ethical dilemma of colorectal screening: What age should a screening colonoscopy start and stop?

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