COLORECTAL CANCER STRATEGIES FOR DETECTION & PREVENTION Of the - - PowerPoint PPT Presentation

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COLORECTAL CANCER STRATEGIES FOR DETECTION & PREVENTION Of the - - PowerPoint PPT Presentation

May 23, 2023 314 likes •597 views

COLORECTAL CANCER STRATEGIES FOR DETECTION & PREVENTION Of the precancerous and cancerous conditions in humans, no where is the ability to prevent more profound as it is in colorectal cancer. Colorectal Cancer 3rd leading cause of

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STRATEGIES FOR DETECTION & PREVENTION

COLORECTAL CANCER

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“Of the precancerous and cancerous conditions in humans, no where is the ability to prevent more profound as it is in colorectal cancer.”

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Colorectal Cancer

  • 3rd leading cause of cancer behind breast and lung
  • 150,000 new cases per year
  • 50,000 deaths per year
  • Nearly completely preventable
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The Problems

  • People wait for Medicare
  • People think testing needs to be done yearly in
  • rder for it to be effective
  • People fear the procedure ie – unknown, pain,

risks, embarrassment

  • Cost involved – not covered by some insurance
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The Solution

  • Screen the precursor lesions – adenomatous

colon polyps

  • Remove polyps before they become

cancerous

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Age of Screening Colonoscopy

  • Awareness of colon cancer risks
  • President Regan – January 1986
  • Katie Couric had a colonoscopy on

TV – The Today Show in March of 2000

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Age of Screening Colonoscopy

  • 2001 – Medicare changes policy to cover

screening colonoscopy

  • Over the last 5 years, individual states have

mandated colorectal screening coverage

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“Did You Check My Colon for Flat Polyps, Doc?”

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Detection of Flat Polyps

  • Best detected with HD
  • Use of NBI to define border
  • Excellent prep
  • Look for bilious colored mucous that does not

easily wash off

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The Solution

  • Colon Screenings
  • Regular screenings can save lives
  • identify polyps and result in cancer prevention
  • Only 50% of the population is being screened
  • Screen regardless of symptoms
  • 70% of cancer cases arise in John Q. Public
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The Solution

  • High Quality Examination
  • High Definition Equipment
  • Experienced Endoscopist
  • Excellent Prep
  • Anesthesiologist in charge of sedation
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When Should I Have A Colon Screening?

  • No Family History
  • Caucasians and Hispanics – 50 years of age
  • African Americans - 45 years of age
  • Family History
  • 40 years of age
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Prevention

  • Regular Screenings
  • Diet
  • High Fiber, Low Fat
  • Supplements
  • Aspirin, Calcium, Folic Acid, Vitamin D
  • Alcohol Moderation
  • Avoid all forms of tobacco
  • Physical Conditioning
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Gilda Radner Quote

“Doctors are whippersnappers in ironed white coats, Who spy up your rectum and look down your throats, And press you and poke you with sterilized tools, And stab at solutions that pacify fools. I used to revere them and do what they said Till I learned what they learned on was already dead.”