The role of medical check-up in the detection of colon diseases

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OBJECTIVE

To evaluate the role of adult population’s medical check-up in the detection of colon diseases on the basis of statistical data from the prevention department.

MATERIAL AND METHODS

The analysis of the medical check-up results of persons, who seeked to the City Clinical Hospital №2 of Chelyabinsk for 2022 yr., has been conducted. The results were evaluated on the basis of registration cards, namely the form №131/o «Information about the medical check-up of certain groups of adults». According to the survey results, the groups of men and women were compared by identified diseases of gut.

RESULTS

A number of subjects equal 5240 took part in the first stage of medical check-up. Occult blood in the feces was found in 283 (5.4%) patients, who also responded positively to the questionnaire. Colonoscopy was performed in 4.3% of cases. The most frequently diagnosed anorectal disorders were chronic hemorrhoid (96 cases; 42.3%), more in men than women, and chronic anal fissure (31 cases; 13.7%). Adenomatous colon polyps were found in 11 (4.8%) and 6 (2.4%) men and women respectively, and tubulovillous colon adenoma was detected in 4 (1.8%) and 3 (1.3%) respectively (p>0.05).

CONCLUSION

Epithelial neoplasms of the colon were found in 0.5% of subjects, who underwent medical check-up. The data obtained from the medical check-up can be used to develop programs for detection and prevention of diseases of the colon.

Keywords:

medical check-up

screening

diseases of the digestive system

risk factors

colorectal cancer

large intestine

Authors:

Sokolova T.A.

South Urals State Medical University;
City Clinical Hospital No. 2

ORCID: 0000-0002-0535-492X

Ust’yantseva N.P.

South Urals State Medical University

ORCID: 0000-0002-7990-8219

Akhunov A.V.

City Clinical Hospital No. 2

ORCID: 0009-0009-0325-2020

Dolgushina A.I.

South Urals State Medical University

ORCID: 0000-0003-2569-1699

Received:

15.06.2023

Accepted:

28.06.2023

List of references:

Klinicheskie rekomendatsii MZ RF «Zlokachestvennoe novoobrazovanie obodochnoi kishki», 2022. Accessed May 17, 2023. (In Russ.). https://cr.minzdrav.gov.ru/schema/396_3
Kazemi E, Zayeri F, Baghestani A, et al. Trends of Colorectal Cancer Incidence, Prevalence and Mortality in Worldwide From 1990 to 2017. Iranian Journal of Public Health. 2023;52(2):436-445. https://doi.org/10.18502/ijph.v52i2.11897
Rossiya v tsifrakh. 2020: Krat. stat. sb./Rosstat. M. R76 2020;550. Accessed May 17, 2023. (In Russ.). https://rosstat.gov.ru/folder/210/document/12993
Aguiar S Jr, Oliveira MM, Silva DRME, et al. Survival of patients with colorectal cancer in a cancer center. Arquivos de Gastroenterologia. 2020;57(2):172-177. https://doi.org/10.1590/S0004-2803.202000000-32
Kashin SV, Zavyalov DV, Malikhova OA, Abdrakhmanov RR. Guidelines for the management of patients with epithelial neoplasms of the colon: the executive summary for benign neoplasms. Profilakticheskaya meditsina. 2023; 26(3):109-114. (In Russ.). https://doi.org/10.17116/profmed202326031109
Smith RA, Andrews KS, Brooks D, et al. Cancer screening in the United States, 2017: A review of current American Cancer Society guidelines and current issues in cancer screening. CA: a Cancer Journal for Clinicians. 2017;67(2):100-121. https://doi.org/10.3322/caac.21392
Zholmurzaeva RS. Organizational basics of screening for colorectal cancer in world medical practice. Literature review. Nauka i zdravookhranenie. 2019;21(2):13-24. Accessed May 24, 2023. (In Russ.). https://cyberleninka.ru/article/n/organizatsionnye-osnovy-skrininga-kolorektalnogo-raka-v-mirovoy-meditsinskoy-praktike-obzor-literatury
US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2016;315(23):2564-2575. https://doi.org/10.1001/jama.2016.5989
Jain S, Maque J, Galoosian A, et al. Optimal Strategies for Colorectal Cancer Screening. Current Treatment Options in Oncology. 2022;23(4):474-493. https://doi.org/10.1007/s11864-022-00962-4
Gupta S. Screening for Colorectal Cancer. Hematology/Oncology Clinics of North America. 2022;36(3):393-414. https://doi.org/10.1016/j.hoc.2022.02.001
Ivashkin VT, Mayev IV, Kaprin AD, et al. Early Detection of Oncological Diseases of the Digestive System (Guidelines of the Russian Gastroenterological Association and the Russian Association of Oncologists for Primary Care Physicians). Rossijskiy zhurnal gastrojenterologii, gepatologii, koloproktologii. 2019;29(5):53-74. (In Russ.). https://doi.org/10.22416/1382-4376-2019-29-5-53-74
Endoscopic Classification Review Group. Update on the paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy. 2005;37(6): 570-578. https://doi.org/10.1055/s-2005-861352
Ivashkin VT, Mayev IV, Lapina TL, et al. Diagnostics and treatment of Helicobacter pylori infection in adults: Clinical guidelines of the Russian gastroenterological association. Rossijskiy zhurnal gastrojenterologii, gepatologii, koloproktologii. 2018;28(1):55-70. (In Russ.). https://doi.org/10.22416/1382-4376-2018-28-1-55-70
Sugano K, Tack J, Kuipers EJ, et al.; faculty members of Kyoto Global Consensus Conference. Kyoto global consensus report on Helicobacter pylori gastritis. Gut. 2015;64(9):1353-1367. https://doi.org/10.1136/gutjnl-2015-309252
Prikaz Ministerstva zdravookhraneniya Rossiiskoi Federatsii ot 10 noyabrya 2020 g. No.1207n «Ob utverzhdenii uchetnoi formy meditsinskoi dokumentatsii No.131/u «Karta ucheta profilakticheskogo meditsinskogo osmotra (dispanserizatsii)»‚ poryadka ee vedeniya i formy otraslevoi statisticheskoi otchetnosti No. 131/o «Svedeniya o provedenii profilakticheskogo meditsinskogo osmotra i dispanserizatsii opredelennykh grupp vzroslogo naseleniya», poryadka ee zapolneniya i srokov predstavleniya». Accessed May 24, 2023. (In Russ.). https://publication.pravo.gov.ru/Document/View/0001202101110013
Prikaz Ministerstva zdravoohranenija Rossijskoj Federacii ot 27 aprelja 2021 g. No.404n «Ob utverzhdenii porjadka provedenija profilakticheskogo medicinskogo osmotra i dispanserizacii opredelennyh grupp vzroslogo naselenija». Accessed May 27, 2023. (In Russ.). https://oms44.ru/dokumenty/federalnye-dokumenty/2569-prikaz-minzdrava-rossii-ot-27-04-2021-404n-ob-utverzhdenii-poryadka-provedeniya-profilakticheskogo-meditsinskogo-osmotra-i-dispanserizatsii-opredelennykh-grupp-vzroslogo-naseleniya
Mezhdunarodnaya klassifikaciya bolezney 10-go peresmotra (MKB-10). Accessed May 27, 2023. (In Russ.). https://mkb-10.com
Nesterov PV, Ukharskiy AV, Kislov NV. Regional clinical and economic model of colorectal cancer screening. Research and Practical Medicine Journal. 2020;7(3):146-159. (In Russ.). https://doi.org/10.17709/2409-2231-2020-7-3-15
Zorzi M, Fedeli U, Schievano E, et al. Impact on colorectal cancer mortality of screening programmes based on the faecal immunochemical test. Gut. 2015;64(5):784-790. https://doi.org/10.1136/gutjnl-2014-307508
Zauber AG, Winawer SJ, O’Brien MJ, et al. Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. The New England Journal of Medicine. 2012;366(8):687-696. https://doi.org/10.1056/NEJMoa1100370

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