| Theme |
Colonoscopy for the super-elderly |
| Title |
Endoscopic treatment strategies considering long term prognoses for submucosal colorectal cancer patients |
| Author |
Ken Umemura |
Division of Gastroenterology, South Miyagi Medical Center |
| Author |
Sho Takagi |
Takagi Clinic |
| Author |
Takenobu Shimada |
Miyagi Cancer Society |
| Author |
Hisashi Shiga |
Division of Gastroenterology, Tohoku University Hospital |
| Author |
Yoshitaka Kinouchi |
Division of Gastroenterology, Tohoku University Hospital |
| Author |
Daisuke Shibuya |
Miyagi Cancer Society |
| Author |
Tooru Shimosegawa |
Division of Gastroenterology, Tohoku University Hospital |
| [ Summary ] |
Endoscopic treatment strategies in consideration of long term prognoses for submucosal colorectal cancer were examined. The clinicopathological findings concerning colon cancer deaths occurring after local excision and colectomies were reviewed. In addition, deaths due to factors excluding colon cancer patients 65 years old or older experienced more than 3 times the colorectal cancer-related deaths. Treatment strategies in consideration of long term prognoses for submucosal colorectal cancer can include removal with an endoscope as a first line treatment. Clinicopathological findings from local excision lead us to consider whether additional colectomies are required. However, submucosal colorectal cancer in elderly patients may require follow ups, even if clinicopathological findings indicate additional colectomies. |