| Theme | CT Colonography 2019 -- Recent Advances, Current Status and Its Evaluation as a Modality for Organized Cancer Screening | |
|---|---|---|
| Title | Usefulness of CT Colonography as a Detailed Examination for the Elderly | |
| Publish Date | 2019/03 | |
| Author | Takahiro Yasaka | Department of Surgery, Nagasaki Kamigoto Hospital |
| Author | Takaaki Yasuda | Radiology Section, Nagasaki Kamigoto Hospital |
| Author | Shota Yamaguchi | Department of Gastroenterology, Nagasaki Kamigoto Hospital |
| Author | Tetsuro Honda | Department of Gastroenterology, Nagasaki Harbor Medical Center |
| [ Summary ] | Total colonoscopy (TCS) is first choice for a detailed examination of a person with colon cancer. Because the elderly have decreased functions of the body and have many complications, there are a lot of cases where TCS cannot be performed easily. We introduced CT colonography (CTC) in a remote island hospital for many of the elderly. The discovery of colon lesions more than 6 mm with CTC was 94 % of sensitivity, and 92 % of specificity. The occurrence of accidents using CTC was 0 %. It is thought that CTC is a detailed examination procedure that can be performed effectively and safely for the elderly. The colon cancer-related death rate was 7 % as determined by an evaluation of TCS for the super elderly over 85 years of age. CTC has a shorter inspection time than endoscopy, and there are fewer intestinal pre-treatment burdens, so CTC is easy to perform on the elderly. When we consider the outcome of colon cancer and the physical condition of the elderly, we perform the receptive CTC first. And after triage, it is thought that shifting to TCS is better. |
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