| Theme | Obesity and Digestive Organ | |
|---|---|---|
| Title | Obesity and Helicobacter pylori | |
| Publish Date | 2019/04 | |
| Author | Tomoari Kamada | Department of Health Care Medicine, Kawasaki Medical School |
| Author | Naoki Sumi | Department of Health Care Medicine, Kawasaki Medical School |
| Author | Hiroaki Kusunoki | Department of General Medicine, Nagasaki Kamigoto Hospital |
| Author | Noriaki Manabe | 3Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School |
| Author | Toshihiro Takao | Department of Health Care Medicine, Kawasaki Medical School |
| Author | Ken Haruma | Department of General Internal Medicine 2, Kawasaki Medical School |
| [ 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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