1. Introduction

Colorectal cancer quality measure. Review Articles

colorectal cancer quality measure

Gastric band Stomach balloon The Competence Center for Gastroenterology and Hepatology will, as the full colorectal cancer quality measure suggests, more than just the above mentioned endoscopic procedures are performed. The diagnosis and therapy of the following organs also takes place.

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Liver: All liver diseases, from fatty liver, inflammation of the liver, liver tumor, as well as congenital diseases of the liver such as Hepatitis A, B, and C, all colorectal cancer quality measure to fatty liver — metabolic syndrome.

Pancreas: Diseases can occur from the simple inflammation of the pancreas, to diabetes, to the carcinoma of the pancreas. Gall system — Gall bladder: Diseases of the bile system and the gallbladder consist of simple inflammation of the bile ducts and the gall bladder, to bile stones, tumorous changes of the bile ducts, as well as chronic inflammatory disease of the biliary tract.

First-class intestinal endoscopy From colon cancer care to diagnostic examinations for intestinal complaints, the day clinic of the WPK performs top quality colonoscopies.

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For those who fear colonoscopies, the time of painful procedures is in the past. This is reaffirmed by Gastroenterologist and Hepatolgist, Univ.

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Siegfried Meryn, who stated that with the use of Sedoanalgesia, combination of sedation and local anesthesia, patients will be calm, pain free, and asleep during the procedure. Even the pre-procedural preparations, namely flushing out the intestines are completely painless today.

Radiol Oncol ; 53 3 :09 Currently, several predictive or prognostic genetic alterations have been identified and are used in clinical practice. BRAF VE mutations are rare and occur mostly in tumors located in the ascending colon in elderly female patients. BRAF colorectal cancer quality measure instrumental in establishing prognosis: survival is shorter by months in BRAF-mutant patients, and BRAF may be a negative prognostic factor for patients who undergo hepatic or pulmonary metastasectomy. Moreover, this mutation is used as a negative predictive factor for anti-EGFR therapies.

Colon cancer screening One of the primary reasons for performing a colonoscopy is colorectal cancer screening. According to Prof. Meryn, colorectal cancer affects women most frequently, and is the second most frequent non-gender-specific cancer in men.

First-class intestinal endoscopy

He explains that the screening is a vital measure for prevention or early detection of colorectal cancer. The investigation may reveal polyps adenomas that if removed immediately may prevent them from developing into cancer. Familiar Predisposition In Austria, colonoscopies are performed every five years starting the age of 50, latest.

For those with family members with colon cancer, it is colorectal cancer quality measure recommended to have them earlier and at shorter intervals thereafter. However, should an adenoma with dysplasia be discovered, the patient will be strongly advised to return for a follow up check-up in two to six months.

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Other Disorders There are various other reasons to have a colonoscopy. The intestine is the largest and most vital immune organ. Gastroenternologist and Helpatologist, Prim. Camel Kopty, explained that long lasting diarrheal diseases, constipation, convulsions of the intestine, change in stool behavior, blood in stool, or a significant weight loss are all definite indications for the need of a bowel screening.

Screeningul cancerului colorectal: ce este nou în 2019?

Kopty believes that in recent years, and due to modern medication, cases of intestinal bleeding have been more frequent. Medications to prevent heart attacks and stroke, as well as chronic pain medications often cause intestinal discomfort, and may even colorectal cancer quality measure to hemorrhage. He also pointed out that unrestrained usage of antibiotics often causes intestinal diseases.

Based on recent epidemiological data showing an increase in CRC incidence around the age of 50 years old, the American Cancer Society made a qualified re­com­men­dation to lower the age for starting the screening from 50 to 45 years old for all average-risk individuals. Ac­cor­ding to the American Cancer Society, a qualified re­com­mendation indicates clear evidence of benefits, but less certainty about the risk-be­ne­fits balance.

Top Technology The day clinic at WPK houses top notch, state of the art gastrointestinal examination equipment. Equipment cleaning is automatic and computer monitored, with every step being thoroughly documented. Other than the actual endoscope, all instruments used at WPK are disposable. Instruments, such as snares used colorectal cancer quality measure remove a polyp are disposed of after the procedure. In a colonoscopy of the highest standard, not only are top notch equipment and highly professional doctors an absolute must, but also a qualified and well-trained nursing staff.

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Moreover, day clinic recovery rooms are staffed with exceptionally trained nursing teams, who supervise and monitor patients following their procedures. Both Prof. Meryn and Dr.

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Kopty give high praise to both the endoscopy teams, as well as the post-endoscopy teams in recovery rooms, who meet with the highest standards.