“Colorectal cancer is almost entirely preventable with proper screening,” says senior author Michael B. Wallace, M.D., division chair of Gastroenterology and Hepatology at Sheikh Shakhbout Medical City in Abu Dhabi, United Arab Emirates, and the Fred C. Andersen Professor at Mayo Clinic in Jacksonville, Florida. “The substantial decrease in miss rate using AI reassures health care providers on the decreased risk of perceptual errors.”
The most relevant cause of post-colonoscopy colorectal cancer (CRC) is the miss rate of colorectal neoplasia — the rate at which neoplastic lesions are not detected in a screening or surveillance colonoscopy. Some studies suggest that 52% to 57% of post-colonoscopy CRC cases are due to missed lesions at patients’ colonoscopies. It’s estimated that 25% of neoplastic lesions are missed following screening colonoscopy.
Mayo Clinic Gastroenterology and Hepatology, in collaboration with colleagues from around the world, found that using artificial intelligence (AI) in colorectal cancer screening produced a 50% reduction in the miss rate for colorectal neoplasia. Results of the study were published in the July 2022 edition of Gastroenterology.
Colorectal cancer is the second-leading cause of cancer death in the U.S. Colorectal cancer cannot be totally prevented, but there are ways to lower your risk and that’s with regular screening.
The U.S. Preventive Services Task Force and the American Cancer Society encourage patients to start screening for colorectal cancer at age 45. Dr. John Kisiel, a Mayo Clinic gastroenterologist, also says patients should begin screening at 45. He recommends checking with your health care provider about your risks, and with your insurance provider about your coverage.
Colonoscopy is good preventative medicine for everybody over the age of 50. A video was posted yesterday on colon cancer metastatic to the liver. Although this is treatable, metastatic colon cancer is a miserable condition, markedly lowering quality of life. You are much better off preventing colon cancer then having to deal with it, and in this sense, colonoscopy is a very good trade off.
Colonoscopy is no fun. You have to modify your diet well in advance, and take a magnesium citrate clean out in order to get rid of fecal matter that would prevent proper visualization of your colon. You should get your first colonoscopy at age 50 or earlier depending upon your family history of polyps, colon cancer, and other bowel problems.
In my own case, I had a number of colonoscopies, and nothing serious was discovered. I still think it is a very good idea. Although I never had a colon polyp or cancer discovered, I have recently, at the age of 89, developed bladder cancer of the slowly progressive and non-invasive kind.
The thought occurred to me that getting regular cystoscopies might catch bladder cancer at an earlier stage. I was told by an authoritative Physician that this has previously been tried and not proven to be useful. I also recommend going into a dermatologist regularly to remove actinic keratoses, which have the capability of developing into cancer. I believe you cannot be too vigorous with preventative therapy.
Interestingly, good sleep, diet and exercise are recommended in the prevention of colon cancer. Please refer to the mayo clinic article on colonoscopy for more information.
Colorectal cancer is comprised of colon cancer and rectal cancer, which originate in the lower portion of the large intestine and into the rectum. As with other cancers, screening for early detection should not be delayed. “The vast majority of the time, we don’t know exactly what causes any specific cancer,” says Dr. Jeremy Jones, a Mayo Clinic oncologist. “But there are a number of factors that can increase the risk of developing colon or rectal cancer.” Dr. Jones says one risk factor is increasing age. However, he adds that over the last 30 years younger patients have seen a 50% increased risk of developing colon and rectal cancers. In this Mayo Clinic Q&A podcast, Dr. Jones talks about risk factors, symptoms, treatment, health care disparities and the latest in colorectal cancer research. ____________________________________________
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