Nine out of 10 cases of colon cancer could be avoided. Nevertheless, more than 13,000 new cases are diagnosed each year in our country and It kills more than 7,000 people (About 20 per day), according to the National Cancer Institute. Screening tests & # 39 are the key to the early approach to the disease, but still fear and shame, among other things, act as a bar & # 39; EASURES access. So, on the eve of World Day against colon cancer, a number of companies, aimed at raising awareness of its importance and to expel the myths and fears.
The ability to prevent most cases of colorectal cancer (the CRC) to & # 39 is that about 90% of cases is preceded by injury predecessor, adenomatous polyp, which is growing slowly (it may take ten years), who set a time window to detect, remove it and prevent its conversion into the tumor. How? With the help of research methods -The test FOBT and colonoscopy, among others. However, according to the latest national survey of risk factors, only 27% of people aged 50 to 75 years old spend every one of these tests.
Lisandro Pereyra, a gastroenterologist German Hospital, a member of the endoscopic digestive Science Association in Buenos Aires (ENDIBA) and coach of the national programs for the prevention and detection of colorectal cancer (PNCCR), the quality of colonoscopy, explains that the test fecal occult blood test "can be performed by the patient at home using a tool that is provided by the doctor. " Colonoscopy, however, "this study improving the accuracy and efficiencyWhat is the first choice for patients considered "at risk" if there is a family history of the disease or suffering from inflammatory bowel disease. "
At the same time, Leandro Steinberg, Dr. Durand Hospital and Favaloro Foundation also with & # 39; is a member ENDIBA, provide that "investigation of fecal occult blood detect early cancersWhile colonoscopy may also polyps indicate that with 39 & # damage are precursors that lead to colon cancer. "
Juan Carlos Patrón Uriburu, on research coloproctology British military hospital based noted that inspection in place and properly certified and trained professionals, with & # 39 is a very safe and of high quality. Despite the fact that it is well tolerated procedure with minimal complication rates (less than 0.1% in the case of research on the prevention of) experts are concerned that there is still a "Unfounded fear, discomfort and even embarrassment"Which draws the majority of patients have made this practice.
The annex to the shame and fear, Pereira identifies another bar & # 39; er: "Due to lack of time or other factors, the doctors did not fully explore the way to the patient and, therefore, can not assess the risks in order to offer appropriate controls satisfied. "
At the same time, Fabian Nachman chief of gastroenterology at the University Hospital Favaloro Foundation, points out that according to recent studies, "Colonoscopy may be reduced to 75% of deaths from colon cancer"This "early detection of cancer can be cured for up to 90% of cases. Even at colonoscopy and detecting precancerous cancer tumors that can be avoided. "
If the problem of & # 39 is evident during practice, It will not be necessary to carry it out to ten years laterExplanations of ENDIBA. At the same time, to be positive, the risk will be assessed to determine the frequency of future research. "In 80% of cases, benign polyps produced in the same manner. According to its characteristics, will decide when to repeat the procedure, "says Pereira.
As the Fund Gedyt suggest that some people with experience are more likely to develop cancer of the colon and rectum, however, 75% of cases occur in people without a family & # 39; and or a personal history of cancer, Hence the importance of the preventive test done, especially after age 50, the age at which the incidence rate increases.
As preventive measures for the development of polyps of the colon, it is proposed: to carry out a healthy lifestyle that includes physical activity, maintaining a healthy weight, not smoking, eating a diet rich in fiber, fruits, vegetables and milk and reduce consuming too cooked red meat . And as the main tool for secondary prevention, we recommend a visit to a gastroenterologist from 50 years. People who have symptoms (Changes in how to evacuate, the blood flow in the chair, abdominal pain or frequent rectal, anemia and weight loss for no apparent reason) or have a personal or family history, they should make a request to this age.