This March 31 on a new & # 39; is the International Day against colon cancer, a good instance to enhance the message of prevention and treatment of gastrointestinal health.
Unfortunately, these ephemeris today remembered with melancholy rise colon or colorectal cancer in gastrointestinal cancer and its prevalence in the Chilean population.
According to WHO, cancer is a & # 39 is the leading cause of death worldwide. Only in 2015 were attributed to the disease, 8.8 million deaths. Five types of cancer causes more deaths from the & # 39 are: lung (1.69 million deaths), liver (788,000 deaths), colorectal cancer (774,000 deaths), stomach (754 000 deaths) and breast cancer (571.000 deaths). However, between 30 and 50% of cancers can be prevented by reducing risk and early detection strategies.
According Globocan 2018 (Global Observatory Cancer), developed by IARC Observatory (International Agency for Research on Cancer), between 40 and 44 years, the incidence of colon cancer in Chile 9 cases per 100,000 population; between 45 and 49, it rises to 18 per 100,000; and between 50 and 59 years, it had increased to 39 cases per 100,000 people.
Our country with a & # 39 is the third higher risk of colon cancer in Latin America after Uruguay and Argentina.
Chilean Society of Gastroenterology (SChGE) in collaboration with colleagues surgery, proctology and oncology, come together to apply to the Ministry of Health concerned about this growth and the need for early diagnosis protocols. Year 5900 new cases of colorectal cancer are diagnosed in our country, and then 5,100 new cases of gallbladder in 2600 of stomach cancer and cancer.
Research programs help identify cases of colon cancer arises and / or precursor lesions (polyps), and thus reduce the risks of causes of death; However, this procedure is not & # 39 is the mass of the population. Research program is recommended from 50 years in Chile, although no symptoms.
Only in the case of a family history of cancer of the gastrointestinal tract or previous symptoms, colonoscopy ahead 40 years. Now we know that the risk of developing colorectal cancer in men and women, increases exponentially with age.
Population research strategy focuses on testing patients annually occult blood test deposits, and as a result of positive cases realizarles colonoscopy. Clinical studies have demonstrated the cost-effectiveness of this strategy, but requires patient compliance. Another strategy is to directly perform a colonoscopy at age 50 and repeated in accordance with the conclusions, because if polyps are detected As soon repeated in 1 to 3 years, and if it is normal, repeat 5 to 10 years.
In addition to the trend of population genetics, some of the factors that influence the development of colon cancer with a & # 39 is a low-fiber diet and vegetables are high in animal fat and protein, as well.
The challenge is that different specialized company to create an effective and realistic strategy for colorectal cancer in our study population. Working together with MINSAL can ensure that lighting & # 39 is comprehensive and that the result of the research will lead to a reduction in mortality from this cause.