Rural Surgery pp 245-250 | Cite as

Bowel Cancer

Chapter

Abstract

The incidence of colorectal cancer is increasing over recent years and cancer of the lower gastrointestinal tract is a leading cause of cancer related death. Screening with Faecal Occult Blood Testing and invasive testing with colonoscopy could allow for early diagnosis of this condition. This chapter discusses indications for surveillance as well as therapeutic options and surgical interventions for the care of patients suffering from colorectal cancer. Multidisciplinary cancer treatment teams should be established to help with the planning and coordination of treatment.

References

  1.  1.
    South Australian Cancer Registry, Epidemiology Branch: Cancer in South Australia 2006 with projections to 2009. A report on the incidence and mortality patterns of cancer Cancer Series Number 29 October 2008Google Scholar
  2.  2.
    Jacob, S., Praz, F.: DNA mismatch repair defects: role in colorectal carcinogenesis. Biochemie 84(1), 27–47 (2002)CrossRefGoogle Scholar
  3.  3.
    Umar, A., Boland, C.R., Terdiman, J.P., Syngal, S., de la Chapelle, A., Rüschoff, J., et al.: Revised Bethesda guidelines for hereditary nonpolyposis colorectal cancer (Lynch syndrome) and microsatellite instability. J. Natl Cancer Inst. 96(4), 261–268 (2004)PubMedCrossRefGoogle Scholar
  4.  4.
    Winawer, S., Fletcher, R., Rex, D., et al.: Colorectal cancer screening and surveillance: clinical guidelines and rationale – update based on new evidence. Gastroenterology 124(2), 544–560 (2003)PubMedCrossRefGoogle Scholar
  5.  5.
    Church, J., Simmang, C.: Practice parameters for the treatment of patients with dominantly inherited colorectal cancer (familial adenomatous polyposis and hereditary nonpolyposis colorectal cancer). Dis. Colon Rectum 46(8), 1001–1012 (2003)PubMedCrossRefGoogle Scholar
  6.  6.
    Bulow, S.: Results of national registration of familial adenomatous polyposis. Gut 52(5), 742–746 (2003)PubMedCrossRefGoogle Scholar
  7.  7.
    Arvanitis, M.L., Jagelman, D.G., Fazio, V., et al.: Mortality in patients with familial adenomatous polyposis. Dis. Colon Rectum 33(8), 639–642 (1990)PubMedCrossRefGoogle Scholar
  8.  8.
    Ram, E., Sherman, Y., Weil, R., Vishne, T., Kravarusic, D., Dreznik, Z.: Is mechanical bowel preparation mandatory for elective colon surgery? A prospective randomized study. Arch. Surg. 140(3), 285–288 (2005)PubMedCrossRefGoogle Scholar
  9.  9.
    Platell, C., Barwood, N., Makin, G.: Randomized clinical trial of bowel preparation with a single phosphate enema or polyethylene glycol before elective colorectal surgery. Br. J. Surg. 93(4), 427–433 (2006)PubMedCrossRefGoogle Scholar
  10. 10.
    Song, F., Glenny, A.M.: Antimicrobial prophylaxis in colorectal surgery: a systematic review of randomized controlled trials. Br. J. Surg. 85(9), 1232–1241 (1998)PubMedCrossRefGoogle Scholar
  11. 11.
    Bonjer, H.J., Hop, W.C., Nelson, H., Sargernt, D.J., Lacy, A.M., Castells, A., et al.: Laparoscopically assisted vs open colectomy for colon cancer: a meta analysis. Arch. Surg. 142(3), 298–303 (2007)PubMedCrossRefGoogle Scholar
  12. 12.
    Dudley, H.A.F., Radcliffe, A.G., MeGeehan, D.: Intra-operative irrigation of the colon to permit primary anastamosis. Br. J. Surg. 67(2), 80–81 (1980)PubMedCrossRefGoogle Scholar
  13. 13.
    Watt, A.M., Faragher, I.G., Griffin, T.T., Rieger, N.A., Maddern, G.J.: Self-expanding metallic stents for relieving malignant colorectal obstruction: a systematic review. Ann. Surg. 246(1), 24–30 (2007)PubMedCrossRefGoogle Scholar
  14. 14.
    Scheisser, M., Chen, J.W.C., Maddern, G.J., Padbury, R.T.A.: Perioperative morbidity affects long-term survival in patients following liver resection for colorectal metastases. J. Gastrointest. Surg. 12(6), 1054–1060 (2008)CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Department of SurgeryThe Queen Elizabeth HospitalWoodville SouthAustralia

Personalised recommendations