The Role of the District Therapist in the Prevention of Neoplasms of the Colon
https://doi.org/10.52420/umj.24.4.31
EDN: DRAATJ
Abstract
Justification. Colonoscopy and polypectomy significantly reduce the risk of colon cancer. A follow-up colonoscopy performed after a polypectomy is an important method of monitoring patients with colorectal polyps.
The aim of the study was to evaluate the role of a district therapist in the prevention of colon neoplasms based on the results of a study of groups of patients who were examined as part of a follow-up.
Materials and methods. 322 patients underwent colonoscopy, of which 200 patients underwent follow-up colonoscopy.
Results. In the group with colon polyps (n = 148), a control colonoscopy was performed in 52/93 (55.91 %) patients after polypectomy — in 15/52 (28.85 %) colorectal polyps were found again; 41/55 (74.55 %) in the patient who refused polypectomy — in all 41/41 (100 %) polyps were found (p < 0.001). In patients after polypectomy, new localization of colon polyps was significantly more common and their morphological pattern changed significantly more common than in those who refused surgery (p = 0.017 and p = 0.031, respectively).
Conclusion. A follow-up colonoscopy is an important stage in the follow-up of patients with colon polyps. Dynamic colonoscopy is necessary for patients both after polypectomy and without surgical treatment of colon polyps for their early diagnosis and removal, as well as, as a result, the prevention of colorectal cancer.
About the Authors
A. F. Gayazova
Tyumen State Medical University
Russian Federation
Competing Interests:
Russian Federation
Anastasia F. Gayazova — Candidate of Sciences (Medicine), Associate Professor of the Department of Internal Diseases, Polyclinic Therapy and Family Medicine, Institute of Clinical Medicine, Tyumen State Medical University.
Tyumen
Competing Interests:
None
T. V. Bolotnova
Tyumen State Medical University
Russian Federation
Competing Interests:
Russian Federation
Tatiana V. Bolotnova — Doctor of Sciences (Medicine), Professor, Head of the Department of Internal Diseases, Polyclinic Therapy and Family Medicine, Institute of Clinical Medicine, Tyumen State Medical University.
Tyumen
Competing Interests:
None
M. V. Abramushkina
Tyumen State Medical University
Russian Federation
Competing Interests:
Russian Federation
Maya V. Abramushkina — Candidate of Sciences (Medicine), Associate Professor of the Department of Internal Diseases, Polyclinic Therapy and Family Medicine, Institute of Clinical Medicine, Tyumen State Medical University.
Tyumen
Competing Interests:
None
L. A. Elizarov
Tyumen State Medical University
Russian Federation
Competing Interests:
Russian Federation
Leonid A. Elizarov — Specialist’s Degree Student of the Institute of Clinical Medicine, Tyumen State Medical University.
Tyumen
Competing Interests:
None
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For citations:
Gayazova AF, Bolotnova TV, Abramushkina MV, Elizarov LA. The Role of the District Therapist in the Prevention of Neoplasms of the Colon. Ural Medical Journal. 2025;24(4):31–39. (In Russ.) https://doi.org/10.52420/umj.24.4.31. EDN: DRAATJ
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