Preview

Kuban Scientific Medical Bulletin

Advanced search

Identification of Patients with a High Risk of Developing Precancerous Colon Diseases at the Outpatient Stage

https://doi.org/10.25207/1608-6228-2019-26-6-28-36

Abstract

Aim. To identify patients with a high risk of precancerous diseases of the colorectal region for colonoscopy assignment in the practice of a district physician.

Materials and methods. 122 patients were surveyed who underwent colonoscopy by the appointment of a district physician at the Municipal Polyclinic No. 3 in Tyumen. All examined patients were divided into two groups according to colonoscopy: with colon polyps — 64 (52.5 %) and without colon polyps — 58 patients (47.5 %).

Results. The mean age of patients in the group with colon polyps was 59.8 ± 4.7 years, in the second group — 58.2 ± 4.8 years. In the group with colon polyps, more patients exhibited a low physical activity and poor nutrition compared to the group without colon polyps. Erosive gastritis and obesity prevailed in patients of the group with colon polyps as compared to the second group. The number of patients who smoked and drank alcohol prevailed in the group with colon polyps, in comparison with the second group. Patients with colon polyps were twice as likely to have a burdened hereditary history of colorectal cancer as those without colon polyps.

Conclusion. Thus, the group of high risk of colon polyps included patients with risk factors: smoking, low physical activity and burdened hereditary history of colon cancer, as well as erosive gastritis in the history.

Keywords


About the Authors

Anastasiia F. Gayazova
Tyumen State Medical University
Russian Federation

Anastasiia F. Gayazova — Postgraduate Student of the Department of Internal Diseases, Polyclinic Therapy and Family Medicine

Odesskaya str., 54, Tyumen, 625023



Tatyana V. Bolotnova
Tyumen State Medical University
Russian Federation

Tatyana V. Bolotnova — Dr. Sci. (Med.), Prof., Head of the Department of Internal Medicine, Polyclinic Therapy and Family Medicine

Odesskaya str., 54, Tyumen, 625023



References

1. Zaridze D.G., Kaprin A.D., Stilidi I.S. Dynamics of morbidity and mortality from malignant tumors in Russia. Voprosy Onkologii. 2018; (64)5: 578–591 (In Russ., English abstract).

2. Kaprin A.D., Starinskii V.V., Petrova G.V. Malignant neoplasms in Russia in 2017 (morbidity and mortality). Moscow: MNIOI im. P.A. Gertsena — fi lial FGBU «NMITs radiologii» Minzdrava Rossii; 2018. 250 р. (In Russ.).

3. Rybina V.A., Mil’chakov D.E. Тhe analysis of morbidity and mortality of the population with colon cancer on the territory of certain regions of the Volga federal district with the same population number from 2006 to 2016. Colloquium Journal. 2018; 5-1(16): 42–54 (In Russ., English abstract).

4. Khrustaleva M.V., Khodakovskaya Yu.A., Godzhello E.A., Dekhtyar M.A., Bulganina N.A., Grishina E.A., Titova I.V., Fedorov D.N., Morozova M.M. Morphological assessment of colon polyp using fl exible spectral imaging color enhancement. Meditsinskii Sovet. 2018; 3: 90–96 (In Russ., English abstract).

5. Navruzov S.N., Sapaev D.A., Mamatkulov Sh.M., Navruzov B.S., Mirzakhmedov M.M. On the issue of differentiated surgical tactics in polyps and polyposes of the colon. Gastroenterologiya Sankt-Peterburga. 2017; 4: 25–25a (In Russ.).

6. Kashin S.V., Zav’yalov D.V., Nekhaikova N.V., Sorogin S.A., Belova A.N. Topical issues of improving the quality of colonoscopy in screening for polyps and colorectal cancer. Klinicheskaya Endoskopiya. 2016; 1(47): 3–18 (In Russ.).

7. Wronecki J., Blaszkiewicz A., Swatek J., Skrzydlo-Radomańska B. Infl ammatory fi broid polyp in the antrum co-occurring with adenomatous polyp in the ascending colon. Gastroenterology Review. 2018; 13(4): 340–342.

8. Komarov F.I., Rapoport S.I., editors. Guide to gastroenterology. Moscow: MIA; 2010. 864 р. (In Russ.).

9. Levanovich V.V., Kokhanenko N.Yu. Selected lectures on faculty surgery. Saint Peterburg: Izdatel’stvo “N-L”; 2011. 661 р. (In Russ.).

10. Ma Y., Yang Y., Wang F., Zhang P., Shi C., Zou Y, Qin H. Obesity and risk of colorectal cancer: A systematic review of prospective studies. PLoS One. 2013; 8(1): е53916. DOI: 10.1371/journal.pone.0053916

11. Militsa K.N., Maslov A.I. Abdominal obesity as the colorectal adenomas risk factor. Zaporozhskii Meditsinskii Zhurnal. 2016; 5(98): 53–57 (In Russ., English abstract).

12. Coussens L.M., Zitvogel L., Palucka A.K. Neutralizing tumor-promoting chronic infl ammation: a magic bullet? Science. 2013; 339(6117): 286–291. DOI: 10.1126/science.1232227

13. Lapteva E.A., Kozlova I.V., Myalina Yu.N., Pakhomova A.L. Colon polyps: epidemiology, risk factors, diagnostic criteria and courses of treatment (review). Saratovskii Nauchno-Meditsinskii Zhurnal. 2013; 9(2): 252–259 (In Russ., English abstract).

14. Boitsov S.A., Ipatov P.V., Kalinina A.M., Andreenko E.Yu., Serdyuk S.E., Kolos I.P., Dudinskaya E.N., Tvorogova T.V., Pulin A.A., Bilichenko T.N., Shilov E.M., Bobkova I.N., Shvetsov M.Yu., Amelina E.L. Dispensary observation of patients with chronic noncommunicable diseases and patients with high risk of their development: guidelines. Boitsov S.A., Chuchalin A.G., editors. Moscow; 2014. 112 р. (In Russ.).

15. Order of the Ministry of health of the Russian Federation of 13.03.2019 No. 124n “On approval of the procedure for preventive medical examination and medical examination of certain groups of the adult population”. Elektronnyi fond pravovoi normativno-tekhnicheskoi dokumentatsii; 2019. Available mode: http://docs.cntd.ru/document/554018402 (In Russ.).

16. Ivashkin V.T., Maev I.V., Baranskaya E.K., Okhlobystin A.V., Shul’pekova Yu.O., Trukhmanov A.S., Sheptulin A.A., Lapina T.L. Gallstone disease diagnosis and treatment: guidelines of the Russian gastroenterological association. Rossiiskii Zhurnal Gastroenterologii, Gepatologii, Koloproktologii. 2016; 26(3): 64–80 (In Russ.).

17. Ivashkin V.T., Maevskaya M.V., Pavlov Ch.S., Tikhonov I.N., Shirokova E.N., Bueverov A.O., Drapkina O.M., Shul’pekova Yu.O., Tsukanov V.V., Mammaev S.N., Maev I.V., Pal’gova L.K. Diagnostics and treatment of non-alcoholic fatty liver disease: clinical guidelines of the Russian Scientifi c Liver Society and the Russian gastroenterological association. Rossiiskii Zhurnal Gastroenterologii, Gepatologii, Koloproktologii. 2016; 26(2): 24–42 (In Russ.).

18. Unguryanu T.N., Grzhibovskii A.M. Brief recommendations on description, analysis and presentation of data in scientifi c papers. Ekologiya Cheloveka. 2011; 5: 55–60 (In Russ., English abstract).

19. Special theme: health and sustainable development goals. Byulleten’ Vsemirnoi Organizatsii Zdravookhraneniya. 2018; 96(9): 589–664. Available mode: https://www.who.int/bulletin/volumes/96/9/ru/ (In Russ.).

20. Mulendeev S.V., Solovjov I.A., Shostka K.G., Arutjunjan K.V., Saharov A.A., Roman L.D. The current understanding of the risk factors of colorectal cancer. Vestnik Natsional’nogo Mediko-Khirurgicheskogo Tsentra im. N.I. Pirogova. 2017; 12(3): 86–91.


Review

For citations:


Gayazova A.F., Bolotnova T.V. Identification of Patients with a High Risk of Developing Precancerous Colon Diseases at the Outpatient Stage. Kuban Scientific Medical Bulletin. 2019;26(6):28-36. (In Russ.) https://doi.org/10.25207/1608-6228-2019-26-6-28-36

Views: 427


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1608-6228 (Print)
ISSN 2541-9544 (Online)