surgical procedures and management

Apr 15th, 2015
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Colorectal carcinomaIncidence The most common cancer of the GI tract In men: 3rd after cancer of lung and prostate In women: 2nd to carcinoma of the breastIncidence(Kenya situation) Colorectal carcinoma (CRC ) is increasingly being reported inthe developing countries Ranks eleventh amongst cancers in KenyaIn Kenya it is predominantly a left sided diseaseN. A. Othieno-Abinya, G. N. Lule, Y. B. Mlombe, H. O. Abwao, G. W. Kiarie Experience with colorectal carcinoma from a singleoncology clinic in Nairobi. J Clin Oncol 26: 2008 (May 20 suppl; abstr 15109)H.S. Saidi et al: Correlation of clinical data, anatomical site and disease stage in colorectal cancer, EAMJ Vol. 85 No. 6 June 2008 Affects mostly the older age group with amean age of 67yrs In Kenya, the modal age group at presentationwas 41-50 years for all the sites Male to female ratio is equalH.S. Saidi et al: Correlation of clinical data, anatomical site and disease stage in colorectal cancer, EAMJ Vol. 85No. 6 June 2008Etiology-1 Environmental factors Diet rich in animal fat and low in fiber Alcohol especially beer Inherited genetic factors Familial adenomatous polyposis syndrome(chromosome 5) Hereditary non-polyposis colon cancer(chromosome 17 or 18) Site specific colonic cancer(Lynch 1) Cancer family syndrome(Lynch 2)Etiology-2 Surgical procedures cholecystectomy, gastrectomy and terminal ileal resectionresulting in inc

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