Mass Screening for Colorectal Cancer by Testing for Occult Blood under a Restricted Diet and using a Questionnaire
Because of the recent increase in the incidence of colorectal cancer in Japan, attempts were made to find an effective method for screening asymptomatic patients with this cancer. A total of 12, 520 participants in Osaka were screened in a 2-year program from April 1982 by testing for fecal occult b...
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Veröffentlicht in: | Nippon Daicho Komonbyo Gakkai Zasshi 1986, Vol.39(2), pp.187-192 |
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creator | Fujita, M. Nakano, Y. Ohta, J. Kumanishi, Y. Kimoto, Y. Omichi, M. Usugane, M. Ueda, N. Tsukahara, Y. Fujiwara, A. Shimozuma, K. Sugiyama, R. Iida, M. Ryo, M. Inaba, H. Okuyama, Y. Sakamoto, Y. Ishii, T. Taguchi, T. |
description | Because of the recent increase in the incidence of colorectal cancer in Japan, attempts were made to find an effective method for screening asymptomatic patients with this cancer. A total of 12, 520 participants in Osaka were screened in a 2-year program from April 1982 by testing for fecal occult blood under a restricted diet, and using a medical questionnaire. Occult blood in feces was examined for 3 consecutive days using one guaiac-impregnated slide (Shionogi B) each day. This slide was about twice as sensitive as the Hemoccult slide. Further diagnostic work-ups were required in 3, 434 individuals, of which 2, 602 (75.7 %) were due to positive occult blood. Proctosigmoidoscopy was performed in 2, 214 (64.4 %) of these persons, barium enema in 1, 397 persons, and flexible colonoscopy in 187 persons. Colorectal cancers were detected in 18 patients (0.14 % of the total screened), ten of these cancers being in an early stage. Thus this screening method is reliable for detecting asymptomatic cancer of the colon and rectum. |
doi_str_mv | 10.3862/jcoloproctology.39.187 |
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A total of 12, 520 participants in Osaka were screened in a 2-year program from April 1982 by testing for fecal occult blood under a restricted diet, and using a medical questionnaire. Occult blood in feces was examined for 3 consecutive days using one guaiac-impregnated slide (Shionogi B) each day. This slide was about twice as sensitive as the Hemoccult slide. Further diagnostic work-ups were required in 3, 434 individuals, of which 2, 602 (75.7 %) were due to positive occult blood. Proctosigmoidoscopy was performed in 2, 214 (64.4 %) of these persons, barium enema in 1, 397 persons, and flexible colonoscopy in 187 persons. Colorectal cancers were detected in 18 patients (0.14 % of the total screened), ten of these cancers being in an early stage. 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title | Mass Screening for Colorectal Cancer by Testing for Occult Blood under a Restricted Diet and using a Questionnaire |
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