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
Hauptverfasser: 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.
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container_title Nippon Daicho Komonbyo Gakkai Zasshi
container_volume 39
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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title Mass Screening for Colorectal Cancer by Testing for Occult Blood under a Restricted Diet and using a Questionnaire
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