Term to describe whole rectum
Mesorectum
Most lesions located at the
Sigmoid and rectum
Originating from benign ___
Precancerous ___
_____ (majority of CRC)
Polyps ..
Adenocarcinoma
CRC
Colorectal cancer
Risks factors of CRC
Ribbon shaped stool
一條條
Due to bowel obstructions
Tenesmus
痾唔清
好急但係痾唔到
Proctoscopy
直腸鏡
Fecal occult blood test FOBT
Sample needed
Comparison
-gFOBT
3 blood samples
-FUT
1-2 samples
More sensitivity and specificity
Gold standard for colorectal screening
Colonoscopy
Full bowel preparation
3day before: low residue diet
1day before: clear liquid diet
Evening: klean Prep (1sachet dissolve in 1L)
Complication of colonoscopy
Perforation
Bleeding
Hk CRC screening requirement
Suggest screening interval
50-75y/o
No family Hx
FIT 1-2year
Colonoscopy 10year
Colonic stenting
支架
Relieve bowel obstruction
Loop colostomy
豬鼻
external bag of stoma
pouch
wound oozing
滲
normal stoma color
pink to red and moist