Annually in the world fall ill with colon cancer 1.2 million people. In the vast majority of this disease is the second-third place in the structure of oncological diseases
Our country - is no exception. Just last year the terrible diagnosis appeared in the medical records from 53,763 of our citizens. Thus 26% of their disease was detected in stage 4. One of the reasons - the latest visit to a doctor. Holding out to the last, and many patients do not realize how advanced and gentle was the domestic proctology.
Word - Director of the State Scientific Center of Coloproctology, chief coloproctology Health Minister, Doctor of Medical Sciences, Professor Yuri Shelygin .
Do not miss time
"AIF. Health ": - your center provides diagnosis and treatment of all spectrum of diseases of the colon, anus and perineum. Which areas in your work the highest priority?
S .: - We distinguish three areas: coloproctological oncology, gastroenterology coloproctological (treatment of inflammatory diseases such as ulcerative colitis and Crohn's disease), and surgical coloproctology (treatment of hemorrhoids, rectal fistula, violations of the content of feces and so on. D.). In each of these areas in our center unique experience using the most advanced techniques.
"AIF. Health ": - conservative or surgical?
S .: - It depends on the form of the disease. Yet today we are trying to expand the indications for surgical treatment, thus able to help many more patients.
"AIF. Health ": - But is such an aggressive approach is justified?
S .: - On this account, there are clear criteria: for example, if in ulcerative colitis as a result of a serious hormone therapy, cytostatics, and so on. E., That we are trying to assign our patients with short courses (in order to avoid side-effects) are not going to improve, you need to resort to surgical intervention. Procrastination can lead to irreversible consequences. For ulcerative colitis - a very dangerous disease, with frequent stools (up to 40 times a day) and fraught with huge losses for the patient (sometimes up to 20-30% of body weight). If this process is not stopped, people may die.
Moreover, against the background of a long-term chronic inflammatory process dramatically increases the risk of developing cancer, which in early detection and treatment is a completely preventable disease.
Delicate Approach
"AIF. Health ": - But, in order to identify disease" your "profile, you need to go through a rather unpleasant procedure - a colonoscopy. Just like that, for the prevention, decide to do so, not every ...
S .: - Yes, this procedure is not pleasant, but it is tolerable. Especially if it is conducted by an experienced specialist.
Incidentally, there is another, more gentle method of investigation of the colon - virtual kolografiya, which is made by computed tomography. And if the hospital has a CT scanner of the latest generation, you can do even without pre-treatment bowel: A special program will automatically exclude intestinal contents and shows just what you need.
"AIF. Health ": - And how accurate is the result of this diagnosis?
S .: - We are at the center of once conducted a comparative study of three methods: barium enema (x-ray of the large intestine), and virtual colonoscopy kolografii. And it got almost complete agreement of the results.
"AIF. Health ": - So a colonoscopy is gone?
S .: - No, for further diagnosis of colonoscopy without, of course, can not do. Virtual kolografiya good as a screening test and as a method of choice in the evaluation of patients in whom there is, for example, the narrowing in the distal colon.
Without incisions and scars
"AIF. Health ": - In terms of surgical treatment of diseases in coloproctology something more gentle appeared?
S .: - Of course! Thanks to modern technology and, above all, widespread adoption of laparoscopic surgical techniques (through small punctures. - Ed.), We are increasingly producing organ operation under which avoids prolonged existence of colostomy (artificial anus for permanent or temporary diversion of feces. - Ed.), and achieve a natural passage of intestinal contents. Instead, we use the removed organ an artificial reservoir that is formed from the patient's own tissue, in particular - from the small intestine.
A big step forward, and the use of a single laparoscopic operations for which no additional punctures using a unique device in the abdominal cavity can enter several specially curved laparoscopic surgical instruments. We have already carried out in the center of about 40 such operations.
"AIF. Health ": - Which diseases apply these techniques?
S .: - The range of their use - the widest from diverticular disease to a variety of tumors of the colon (including malignant).
But we went even further. One of our latest achievements - transanal microsurgery, in which through the lumen of the intestine without punctures and cuts, we dissected the problem area.
And this year, we conducted an operation of another class by using the transvaginal access: by making a small incision in the vagina of the patient, we have introduced through laparoscopic instruments and remove the affected sigmoid colon tumor. On the second day after the operation the woman was about to be discharged home.
"AIF. Health ": - That sounds fantastic!
S .: - This is already a reality. The last two years we have been one more promising direction (in particular, in the treatment of severe hereditary diseases, family adenomatosis, in which the patient is removed the whole colon) using fetal cells, we reserve the rectal wall, remove mucous and "growing "new. This technology - the result of cooperation with the Academy of Medical Sciences GT Dry, which is actively developing cellular technologies in our country.
To help everyone
"AIF. Health ": - Imagine how much willing to be treated in your heart! How can I be your patient?
S .: - Very simple. We have a consultative clinics, enroll in that can be anyone - and muscovite, and residents of other regions of Russia. Often to us send their patients and our colleagues from other hospitals. We do not refuse.
"AIF. Health ": - Even in the case of advanced cancer?
S .: - And in that case also. We undertake the treatment of patients, even when they already have multiple long-term involvement of other organs. In this regard, we follow a multidisciplinary approach. We cooperate with the Institute of Oncology. Herzen, from Cancer Research Center. NN Blokhin, Monica, the Department of Radiology, Academy of Postgraduate Education, Institute of Surgery named after AV Vishnevsky. And if, say, a person needs to radiation therapy or surgical intervention in other bodies over the distant metastases, are connected to the case by our colleagues from these institutions. And it is already yielding positive results.
"AIF. Health ": - If the patient is hopeless?
S .: - We are fighting to the last. And if you are powerless, we try to facilitate the patient's condition. Although, fortunately, more often we do manage to defeat the disease. Especially if it is detected early.
"AIF. Health ": - How often should you be screened colon cancer is not to miss?
S .: - After 50 years, every five years should undergo a colonoscopy each, but if you have a family history of cancer (especially colon cancer) in blood relatives, after 40 years, this procedure should be held annually. Believe me, it's worth it.
.
Source
Industry News
Go back to the main page