Levin K E, Dozois R R
Department of Surgery, Mayo Clinic, Rochester, Minnesota 55905.
World J Surg. 1991 Sep-Oct;15(5):562-7. doi: 10.1007/BF01789199.
Results from epidemiologic studies have provided insights into the etiology of large bowel cancer. Markedly diverse incidences of colorectal cancer exist in various parts of the world and within different regions of a given country. Studies of migrant populations have revealed a role for environmental factors, particularly dietary, in the etiology of colorectal cancers. Genetic factors and inflammatory bowel disease also place certain individuals at increased risk. Sedentary lifestyle, cholecystectomy, and ureterosigmoidostomy may also increase the risk of developing large bowel cancer.
流行病学研究结果为深入了解大肠癌的病因提供了线索。世界各地以及一个特定国家的不同地区,结直肠癌的发病率存在显著差异。对移民人群的研究揭示了环境因素,尤其是饮食因素,在结直肠癌病因中所起的作用。遗传因素和炎症性肠病也会使某些个体患癌风险增加。久坐不动的生活方式、胆囊切除术和输尿管乙状结肠吻合术也可能增加患大肠癌的风险。