Larson G M, Bond S J, Shallcross C, Mullins R, Polk H C
Arch Surg. 1986 May;121(5):535-40. doi: 10.1001/archsurg.1986.01400050045006.
Colonoscopy is generally considered to be an important part of the follow-up program for patients who have undergone curative resection of colorectal cancer. However, there are few data available concerning the frequency with which colonoscopy should be performed and for what length of time after operation. Since 1978, our policy has been to examine the colon annually in these patients using colonoscopy alternating with barium enema. We have evaluated the results in 100 patients over a four-year period. Based on size and histology, the significant colonoscopic findings were new colon cancers in three patients and 11 polyps demonstrating increased risk for malignancy in nine patients. This represents an interval yield of 3% per year. From these results and other reports, we recommend that these patients undergo total colonoscopy in the perioperative period to identify and remove synchronous lesions of the colon, and that examination of the remaining colon should be performed annually, preferably with colonoscopy, for at least the first four years after curative resection.
结肠镜检查通常被认为是接受结直肠癌根治性切除患者随访计划的重要组成部分。然而，关于结肠镜检查的执行频率以及术后多长时间进行检查，现有数据很少。自1978年以来，我们的政策是每年对这些患者进行结肠镜检查，并交替使用钡灌肠检查。我们在四年期间对100例患者的结果进行了评估。根据大小和组织学，结肠镜检查的重要发现包括3例患者出现新的结肠癌，9例患者有11个息肉显示恶性风险增加。这意味着每年的检出率为3%。根据这些结果和其他报告，我们建议这些患者在围手术期进行全结肠镜检查，以识别和切除结肠的同步病变，并且在根治性切除后的至少前四年，每年应对剩余结肠进行检查，最好是结肠镜检查。
