Ethical dilemma of colorectal screening: What age should a screening colonoscopy start and stop?  

作　　者：Alla Turshudzhyan Alexa Trovato Micheal Tadros 

机构地区：[1]Department of Medicine and Gastroenterology,University of Connecticut,Farmington,CT 06030,United States [2]Department of Medicine,Albany Medical College,Albany,NY 12208,United States [3]Department of Gastroenterology and Hepatology,Albany Medical College,Albany,NY 12208,United States

出　　处：《World Journal of Gastrointestinal Endoscopy》2021年第9期447-450,共4页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：Many advanced age patients who are diagnosed with colorectal cancer are often not offered surgical treatment due to presumed high risks of the procedure.While there is data to support surgical treatment of colorectal cancer in advanced age patients,screening colonoscopy is not currently recommended for patients older than 85 years.Moreover,recent studies concluded that the incidence of colorectal cancer in patients 80 years and older is increasing.This raises the concern that the current guidelines are withholding screening colonoscopy for healthy elderly patients.Another concern contrary to this would be the new trend of growing incidence of advanced colorectal cancer in the younger patient population.Together they raise the ethical dilemma of how to best utilize colonoscopies as well as surgical intervention,as they are limited resources.

关 键 词：COLONOSCOPY Colorectal cancer SCREENING Advanced age patient Screening colonoscopy 

分 类 号：R735.34[医药卫生—肿瘤]