ABSTRACT
El cáncer colo-rectal es muy frecuente en Argentina. Es el tercer cáncer más frecuente luego del de piel y mama en la ciudad de Rosario. Nuestra población usualmente ignora los síntomas del cáncer colónico y el diagnóstico precoz es infrecuente. Las Sociedades de Gastroenterología, Cancerología y Colonoproctología de Rosario organizaron una camapña de disfusión durante julio, agosto y setiembre de 1985 en Rosario en Rosario y sus alrededores (población: 1.300.000) por medio de afiches, mensajes en los diarios, radios y especialmente por televisión, describiendo en la posibilidad de prevención por diagnóstico y extirpación de pólipos. Afiches y panfletos fueron distribuidos en lugares públicos y cartas información fueron enviadas a todos los médicos de Rosario. Se realizó un Curso Internacional de Actualización sobre cáncer de colon y recto. Los resultados de la campaña fueron evaluados a través del Registro de Tumores de Rosario e instituciones privadas. Desde setiembre de 1984 hasta febrero de 1985 la incidencia mensual de pólipos y cáncer fue revisada. El promedio mensual de cáncer de colon y recto fue de 39; antes de la campaña 41, durante la misma 49 y después de ella 26. El promedio de incidencia mensual de pólipos fue de 18,9. Antes de la campaña 17,5, durante la misma 27,5 y después de ella 13,8. Estos resultados fueron estudiados estadísticamente por el test paramétrico de Mann y Whitney. Durante la campaña se observó un incremento levemente significativo (p=0,05) de cáncer y pólipos diagnosticados. Se concluye que la campaña logró sus objetivos de difusión pública pero se considera que es necesario insistir con campañas más extensas y periódicas
Subject(s)
Humans , Colonic Polyps/prevention & control , Health Promotion , Intestinal Polyps/prevention & control , Rectal Neoplasms/prevention & control , Argentina , Colonic Neoplasms/epidemiology , Intestinal Polyps/epidemiology , Mass Media , Rectal Neoplasms/epidemiologyABSTRACT
El cáncer colo-rectal es muy frecuente en Argentina. Es el tercer cáncer más frecuente luego del de piel y mama en la ciudad de Rosario. Nuestra población usualmente ignora los síntomas del cáncer colónico y el diagnóstico precoz es infrecuente. Las Sociedades de Gastroenterología, Cancerología y Colonoproctología de Rosario organizaron una camapña de disfusión durante julio, agosto y setiembre de 1985 en Rosario en Rosario y sus alrededores (población: 1.300.000) por medio de afiches, mensajes en los diarios, radios y especialmente por televisión, describiendo en la posibilidad de prevención por diagnóstico y extirpación de pólipos. Afiches y panfletos fueron distribuidos en lugares públicos y cartas información fueron enviadas a todos los médicos de Rosario. Se realizó un Curso Internacional de Actualización sobre cáncer de colon y recto. Los resultados de la campaña fueron evaluados a través del Registro de Tumores de Rosario e instituciones privadas. Desde setiembre de 1984 hasta febrero de 1985 la incidencia mensual de pólipos y cáncer fue revisada. El promedio mensual de cáncer de colon y recto fue de 39; antes de la campaña 41, durante la misma 49 y después de ella 26. El promedio de incidencia mensual de pólipos fue de 18,9. Antes de la campaña 17,5, durante la misma 27,5 y después de ella 13,8. Estos resultados fueron estudiados estadísticamente por el test paramétrico de Mann y Whitney. Durante la campaña se observó un incremento levemente significativo (p=0,05) de cáncer y pólipos diagnosticados. Se concluye que la campaña logró sus objetivos de difusión pública pero se considera que es necesario insistir con campañas más extensas y periódicas (AU)
Subject(s)
Humans , Colonic Polyps/prevention & control , Rectal Neoplasms/prevention & control , Intestinal Polyps/prevention & control , Health Promotion , Mass Media , Colonic Neoplasms/epidemiology , Intestinal Polyps/epidemiology , Rectal Neoplasms/epidemiology , ArgentinaABSTRACT
Colorectal cancer is very frequent in Argentina. It is the third most frequent cancer, after skin and breast tumor in the city of Rosario. Our population usually ignores the symptoms of colonic cancer and early diagnosis are infrequent. The Societies of Gastroenterology, Oncology and Colonoproctology organizes a public awareness campaign during july, august and september 1985 in Rosario and its surrounding (population 1,300,000) by means of newspaper, radio and specially by television, describing the symptoms were present, as well as insisting of the possibility of prevention by endoscopy diagnosis and removal of polyps. Literature and pamphlets were distributed, and information letters were send to all the physicians in Rosario. An International update meeting on colon and rectal took place. The results of this campaign were evaluated through the Tumor Registry of Rosario. Since september 1984 still february 1986, the monthly incidence of polyps and cancer of the colon and rectum was recorded. The monthly average incidence of polyps was 18.9. Previous to the campaign, the monthly average of diagnosed polyps was 17.5; during the campaign, 27.5; and after it, 13.8. The monthly average of colorectal cancer was 39, before the campaign, 41; during the campaign, 49, and 26 afterwards. These results were statistically studies by the parametric test of Mann and Whitney. During the campaign a significant (p = 0.05) increase of diagnosed polyps and cancers, was found. Our conclusion is that the awareness was successful, but we think that it is necessary to insist with periodic and longer campaigns.
Subject(s)
Colonic Polyps/prevention & control , Health Promotion , Intestinal Polyps/prevention & control , Rectal Neoplasms/prevention & control , Argentina , Colonic Neoplasms/epidemiology , Humans , Intestinal Polyps/epidemiology , Mass Media , Rectal Neoplasms/epidemiologyABSTRACT
Colorectal cancer is very frequent in Argentina. It is the third most frequent cancer, after skin and breast tumor in the city of Rosario. Our population usually ignores the symptoms of colonic cancer and early diagnosis are infrequent. The Societies of Gastroenterology, Oncology and Colonoproctology organizes a public awareness campaign during july, august and september 1985 in Rosario and its surrounding (population 1,300,000) by means of newspaper, radio and specially by television, describing the symptoms were present, as well as insisting of the possibility of prevention by endoscopy diagnosis and removal of polyps. Literature and pamphlets were distributed, and information letters were send to all the physicians in Rosario. An International update meeting on colon and rectal took place. The results of this campaign were evaluated through the Tumor Registry of Rosario. Since september 1984 still february 1986, the monthly incidence of polyps and cancer of the colon and rectum was recorded. The monthly average incidence of polyps was 18.9. Previous to the campaign, the monthly average of diagnosed polyps was 17.5; during the campaign, 27.5; and after it, 13.8. The monthly average of colorectal cancer was 39, before the campaign, 41; during the campaign, 49, and 26 afterwards. These results were statistically studies by the parametric test of Mann and Whitney. During the campaign a significant (p = 0.05) increase of diagnosed polyps and cancers, was found. Our conclusion is that the awareness was successful, but we think that it is necessary to insist with periodic and longer campaigns.
ABSTRACT
The authors describe a technique of gastrostomy performed by gastroscopic endoscopy (percutaneous endoscopic gastrostomy-P.E.G.) P.E.G. was indicated in patients who required gastrostomy feeding and had no contraindications for gastric endoscopy. P.E.G., was performed in 10 patients; 7 had suffered, cerebro-vascular accidents; 2 neoplasms (brain and breast); and 1 a brain trauma. One case was complicated by subcutaneous emphysema of the abdominal wall, with spontaneous cure in 72 hours. In our first patient the cotton guide thread broke, and required a new placement. We use routinely now monofilament nylon as guide thread, without ruptures. These were the only two complications of P.E.G. One patient acquired a replacement of damaged Pezzer catheter, which was easily accomplished. The medicate catheter is not available in our country; we have replaced it by an easily self-made device with good results. P.E.G. can be performed without difficulties in any endoscopy center.
Subject(s)
Gastroscopy , Gastrostomy/methods , Enteral Nutrition , HumansABSTRACT
The authors describe a technique of gastrostomy performed by gastroscopic endoscopy (percutaneous endoscopic gastrostomy-P.E.G.) P.E.G. was indicated in patients who required gastrostomy feeding and had no contraindications for gastric endoscopy. P.E.G., was performed in 10 patients; 7 had suffered, cerebro-vascular accidents; 2 neoplasms (brain and breast); and 1 a brain trauma. One case was complicated by subcutaneous emphysema of the abdominal wall, with spontaneous cure in 72 hours. In our first patient the cotton guide thread broke, and required a new placement. We use routinely now monofilament nylon as guide thread, without ruptures. These were the only two complications of P.E.G. One patient acquired a replacement of damaged Pezzer catheter, which was easily accomplished. The medicate catheter is not available in our country; we have replaced it by an easily self-made device with good results. P.E.G. can be performed without difficulties in any endoscopy center.
ABSTRACT
1.897 patients with upper gastrointestinal bleeding (UGIB) were studied and the cause was diagnosed in 1.756 (92.6%). The most frequently found pathology was the acute bleeding gastropathy (24.5%). Considering the gastric duodenal and anastomotic ulcer as a whole, in 47.5% of the cases the ulcer was observed. Both pathologies together make out that 72 out of 100 patients with UGIB have bleeding due to an ulcer or gastritis. It comes out that the low incidence of neoplasy as a consequence of UGIB and that the 31% of the diagnosed pathology could not have been diagnosed by X-ray.
Subject(s)
Endoscopy/methods , Gastrointestinal Hemorrhage/diagnosis , Acute Disease , Duodenum , Esophageal and Gastric Varices/complications , Esophagus , Gastrointestinal Hemorrhage/etiology , Humans , Peptic Ulcer/complications , StomachABSTRACT
1.897 patients with upper gastrointestinal bleeding (UGIB) were studied and the cause was diagnosed in 1.756 (92.6
). The most frequently found pathology was the acute bleeding gastropathy (24.5
). Considering the gastric duodenal and anastomotic ulcer as a whole, in 47.5
of the cases the ulcer was observed. Both pathologies together make out that 72 out of 100 patients with UGIB have bleeding due to an ulcer or gastritis. It comes out that the low incidence of neoplasy as a consequence of UGIB and that the 31
of the diagnosed pathology could not have been diagnosed by X-ray.
ABSTRACT
1.897 patients with upper gastrointestinal bleeding (UGIB) were studied and the cause was diagnosed in 1.756 (92.6
). The most frequently found pathology was the acute bleeding gastropathy (24.5
). Considering the gastric duodenal and anastomotic ulcer as a whole, in 47.5
of the cases the ulcer was observed. Both pathologies together make out that 72 out of 100 patients with UGIB have bleeding due to an ulcer or gastritis. It comes out that the low incidence of neoplasy as a consequence of UGIB and that the 31
of the diagnosed pathology could not have been diagnosed by X-ray.
