Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Colorectal Cancer Screening by Double Contrast Barium Enema in Thai People

  • Lohsiriwat, Varut (Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University) ;
  • Prapasrivorakul, Siriluck (Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University) ;
  • Suthikeeree, Wanwarang (Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University)
  • Published : 2012.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The incidence of colorectal cancer (CRC) has been increasing in Asian countries including Thailand. Double contrast barium enema (DCBE) is one of the investigation tools used in CRC screening. This study aimed to determine the incidence of colorectal neoplasm detected at screening by DCBE in Thai people. Methods: The computerized radiology database of screening DCBE in Thai adults between June 2009 and October 2011 at the Faculty of Medicine, Siriraj Hospital, was reviewed. DCBE examination performed in a surveillance program after curative CRC resection or the removal of colorectal polyps was also considered as a screening DCBE. Results: A total of 819 screening DCBEs performed during this 28-month period were analyzed. The mean age of patients was $59.8{\pm}13.6$ years. Of the total, 467 (57%) were male. A family history of CRC and a previous history of curative CRC resection or polyp removal were noted in 34 patients (4%) and 124 patients (15%), respectively. A total of 31 patients (3.8%; 95%CI = 2.7%-5.3%) were reported to have colorectal polyp or mass demonstrated on DCBE. Of these, follow-up endoscopy was performed in 20 cases (65%). According to pathological results, the incidence of advanced adenoma and CRC detected at screening DCBE was 0.7% (95%CI = 0.3%-1.6%; n=6) and 0.4% (95%CI = 0.1%-1.1%; n=3), respectively. Conclusions: The screening DCBE performed in Thai adults had a diagnostic yield of 0.7% for advanced adenoma and 0.4% for CRC.

Keywords

References

  1. Aswakul P, Prachayakul V, Lohsiriwat V, Bunyaarunnate T, Kachintorn U (2011). Screening colonoscopy: A result from World Gastroenterology Organization (WGO) endoscopy training center in Thailand. In The 13th Aaian Pacific Federation of Coloproctology Congress. ed. Rojanasakul, A. Bangkok, Thailand.
  2. Atkin WS, Edwards R, Kralj-Hans I, et al (2010). Once-only flexible sigmoidoscopy screening in prevention of colorectal cancer: a multicentre randomised controlled trial. Lancet, 375, 1624-33. https://doi.org/10.1016/S0140-6736(10)60551-X
  3. Eddy DM, Nugent FW, Eddy JF, et al (1987). Screening for colorectal cancer in a high-risk population. Results of a mathematical model. Gastroenterology, 92, 682-92.
  4. Glick S (2000). Double-contrast barium enema for colorectal cancer screening: a review of the issues and a comparison with other screening alternatives. AJR Am J Roentgenol, 174, 1529-37. https://doi.org/10.2214/ajr.174.6.1741529
  5. Hardcastle JD, Chamberlain JO, Robinson MH, et al (1996). Randomised controlled trial of faecal-occult-blood screening for colorectal cancer. Lancet, 348, 1472-7. https://doi.org/10.1016/S0140-6736(96)03386-7
  6. Jemal A, Siegel R, Xu J, Ward E (2010). Cancer statistics. CA Cancer J Clin, 60, 277-300. https://doi.org/10.3322/caac.20073
  7. Johnson CD, Ilstrup DM, Fish NM, et al (1996). Barium enema: detection of colonic lesions in a community population. AJR, 167, 39-43. https://doi.org/10.2214/ajr.167.1.8659417
  8. Khuhaprema T, Srivatanakul P (2008). Colon and rectum cancer in Thailand: an overview. Jpn J Clin Oncol, 38, 237-43. https://doi.org/10.1093/jjco/hyn020
  9. Kronborg O, Fenger C, Olsen J, Jorgensen OD, Sondergaard O (1996). Randomised study of screening for colorectal cancer with faecal-occult-blood test. Lancet, 348, 1467-71. https://doi.org/10.1016/S0140-6736(96)03430-7
  10. Kung JW, Levine MS, Glick SN, et al (2006). Colorectal cancer: screening double-contrast barium enema examination in average-risk adults older than 50 years. Radiology, 240, 725-35. https://doi.org/10.1148/radiol.2403051236
  11. Levin B, Lieberman DA, McFarland B, et al (2008). Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology, 134, 1570-95. https://doi.org/10.1053/j.gastro.2008.02.002
  12. Levine MS, Glick SN, Rubesin SE, Laufer I (2002). Doublecontrast barium enema examination and colorectal cancer: a plea for radiologic screening. Radiology, 222, 313-5. https://doi.org/10.1148/radiol.2222011196
  13. Lohsiriwat V (2010). Colonoscopic perforation: incidence, risk factors, management and outcome. World J Gastroenterol, 16, 425-30. https://doi.org/10.3748/wjg.v16.i4.425
  14. Lohsiriwat V, Lohsiriwat D, Thavichaigarn P (2009). Colorectal cancer screening and surveillance: a survey among Thai general surgeons. Asian Pac J Cancer Prev, 10, 467-70.
  15. Mandel JS, Bond JH, Church TR, et al (1993). Reducing mortality from colorectal cancer by screening for fecal occult blood. Minnesota Colon Cancer Control Study. N Engl J Med, 328, 1365-71. https://doi.org/10.1056/NEJM199305133281901
  16. Martin N, Patel N (2003). Cancer incidence and leading site. In Cancer in Thailand. eds Sriprung, H., Sontipong, S., Martin, N. & et al. pp. 7-18. Bangkok: Bangkok Medical Publisher.
  17. Ott DJ (2000). Accuracy of double-contrast barium enema in diagnosing colorectal polyps and cancer. Semin Roentgenol, 35, 333-41. https://doi.org/10.1053/sroe.2000.17754
  18. Quintero E, Castells A, Bujanda L, et al (2012). Colonoscopy versus fecal immunochemical testing in colorectal-cancer screening. N Engl J Med, 366, 697-706. https://doi.org/10.1056/NEJMoa1108895
  19. Ramos C, De Jesus-Caraballo J, Toro DH, et al (2009). Is barium enema an adequate diagnostic test for the evaluation of patients with positive fecal occult blood? Bol Asoc Med P R, 101, 23-8.
  20. Rex DK, Rahmani EY, Haseman JH, et al (1997). Relative sensitivity of colonoscopy and barium enema for detection of colorectal cancer in clinical practice. Gastroenterology, 112, 17-23. https://doi.org/10.1016/S0016-5085(97)70213-0
  21. Segnan N, Patnick J, Von Karsa L (2010). European Guidelines for Quality Assurance in Colorectal Cancer Screening and Diagnosis - First Edition. Luxembourg: Publications Office of the European Union.
  22. Smith GA, O'Dwyer PJ (2001). Sensitivity of double contrast barium enema and colonoscopy for the detection of colorectal neoplasms. Surg Endosc, 15, 649-52. https://doi.org/10.1007/s004640000372
  23. Soon MS, Kozarek RA, Ayub K, et al (2005). Screening colonoscopy in Chinese and Western patients: a comparative study. Am J Gastroenterol, 100, 2749-55. https://doi.org/10.1111/j.1572-0241.2005.00355.x
  24. Steine S, Stordahl A, Lunde OC, Loken K, Laerum E (1993). Double-contrast barium enema versus colonoscopy in the diagnosis of neoplastic disorders: aspects of decision-making in general practice. Fam Pract, 10, 288-91. https://doi.org/10.1093/fampra/10.3.288
  25. Sung JJ, Lau JY, Young GP, et al (2008). Asia Pacific consensus recommendations for colorectal cancer screening. Gut, 57, 1166-76. https://doi.org/10.1136/gut.2007.146316
  26. Toma J, Paszat LF, Gunraj N, Rabeneck L (2008). Rates of new or missed colorectal cancer after barium enema and their risk factors: a population-based study. Am J Gastroenterol, 103, 3142-8. https://doi.org/10.1111/j.1572-0241.2008.02199.x
  27. Winawer SJ, Stewart ET, Zauber AG, et al (2000). A comparison of colonoscopy and double-contrast barium enema for surveillance after polypectomy. National Polyp Study Work Group. N Engl J Med, 342, 1766-72. https://doi.org/10.1056/NEJM200006153422401
  28. Winawer SJ, Zauber AG (2002). The advanced adenoma as the primary target of screening. Gastrointest Endosc Clin N Am, 12, 1-9. https://doi.org/10.1016/S1052-5157(03)00053-9

Cited by

  1. Feasibility of Computed Tomography Colonography as a Diagnostic Procedure in Colon Cancer Screening in India vol.15, pp.13, 2014, https://doi.org/10.7314/APJCP.2014.15.13.5111
  2. Incidence and Predictors of Inadequate Bowel Preparation before Elective Colonoscopy in Thai Patients vol.15, pp.24, 2015, https://doi.org/10.7314/APJCP.2014.15.24.10763
  3. Relationship Between the pH of Enema Solutions and Intestinal Damage in Rabbits vol.17, pp.1, 2015, https://doi.org/10.1177/1099800414527154