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TITLE       Risk factors for colorectal carcinoma among admitted patients in Baguio General Hospital who underwent colonoscopy from January 2008-December 2012
PROJECT LEADER      Quibin , Jeanne D.
ADDED ENTRY      Velasquez, Marie Elaine


Background: Colorectal carcinoma is a deadly disease but preventable and highly
curable if detected in its early stage. Patients who develop colorectal carcinoma have
certain risk factors that predispose them to such condition. These risk factors include
age, previous history of colorectal cancer and polyps, family history and smoking
history. Colonoscopy, a tool that allows the detection and removal of premalignant
lesions throughout the colon and rectum, is recommended by the American College
of Gastroenterology as the preferred colorectal cancer screening strategy

Materials and Methods: This is a retrospective cross sectional study involving a
chart review of adult patients above 18 years old who presented with colorectal mass
on colonoscopy and histopathology showing colorectal carcinoma and admitted at
BGHMC from January 1,2008 to December 31, 2012.In a review of the compilation
of colonoscopy results from the computer database of BGHMC Gastroenterology
Division and whose charts were retrieved from the BGHMC Medical Record Section,
this study included a total of 125 patients. Data collection was done using a standard
data gathering form.

Results: Of the125 patients analyzed; there were 56% males and 44% females. The
mean age is 5812.2 years, majority(72%) were >50 years old. 19% had previous
history of colorectal carcinoma while 45.6% had a family history; 54.4% were
smokers. The most common presenting symptom of colorectal carcinoma is
abdominal pain(90.4%) followed by weight loss (84.8%), change in bowel
movement(76.8%) and gastrointestinal bleeding(68.8%). Clinically, anemia is the
most common presenting sign(72.8%) correlated to a positive fecal occult blood test
which is a sensitive test of colonic blood loss. Patients with bleeding present with
fatigue, angina and weight loss.

Conclusion: This study defined the clinical profile of an adult with colorectal
carcinoma showing a typical male patient with a smoking history, initially presenting
with abdominal pain, weight loss, change in bowel movement and gastrointestinal
bleeding. Age is a risk factor for colorectal carcinoma Older aged patients (>50 years
old) are more likely to develop colorectal carcinoma. Colonoscopy is a valuable
diagnostic tool for earlier detection of colorectal cancer and should be started at the
age of 50 years old and every 5 or 10 years thereafter.

SUBJECTS       Colorectal cancer
   Colorectal cancer
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