Year 2017 / Volume 109 / Number 7
Original
The impact of screening on short-term outcome after surgery for colorectal cancer

485-490

DOI: 10.17235/reed.2017.4569/2016

Enric Sebastian, Ricard Courtier, Francesc Macià, Luís Grande, Miguel Pera,

Abstract
Aim: To investigate the influence of a screening program on the short-term outcome of patients undergoing surgery for colorectal cancer. Methods: Between April 2010 and December 2012 patients diagnosed with colorectal cancer via the screening program (n = 80) were compared with patients diagnosed elsewhere (n = 106). Only patients of ≥ 50 and ≤ 69 years of age diagnosed outside the program were selected as controls. The clinical variables included age, sex, American Society of Anesthesiologists (ASA) status, Charlson index, preoperative hemoglobin and serum albumin levels, surgical approach, tumor location and stage, perioperative transfusion and postoperative morbidity. A multivariate analysis was used to identify variables independently associated with outcome. Results: There were no significant differences with regard to age, sex and ASA status. Preoperative hemoglobin (14.1 ± 1.6 g/dl vs 12.3 ± 2.3 g/dl; p < 0.001) and serum albumin (4.45 ± 0.26 g/dl vs 4.0 ± 0.6 g/dl; p < 0.001) levels were significantly higher in the screening group. The overall morbidity was significantly lower in the screening group (38.8% vs 63.2; p < 0.001) and mainly related to a higher rate of Clavien-Dindo grade II complications in controls. There were no differences with regard to wound infection, postoperative ileus, anastomotic leakage or reoperations. The median length of hospital stay was shorter in the screening group (6 vs 9 days; p = 0.003). Multivariate analysis showed that diagnosis outside the screening program, type of surgical procedure, open surgery and Charlson index were independent risk factors for postoperative complications. Conclusions: The diagnosis of colorectal cancer via the screening program is associated with a lower rate of postoperative minor complications and a shorter hospital stay.
Share Button
New comment
Comments
No comments for this article
References
1. Globocan 2012 - Home [Internet]. [cited 2015 Mar 28]. Available from: http://globocan.iarc.fr/Default.aspx.
2. Roxburgh CSD, McTaggart F, Balsitis M, Diament RH. Impact of the bowel-screening programme on the diagnosis of colorectal cancer in Ayrshire and Arran. Colorectal Dis. 2013 Jan;15(1):34–41.
DOI: 10.1111/j.1463-1318.2012.03100.x
3. Mackay C, Ramsay G, Rafferty A, Loudon M. Impact of the Scottish Bowel Cancer Screening Programme on patient and tumour characteristics at a single centre. J Eval Clin Pract. 2014 Feb;20(1):7–11.
DOI: 10.1111/jep.12071
4. Mandel JS, Bond JH, Church TR, Snover DC, Bradley GM, Schuman LM, et al. Reducing mortality from colorectal cancer by screening for fecal occult blood. Minnesota Colon Cancer Control Study. N Engl J Med. 1993 May 13;328(19):1365–71.
DOI: 10.1056/NEJM199305133281901
5. Hardcastle JD, Chamberlain JO, Robinson MH, Moss SM, Amar SS, Balfour TW, et al. Randomised controlled trial of faecal-occult-blood screening for colorectal cancer. Lancet. 1996 Nov 30;348(9040):1472–7.
DOI: 10.1016/S0140-6736(96)03386-7
6. Kronborg O, Fenger C, Olsen J, Jørgensen OD, Søndergaard O. Randomised study of screening for colorectal cancer with faecal-occult-blood test. Lancet. 1996 Nov 30;348(9040):1467–71.
DOI: 10.1016/S0140-6736(96)03430-7
7. Towler BP, Irwig L, Glasziou P, Weller D, Kewenter J. Screening for colorectal cancer using the faecal occult blood test, hemoccult. Cochrane database Syst Rev. 2000 Jan;(2):CD001216.
8. Hewitson P, Glasziou P, Watson E, Towler B, Irwig L. Cochrane systematic review of colorectal cancer screening using the fecal occult blood test (hemoccult): an update. Am J Gastroenterol. 2008 Jun;103(6):1541–9.
DOI: 10.1111/j.1572-0241.2008.01875.x
9. Estrategia en cáncer del Sistema Nacional de Salud. Madrid: Ministerio de Sani- dad y Consumo; 2006. 279 p. [Internet]. [cited 2015 Mar 28]. Available from: http://www.msssi.gob.es/eu/organizacion/sns/planCalidadSNS/pdf/excelencia/cancer-cardiopatia/CANCER/opsc_est1.pdf.pdf
10. Estrategia en Cáncer del Sistema Nacional de Salud Actualización aprobada por el Consejo Interterritorial del Sistema Nacional de Salud, el 22 de octubre de 2009 [Internet].[cited 2015 Mar 28]. Available from: http://www.msssi.gob.es/organizacion/sns/planCalidadSNS/pdf/ActualizacionEstrategiaCancer.pdf
11. Amri R, Bordeianou LG, Sylla P, Berger DL. Impact of screening colonoscopy on outcomes in colon cancer surgery. JAMA Surg. 2013 Aug;148(8):747–54.
DOI: 10.1001/jamasurg.2013.8
12. Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009 Aug;250(2):187–96.
DOI: 10.1097/SLA.0b013e3181b13ca2
13. Ostenfeld EB, Nørgaard M, Thomsen RW, Iversen LH, Jacobsen JB, Søgaard M. Comorbidity and survival of Danish patients with colon and rectal cancer from 2000-2011: a population-based cohort study. Clin Epidemiol. 2013 Jan;5(Suppl 1):65–74.
14. Libby G, Brewster DH, Steele RJC. Impact of faecal occult blood test screening on emergency admissions and short-term outcomes for colorectal cancer. Br J Surg. 2014 Nov;101(12):1607–15.
DOI: 10.1002/bjs.9613
15. Gunka I, Dostalik J, Martinek L, Gunkova P, Mazur M. Impact of blood transfusions on survival and recurrence in colorectal cancer surgery. Indian J Surg. 2013 Apr;75(2):94–101.
DOI: 10.1007/s12262-012-0427-6
16. Schiergens TS, Rentsch M, Kasparek MS, Frenes K, Jauch K-W, Thasler WE. Impact of perioperative allogeneic red blood cell transfusion on recurrence and overall survival after resection of colorectal liver metastases. Dis Colon Rectum. 2015 Jan;58(1):74–82.
DOI: 10.1097/DCR.0000000000000233
17. Kuzu MA, Terzioğlu H, Genç V, Erkek AB, Ozban M, Sonyürek P, et al. Preoperative nutritional risk assessment in predicting postoperative outcome in patients undergoing major surgery. World J Surg. 2006 Mar;30(3):378–90.
DOI: 10.1007/s00268-005-0163-1
18. Gibbs J, Cull W, Henderson W, Daley J, Hur K, Khuri SF. Preoperative serum albumin level as a predictor of operative mortality and morbidity: results from the National VA Surgical Risk Study. Arch Surg. 1999 Jan;134(1):36–42.
DOI: 10.1001/archsurg.134.1.36
19. Longo WE, Virgo KS, Johnson FE, Oprian CA, Vernava AM, Wade TP, et al. Risk factors for morbidity and mortality after colectomy for colon cancer. Dis Colon Rectum. 2000 Jan;43(1):83–91.
DOI: 10.1007/BF02237249
20. Kudsk KA, Tolley EA, DeWitt RC, Janu PG, Blackwell AP, Yeary S, et al. Preoperative albumin and surgical site identify surgical risk for major postoperative complications. JPEN J Parenter Enteral Nutr. 2003 Jan;27(1):1–9.
DOI: 10.1177/014860710302700101
21. McDermott FD, Heeney A, Kelly ME, Steele RJ, Carlson GL, Winter DC. Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks. Br J Surg. 2015 Feb 19;102(5):462–79.
DOI: 10.1002/bjs.9697
22. Chima CS, Barco K, Dewitt MLA, Maeda M, Teran JC, Mullen KD. Relationship of Nutritional Status to Length of Stay, Hospital Costs, and Discharge Status of Patients Hospitalized in the Medicine Service. J Am Diet Assoc. 1997 Sep;97(9):975–8.
DOI: 10.1016/S0002-8223(97)00235-6
23. Lis CG, Gupta D, Lammersfeld CA, Markman M, Vashi PG. Role of nutritional status in predicting quality of life outcomes in cancer--a systematic review of the epidemiological literature. Nutr J. 2012 Jan;11:27.
DOI: 10.1186/1475-2891-11-27
24. Sun L-C, Chu K-S, Cheng S-C, Lu C-Y, Kuo C-H, Hsieh J-S, et al. Preoperative serum carcinoembryonic antigen, albumin and age are supplementary to UICC staging systems in predicting survival for colorectal cancer patients undergoing surgical treatment. BMC Cancer. 2009 Jan;9:288.
DOI: 10.1186/1471-2407-9-288
25.Boonpipattanapong T, Chewatanakornkul S. Preoperative carcinoembryonic antigen and albumin in predicting survival in patients with colon and rectal carcinomas. J Clin Gastroenterol. 2006 Aug;40(7):592–5.
DOI: 10.1097/00004836-200608000-00006
26. Gupta D, Lis CG. Pretreatment serum albumin as a predictor of cancer survival: A systematic review of the epidemiological literature. Nutr J. 2010 Jan;9(1):69.
DOI: 10.1186/1475-2891-9-69
27. Ishizuka M, Nagata H, Takagi K, Horie T, Kubota K. Inflammation-Based Prognostic Score Is a Novel Predictor of Postoperative Outcome in Patients With Colorectal Cancer. Ann Surg. 2007 Dec;246(6):1047–51.
DOI: 10.1097/SLA.0b013e3181454171
28. Alves A, Yves Panis, Danielle Trancar A. Factors Associated with Clinically Significant Anastomotic Leakage after Large Bowel Resection: Multivariate Analysis of 707 Patients. World J Surg. 2002 Jun 15;26(4):499–502.
29. Fazio VW, Tekkis PP, Remzi F, Lavery IC. Assessment of Operative Risk in Colorectal Cancer Surgery: The Cleveland Clinic Foundation Colorectal Cancer Model. Dis Colon Rectum. 2004 Dec;47(12):2015–24.
DOI: 10.1007/s10350-004-0704-y
30. Lemmens VEPP, Janssen-Heijnen MLG, Verheij CDGW, Houterman S, Repelaer van Driel OJ, Coebergh JWW. Co-morbidity leads to altered treatment and worse survival of elderly patients with colorectal cancer. Br J Surg. 2005 May;92(5):615–23.
DOI: 10.1002/bjs.4913
Related articles

Editorial

Population screening for colorectal cancer in Spain - A public health success with remaining challenges

DOI: 10.17235/reed.2024.10774/2024

Special Article

Strategic analysis and recommendations of the Sociedad Española de Patología Digestiva (SEPD) regarding population-based screening programs for colorectal cancer in Spain

DOI: 10.17235/reed.2024.10458/2024

Original

Investigating temporal patterns of colorectal cancer incidence in Spain: a comprehensive analysis of age, period and cohort effects, 1990-2019

DOI: 10.17235/reed.2024.10317/2024

Special Article

Endoscopic management of pancreatic collections. Endoscopic Ultrasound Group, Spanish Society of Digestive Endoscopy (GSEED-USE) Clinical Guidelines

DOI: 10.17235/reed.2024.10276/2024

Letter

Long-term remission achieved in a rare case of pyoderma gangrenosum and ulcerative colitis with surgery and postoperative infliximab

DOI: 10.17235/reed.2024.10144/2023

Letter

Endoscopic ultrasound performed by a surgical approach in a patient with a pancreatic lesion and stenosing esophageal adenocarcinoma

DOI: 10.17235/reed.2024.10136/2023

Original

Prognostic value of neutrophil-to-lymphocyte ratio at diagnosis in colorectal cancer: propensity score analysis

DOI: 10.17235/reed.2024.10041/2023

Letter

Hepatic invasion of a gastric ulcer confirmed by endoscopy and surgery

DOI: 10.17235/reed.2023.9999/2023

Letter

Proton pump inhibitors (PPIs) and cancer. What should patients with gastroesophageal reflux disease candidates for PPIs therapy who refuse to comply with treatment know?

DOI: 10.17235/reed.2023.9944/2023

Letter

An unusual gastric mass mimicking a gastrointestinal stromal tumor

DOI: 10.17235/reed.2023.9941/2023

Letter

Is cervical dysplasia a major concern in females with inflammatory bowel disease? A Spanish retrospective study

DOI: 10.17235/reed.2023.9890/2023

Original

Sarcopenia and treatment failure in inflammatory bowel disease: a systematic review and meta-analysis

DOI: 10.17235/reed.2023.9808/2023

Letter

Retroperitoneal enterogenous cyst combined with teratoma

DOI: 10.17235/reed.2023.9799/2023

Letter

Triple-sized intragastric balloon due to spontaneous hyperinflation

DOI: 10.17235/reed.2023.9702/2023

Letter

Surgical indication of type I gastric neuroendocrine tumors

DOI: 10.17235/reed.2023.9681/2023

Letter

Effective and alternative treatment of anastomotic leak after gastrojejunal bypass: endoluminal vacuum therapy

DOI: 10.17235/reed.2023.9675/2023

Letter

The significance of appendectomy in the context of colorectal cancer: impacts on gut microbiota and beyond

DOI: 10.17235/reed.2023.9657/2023

Letter

Intestinal obstruction due to pneumatosis intestinalis

DOI: 10.17235/reed.2023.9608/2023

Digestive Diseases Image

Colonic perforation after esophagogastroduodenoscopy: complications with self-expanding metallic stents

DOI: 10.17235/reed.2023.9547/2023

Letter

Intestinal obstruction secondary to Brunner’s glands hyperplasia

DOI: 10.17235/reed.2023.9538/2023

Letter

Duodenal stenosis surgical treatment in Crohn’s disease

DOI: 10.17235/reed.2023.9521/2023

Digestive Diseases Image

Spontaneous regression of a rectal cancer

DOI: 10.17235/reed.2023.9486/2023

Special Article

Oportunistic diagnosis based on age and hepatitis C virus clearance: an essential step to improve the overall health of the liver

DOI: 10.17235/reed.2022.9325/2022

Letter

A practical port-sharing approach for concomitant cholecystectomy with laparoscopic sleeve gastrectomy: single-center experience

DOI: 10.17235/reed.2022.9318/2022

Letter

Vaginal lesion as first manifestation of colorectal disease

DOI: 10.17235/reed.2022.9270/2022

Letter

Challenge scenario: mid-gastric stenosis and gastric tube twist following laparoscopic sleeve gastrectomy

DOI: 10.17235/reed.2022.9185/2022

Letter

Biallelic mismatch repair deficiency – A rare and troublesome genetic syndrome

DOI: 10.17235/reed.2022.8928/2022

Digestive Diseases Image

A case of a rare foreign object found in the stomach — A Hem-o-Lok clip after laparoscopic distal pancreatectomy

DOI: 10.17235/reed.2022.8912/2022

Letter

Endoscopic submucosal dissection for exploration and removal of a gastric buried foreign body

DOI: 10.17235/reed.2022.8885/2022

Original

Relationship between DHX15 expression and survival in colorectal cancer

DOI: 10.17235/reed.2022.8838/2022

Digestive Diseases Image

An unusual cause of a protuberant lesion of the gastric antrum

DOI: 10.17235/reed.2022.8771/2022

Original

Hepatitis C virus infection screening reduces mortality and is cost-effective independently of the intervention test

DOI: 10.17235/reed.2022.8609/2022

Digestive Diseases Image

Gastric gastrointestinal stromal tumor abscess

DOI: 10.17235/reed.2022.8580/2022

Review

Prognostic analysis of Yes-associated protein 1 in patients with colorectal cancer. A systematic review and meta-analysis

DOI: 10.17235/reed.2022.8472/2021

Letter

Reply to: “Does it matter which plastic stents we use for the treatment of post-surgical leaks? Or is it a one-size-fits-all?”

DOI: 10.17235/reed.2021.8486/2021

Editorial

Small pancreatic neuroendocrine tumors: observing and monitoring or prompt surgical resection

DOI: 10.17235/reed.2021.8419/2021

Original

Findings in the distal and proximal colon in colonoscopy screening after positive FIT and related pre-procedure factors

DOI: 10.17235/reed.2022.8409/2021

Original

TMEM16A overexpression indicates poor prognosis in colorectal cancer patients

DOI: 10.17235/reed.2021.8292/2021

Digestive Diseases Image

Critical stenosis of the celiac trunk by the arcuate ligament, successfully treated by a laparoscopic approach

DOI: 10.17235/reed.2021.8159/2021

Original

Comparison of phenotypes and outcomes following resection of incidental versus symptomatic pancreatic neuroendocrine tumors

DOI: 10.17235/reed.2021.8096/2021

Letter

Abdominal metastatic melanoma invading the transverse colon and stomach

DOI: 10.17235/reed.2021.8052/2021

Original

Very urgent endoscopic retrograde cholangiopancreatography is associated with early discharge in patients with non-severe acute cholangitis

DOI: 10.17235/reed.2021.7995/2021

Review

A review of the diagnosis and management of liver hydatid cyst

DOI: 10.17235/reed.2021.7896/2021

Letter

Radical surgery for liver hydatidosis

DOI: 10.17235/reed.2021.7743/2020

Letter

The Screening Guidelines for Hepatitis C Virus Infection as a milestone in the path towards hepatitis C virus elimination

DOI: 10.17235/reed.2021.7736/2020

Editorial

Screening guide for hepatitis C virus infection in Spain

DOI: 10.17235/reed.2020.7728/2020

Original

Resumption of endoscopy in the Galician colorectal cancer screening programme after the COVID-19 lock down: patient safety results

DOI: 10.17235/reed.2020.7647/2020

Letter

Patients with upper gastrointestinal foreign bodies are more likely to consult later and with a higher rate of hospitalization during the COVID-19 pandemic

DOI: 10.17235/reed.2020.7593/2020

Digestive Diseases Image

Duodenal diverticulum causing obstructive jaundice – Lemmel’s syndrome

DOI: 10.17235/reed.2020.7516/2020

Original

Endoscopic internal drainage using transmural double-pigtail stents in leaks following upper gastrointestinal tract surgery

DOI: 10.17235/reed.2020.7514/2020

Original

The impact of SARS-CoV-2 infection on the surgical management of colorectal cancer: lessons learned from a multicenter study in Spain

DOI: 10.17235/reed.2020.7460/2020

Original

Tailored Helicobacter pylori eradication therapy in obese patients undergoing bariatric surgery

DOI: 10.17235/reed.2020.7433/2020

Review

Inflammatory bowel disease and solid organ transplantation

DOI: 10.17235/reed.2020.7361/2020

Review

New non-invasive biomarkers for colorectal cancer screening

DOI: 10.17235/reed.2020.7233/2020

Review

Genetic alterations in colorectal cancer: implications for the prognosis and treatment of the disease

DOI: 10.17235/reed.2020.7209/2020

Original

Regional differences in colorectal cancer mortality trends, Spain (1980-2018)

DOI: 10.17235/reed.2020.7183/2020

Special Article

Strategy for the Elimination of Hepatitis C in Cantabria

DOI: 10.17235/reed.2020.7108/2020

Original

Radioguided detection of a non-palpable occult lesion (ROLL) in a case of abdominal metastasis of a neuroendocrine tumor

DOI: 10.17235/reed.2020.6926/2020

Review

Mechanism of bariatric and metabolic surgery: beyond surgeons, gastroenterologists and endocrinologists

DOI: 10.17235/reed.2020.6925/2020

Original

Review of hepatitis C screening programs for immigrants in Spain from endemic countries

DOI: 10.17235/reed.2020.6916/2020

Letter

Extensive colonic pneumatosis. Conservative or Surgical approach?

DOI: 10.17235/reed.2020.6825/2019

Original

Serum miR-21 and miR-210 as promising non-invasive biomarkers for the diagnosis and prognosis of colorectal cancer

DOI: 10.17235/reed.2020.6801/2019

Original

miR-101 suppresses colon cancer cell migration through the regulation of EZH2

DOI: 10.17235/reed.2020.6800/2019

Letter

Dasatinib-induced colitis: discovering the side effects of immunotherapy

DOI: 10.17235/reed.2020.6789/2019

Special Article

Principles for implementing a population screening strategy for hepatitis C in Spain

DOI: 10.17235/reed.2019.6768/2019

Original

Impact of interval timing to surgery on tumor response after neoadjuvant treatment for gastric cancer

DOI: 10.17235/reed.2020.6763/2019

Letter

Prophylactic HIPEC with oxaliplatin might be of benefit in T4 and perforated colon cancer: another possible interpretation of the COLOPEC results

DOI: 10.17235/reed.2020.6755/2019

Editorial

Patient satisfaction, an indicator to consider in the colorectal cancer process

DOI: 10.17235/reed.2019.6757/2019

Original

Surgical management of Boerhaave’s syndrome with early and delayed diagnosis in adults: a retrospective study of 88 patients

DOI: 10.17235/reed.2020.6746/2019

Letter

Medullary colorectal carcinoma. Do we really know it?

DOI: 10.17235/reed.2020.6728/2019

Original

Radical surgery in hepatic hydatidosis: analysis of results in an endemic area

DOI: 10.17235/reed.2020.6722/2019

Original

Prognostic significance of lymph node count in high-risk node-negative colon carcinoma

DOI: 10.17235/reed.2020.6709/2019

Special Article

Elimination of hepatitis C. Positioning document of the Spanish Association for the Study of the Liver (AEEH)

DOI: 10.17235/reed.2019.6700/2019

Letter

Wernicke's encephalopathy in a patient with late-onset enterocolic fistula after bariatric surgery

DOI: 10.17235/reed.2020.6598/2019

Original

Impact of the implementation of a preoperative nutritional program for colorectal surgery patients

DOI: 10.17235/reed.2020.6572/2019

Original

Evolution of perioperative quality of life in patients under enhanced recovery after surgery care in colorectal cancer

DOI: 10.17235/reed.2020.6423/2019

Review

Vedolizumab for treatment of chronic refractory pouchitis: a systematic review with pool analysis

DOI: 10.17235/reed.2019.6336/2019

Original

The effect of a preoperative biliary prosthesis on the infectious complications of the pancreaticoduodenectomy

DOI: 10.17235/reed.2019.6228/2019

Letter

Hemophagocytic syndrome, a diagnostic challenge in Gastroenterology

DOI: 10.17235/reed.2019.6200/2019

Original

The Urgent Surgery Elderly Mortality risk score: a simple mortality score

DOI: 10.17235/reed.2019.6187/2019

Original

Prehabilitation in patients undergoing pancreaticoduodenectomy: a randomized controlled trial

DOI: 10.17235/reed.2019.6182/2019

Letter

Bezoar in incarcerated and complicated hiatal hernia

DOI: 10.17235/reed.2019.6159/2019

Original

Association of celiac disease in patients with multiple sclerosis in Tuscany

DOI: 10.17235/reed.2020.6123/2018

Original

Geographic analysis and estimation of hepatitis C cases in migrant populations living in Spain: is a country-based screening strategy appropriate?

DOI: 10.17235/reed.2019.6117/2018

Editorial

Safe surgery for cystic tumors of the pancreas

DOI: 10.17235/reed.2019.6042/2018

Original

Short and long-term outcomes of underwater EMR compared to the traditional procedure in the real clinical practice

DOI: 10.17235/reed.2019.6009/2018

Letter

The rectosigmoid junction: are limits important?

DOI: 10.17235/reed.2019.5983/2018

Original

The long-term benefits of bariatric surgery in elderly and super-obese populations

DOI: 10.17235/reed.2019.5917/2018

Original

Relationship between the polyp detection rate and the post-colonoscopy colorectal cancer rate

DOI: 10.17235/reed.2019.5889/2018

Editorial

Colorectal cancer screening and survival

DOI: 10.17235/reed.2018.5870/2018

Original

Survival and quality of life after surgery for colorectal cancer in the elderly: a comparative study

DOI: 10.17235/reed.2018.5807/2018

Review

An endoscopic or minimally invasive surgical approach for infected necrotizing pancreatitis: a systematic review and meta-analysis

DOI: 10.17235/reed.2019.5792/2018

Letter

Post-ERCP hepatic subcapsular hematoma, from conservative therapy to emergency surgery: an unusual though extremely serious complication

DOI: 10.17235/reed.2019.5787/2018

Original

First hospital contact via the Emergency Department is an independent predictor of overall survival and disease-free survival in patients with colorectal cancer

DOI: 10.17235/reed.2019.5777/2018

Original

Delayed gastric emptying following pancreatoduodenectomy: a Roux-en-Y gastrojejunostomy vs Billroth II gastrojejunostomy randomized study

DOI: 10.17235/reed.2018.5744/2018

Letter

An unusual case report of inflammatory fibrous polyps in the upper gastrointestinal tract

DOI: 10.17235/reed.2018.5734/2018

Original

Colonic stent vs surgical resection of the primary tumor. Effect on survival from stage-IV obstructive colorectal cancer

DOI: 10.17235/reed.2020.5701/2018

Letter

Why anal cytology is not enough in a dysplasia screening program

DOI: 10.17235/reed.2018.5678/2018

Original

Satisfaction with care in colorectal cancer patients: inpatient versus outpatient study

DOI: 10.17235/reed.2019.5712/2018

Letter

Anal intraepitelial neoplasia: how and for who do we perform a screening program?

DOI: 10.17235/reed.2018.5616/2018

Original

Screening-detected colorectal cancers show better long-term survival compared with stage-matched symptomatic cancers

DOI: 10.17235/reed.2018.5509/2018

Case Report

Enzymatic mediastinitis as a fearsome complication of pancreatic necrosectomy

DOI: 10.17235/reed.2018.5576/2018

Letter to the Editor

Consequences of a Dieulafoy’s lesion in gastric surgery

DOI: 10.17235/reed.2018.5442/2017

Letter to the Editor

Towards the centralization of digestive oncologic surgery: changes in activity, techniques and outcome

DOI: 10.17235/reed.2017.5252/2017

Letter to the Editor

Short-term outcome of patients with colon cancer diagnosed by symptoms and screening

DOI: 10.17235/reed.2017.5158/2017

Original

The long-term recurrence rate and survival of obstructive left-sided colon cancer patients: a stent as a bridge to surgery

DOI: 10.17235/reed.2018.5077/2017

Case Report

Serrated polyposis syndrome associated with long-standing inflammatory bowel disease

DOI: 10.17235/reed.2017.5068/2017

Editorial

Lower morbidity and improved outcomes in patients with screen-detected colorectal cancer

DOI: 10.17235/reed.2017.5107/2017

Original

Clinico-pathological and oncological differences between right and left-sided colon cancer (stages I-III): analysis of 950 cases

DOI: 10.17235/reed.2017.5034/2017

Case Report

Laparoscopic transgastric ERCP in bariatric surgery patients: our experience

DOI: 10.17235/reed.2017.4933/2017

Original

Anal cytology, histopathology and anoscopy in an anal dysplasia screening program: is anal cytology enough?

DOI: 10.17235/reed.2017.4913/2017

Editorial

Target population for the screening of human papillomavirus (HPV) and anal carcinoma precursor lesions – Results from a pilot study in HIV-infected males with sexual risk factors

DOI: 10.17235/reed.2017.4939/2017

Letter to the Editor

Long survival in a patient with metastatic colorrectal carcinoma: reality or utopia?

DOI: 10.17235/reed.2017.4817/2016

Letter to the Editor

Abdominal compartment syndrome secondary to acute necrotizing pancreatitis

DOI: 10.17235/reed.2017.4810/2016

Original

Clinical-endoscopic relevance of incidental colorectal lesions detected by PET-CT

DOI: 10.17235/reed.2018.4719/2016

Original

Towards the centralization of digestive oncologic surgery: changes in activity, techniques and outcome

DOI: 10.17235/reed.2017.4710/2016

Original

Cost-effectiveness of a hepatitis B virus screening strategy to prevent reactivation in patients with hematologic neoplasms

DOI: 10.17235/reed.2017.4693/2016

Original

Is it possible to predict the presence of colorectal cancer in a blood test? A probabilistic approach method

DOI: 10.17235/reed.2017.4645/2016

Original

Usefulness of an intra-gastric balloon before bariatric surgery

DOI: 10.17235/reed.2017.4624/2016

Letter to the Editor

Leptomeningeal carcinomatosis in a young patient with obstructive colorectal signet- ring cell adenocarcinoma

DOI: 10.17235/reed.2017.4602/2016

Original

Malnutrition risk questionnaire combined with body composition measurement in malnutrition screening in inflammatory bowel disease

DOI: 10.17235/reed.2016.4557/2016

Letter to the Editor

Liver metastasis from colorectal cancer 12 years after liver transplantation

DOI: 10.17235/reed.2017.4507/2016

Digestive Diseases Image

An immobile postsurgical nasojejunal tube: a case for King Arthur!

Original

Matrix metalloproteases expression in different histological types of colorectal polyps

DOI: 10.17235/reed.2017.4551/2016

Original

Antiplatelet agents and/or anticoagulants are not associated with worse outcome following nonvariceal upper gastrointestinal bleeding

DOI: 10.17235/reed.2016.4424/2016

Original

Influence of type 2 diabetes mellitus on Khorana venous thromboembolism risk in colorectal cancer patients

DOI: 10.17235/reed.2017.4322/2016

Original

Preliminary results of a screening program for anal cancer and its precursors for HIV-infected men who have sex with men in Vigo-Spain

DOI: 10.17235/reed.2017.4274/2016

Letter to the Editor

Transanal submucosal endoscopic resection (TASER) by TEO system®

DOI: 10.17235/reed.2016.4154/2015

Digestive Diseases Image

Successful balloon overtube-guided colorectal endoscopic submucosal dissection by a gastroscope

Original

Prospective study of anxiety in patients undergoing an outpatient colonoscopy

DOI: 10.17235/reed.2016.4104/2015

Original

Readmissions due to acute biliary edematous pancreatitis in patients without cholecystectomy

DOI: 10.17235/reed.2016.4067/2015

Review

Serrated lesions and serrated polyposis syndrome

DOI: 10.17235/reed.2017.4065/2015

Original

Effectiveness of three interventions to improve participation in colorectal cancer screening

DOI: 10.17235/reed.2016.4048/2015

Letter to the Editor

Endobronchial metastases of colorectal cancer

DOI: 10.17235/reed.2016.4080/2015

Original

Endoscopic incision for the treatment of refractory esophageal anastomotic strictures: outcomes of 13 cases with a minimum follow-up of 12 months

DOI: 10.17235/reed.2016.4023/2015

Original

Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening

DOI: 10.17235/reed.2016.4008/2015

Original

Increasing incidence of colorectal cancer in the province of Salamanca. Comparison of two periods: 2004-2006 and 2010-2012

DOI: 10.17235/reed.2016.3981/2015

Letter to the Editor

Minimally invasive treatment of rectovesical fistula: A case report

DOI: 10.17235/reed.2016.4017/2015

Case Report

Primary squamous cell carcinoma of the rectum: an atypical histology

DOI: 10.17235/reed.2016.3975/2015

Original

Duodenal fistula after gastrectomy: Retrospective study of 13 new cases

DOI: 10.17235/reed.2015.3928/2015

Original

Antibiotic prophylaxis in elective cholecystectomy: Protocol adequacy and related outcomes in a retrospective single-centre analysis

DOI: 10.17235/reed.2015.3870/2015

Original

Small bowel obstruction due to laparoscopic barbed sutures: An unknown complication?

DOI: 10.17235/reed.2015.3863/2015

Original

Recurrence of liver metastases from colorectal cancer and repeat liver resection

DOI: 10.17235/reed.2015.3843/2015

Original

Role of colonic microbiota in colorectal carcinogenesis: A systematic review

DOI: 10.17235/reed.2015.3830/2015

Original

Screening of enzymatic synthesis and expression of Lewis determinants in human colorectal carcinoma

DOI: 10.17235/reed.2015.3789/2015

Digestive Diseases Image

Rectosigmoid carcinoma presenting with a large small bowel fistula

Citation tools
Sebastian E, Courtier R, Macià F, Grande L, Pera M. The impact of screening on short-term outcome after surgery for colorectal cancer. 4569/2016


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 948 visits.
This article has been downloaded 206 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 02/08/2016

Accepted: 14/03/2017

Online First: 08/06/2017

Published: 30/06/2017

Article revision time: 200 days

Article Online First time: 310 days

Article editing time: 332 days


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Home
Articles
Current issues
Previous issues
Most read articles
Clinical guidelines
Reviews
Topic collection
Submit a manuscript
Submit a manuscript
Information for authors
Language editing services
Editorial time – Publication time
REED awards
ORCID guide
PubMed guide
Journal info
About the journal
Editorial board
For reviewers
For advertisers
REED centenary
Open access
Articles in press
Home
Articles
Current issues
Previous issues
Most read articles
Clinical guidelines
Reviews
Topic collection
Submit a manuscript
Submit a manuscript
Information for authors
Language editing services
Editorial time – Publication time
REED awards
ORCID guide
PubMed guide
Journal info
About the journal
Editorial board
For reviewers
For advertisers
REED centenary
Open access
Articles in press
Home
Articles
Current issues
Previous issues
Most read articles
Clinical guidelines
Reviews
Topic collection
Submit a manuscript
Submit a manuscript
Information for authors
Language editing services
Editorial time – Publication time
REED awards
ORCID guide
PubMed guide
Journal info
About the journal
Editorial board
For reviewers
For advertisers
REED centenary
Open access
Articles in press
Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology