Beating Colon and Rectal CancerAnthony Firilas, MD, Colon & Rectal Surgery
www.SpringfieldClinic.comwww.SpringfieldClinic.com
Beating Colorectal Cancer
• The Facts
–3rd Most Common Cancer for Men and Women in US
Beating Colon & Rectal Cancer
• 140,000 New Cases/Year
• 51,000 Deaths/Year
Beating Colon & Rectal Cancer
• 1 in 19 Americans will be diagnosed with colorectal cancer in their lifetime
Beating Colon & Rectal Cancer
Illinois 2002-2006:
36,000 New Cases
15,600 Deaths
Beating Colon & Rectal Cancer
• Risk Factors:–Lack of Exercise–Obesity–Diabetes
Beating Colon & Rectal Cancer
• Risk Factors:–Moderate Alcohol Use–Red and Processed Meat–Smoking ?
Beating Colon & Rectal Cancer
• Risk Factors:
Genetics
Beating Colon & Rectal Cancer
• Prevention:–Exercise–Low Red and Processed Meat
Diet–Weight Control
Beating Colon & Rectal Cancer
• Prevention:–Aspirin/NSAIDS–Calcium–Postmenopausal Hormones
Beating Colon & Rectal Cancer
• Prevention:
SCREENING
Beating Colon & Rectal Cancer
Last 10 years:
Incidence
Severity
Death rate
Beating Colon & Rectal Cancer
• Why ?
–Polyp Detection and Removal
Beating Colon & Rectal Cancer
• Why ?
–Polyps = No symptoms
Beating Colon & Rectal Cancer
• Colorectal Polyps:
Turn cancerous in 10 years
Beating Colon & Rectal Cancer
Removal = Prevention
Beating Colon & Rectal Cancer
Who ?
–Anyone age 50 or older
Beating Colon & Rectal Cancer
Who ?–Anyone whose mother, father,
brother or sister had colon or rectal cancer or multiple polyps
Beating Colon & Rectal Cancer
• Anyone with:
–Abdominal Pain
–Change in Bowel Habits
–Rectal Bleeding
Beating Colon & Rectal Cancer
• How ?
–Yearly Fecal Occult Blood Test
–Fecal DNA Test
Beating Colon & Rectal Cancer
• How ?
–Barium Enema
–CT Colonography
Beating Colon & Rectal Cancer
• How ?
–Flexible Sigmoidoscopy
Beating Colon & Rectal Cancer
• How ?
–Colonoscopy
Beating Colon & Rectal Cancer
• How ?
–Only test that identifies and removes polyps
Beating Colon & Rectal Cancer
• How ?
Average risk person:
1 colonoscopy every 10 years
You don’t have to get colorectal cancer just……..
Get Your Butt In Here
Anthony M. Firilas, MD
Peter M.C. Hofmann, MD
Brad D. Paris, MD James W. Thiele, MD, FACS, FASCRS
John D. Zander, MD, FACS, FASCRS
Springfield Clinic Colon & Rectal Surgery Department