Table 1 Cancer is the second most common cause of death in Americans (see www.cdc.gov). Colorectal cancer kills more Incidence and Mortality of the Five Most Common Gastrointestinal Malignancies Americans than any other malignancy except for lung cancer. The incidences and mortalities of the major gastrointestinal a a Site Incidence Mortality (GI) malignancies are shown in Table 1. Taken as a group, the five most common GI malignancies account for more cancers Colorectum 53.9 21.6 and more cancer deaths than for any other site. Pancreas 11.1 10.6 Stomach 9.1 4.9 Flexible endoscopy has given physicians unprecedented Liver/intrahepatic bile ducts 6.2 4.4 access to the GI tract. The ability to endoscopically visu- Esophagus 4.5 4.3 alize, biopsy, and apply therapy has had implications for the management of all the major GI malignancies. Accepted Data from SEER database 1992a2002 (www.seer.cancer.gov). applications of endoscopy range from detection of mal- a Per 100, 000.However, inclusion of downstream costs in the analysis alters this assessment. ... In the Minnesota Colon Cancer Control Study, 12, 246 colonoscopies were performed at the university hospital, ... Interestingly, subsequent three- dimensional imaging in the Cotton study did not dramatically improve the test characteristics.
|Author||:||Douglas O. Faigel|
|Publisher||:||Springer Science & Business Media - 2007-11-06|