Colorectal Cancer: Postoperative Follow-up and Surveillance

Follow-up and surveillance form an important aspect of care in patients with colorectal cancers (CRC). Most recurrences will occur within 2 years of surgery and 90% by 5 years. Follow up protocols have not been well defined in stage I disease and the approach should be individualized. As 40% of pati...

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Published inIndian journal of surgery Vol. 79; no. 3; pp. 234 - 237
Main Authors Godhi, Satyajit, Godhi, Ashok, Bhat, Ravishankar, Saluja, Sundeep
Format Journal Article
LanguageEnglish
Published New Delhi Springer India 01.06.2017
Springer
Springer Nature B.V
Subjects
Carcinoembryonic antigen
Cardiac Surgery
CAT scans
Colonoscopy
Colorectal cancer
Medicine
Medicine & Public Health
Neurosurgery
Pediatric Surgery
Plastic Surgery
Postoperative period
Review
Review Article
Surgery
Surveillance
Thoracic Surgery
Surveillance
Colorectal cancer
Follow-up
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Summary:Follow-up and surveillance form an important aspect of care in patients with colorectal cancers (CRC). Most recurrences will occur within 2 years of surgery and 90% by 5 years. Follow up protocols have not been well defined in stage I disease and the approach should be individualized. As 40% of patients with stages II and III will develop recurrences, intensive postoperative follow-up strategy is recommended for them. It includes visit to the clinician for clinical examination, serum carcinoembryonic antigen (CEA), computed tomography (CT) of the chest and abdomen, colonoscopy, and flexible proctosigmoidoscopy in rectal cancers. Surveillance should be undertaken in those who are medically fit for repeat surgical procedures or for chemoradiotherapy. The concept of intensive post operative surveillance is based on the fact that some of these patients can have resectable/curable recurrence.
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ISSN:0972-2068
0973-9793
DOI:10.1007/s12262-017-1610-6