Data from the "Expert Consensus on Early Diagnosis and Screening Strategies for Colorectal Cancer in China" are shown. About 429,000 people are newly diagnosed with colorectal cancer in my country every year. Cancer ranks fifth in death toll.

A few days ago

Uncle Jiu received a private message from a doctor friend:

Data from the "Expert Consensus on Early Diagnosis and Screening Strategies for Colorectal Tumors in China" show

About 429,000 people are newly diagnosed with colorectal cancer every year in our country.

About 281,000 people die from colorectal cancer.

The number of deaths ranks fifth among cancers.

In my country, residents aged 40 to 74 years old The total number of people at high risk of bowel cancer in the country

is as high as 120 million

In addition

according to the Global Burden of Disease Report

my country’s population accounts for about 17% of the world’s population

But the proportion of colorectal cancer patients has reached 31%

and is on the rise. The contrast is huge

There are more and more intestinal cancers in China

In fact, it is inseparable from the following reasons

At present

my country's population is aging increasingly

and as age increases

The risk of bowel cancer has increased significantly:

html The incidence rate is about 50/100,000 at the age of 150

html The incidence rate at the age of 160 is 95/100,000

html The incidence rate is 250/10 at the age of 170 years The incidence rate of 10,000

0 years old is as high as 375/100,000, which is 7.5 times that of 50 years old.

Harvard University has investigated 27,000 Chinese

conducted a large-scale prospective study for 20 years

and the results showed that:

About 50.4% of common digestive tract cancers in China

are related to poor lifestyle Research on

including unhealthy diet, overweight, smoking, drinking, lack of exercise, etc.

"The Lancet" shows

Any type of polyps

will increase the risk of bowel cancer

Intestinal polyps are mainly found through colonoscopy

But in our country

People’s awareness of colonoscopy screening is insufficient

Many polyps cannot be discovered in time

It is easy to delay and turn into bowel cancer

Bowel cancer The development process

Large-scale colonoscopy screening

has reduced the incidence of colorectal cancer by 40% in the United States

and reduced the mortality rate by 51%

And in our country

The screening penetration rate of bowel cancer is only 16.4%

In fact

The cure rate of early bowel cancer is very high

If surgery can be performed in time, supplemented by chemotherapy

The 5-year survival rate of patients can be as high as 90%

, but if it is delayed to the advanced stage

html, the 15-year survival rate will only be about 14%

According to statistics

The misdiagnosis rate of bowel cancer is about 41.5%

Early bowel cancer often "disguises" as

Appendicitis, enteritis, gastritis, idiopathic ulcerative colitis,

Ulceration, hemorrhoids, intestinal obstruction, intestinal tuberculosis, iron deficiency anemia and other diseases

lead to many bowel cancers being discovered in the middle and late stages

It is a pity

So how can bowel cancer be discovered earlier?

Uncle Jiu suggested that everyone pay attention to the following two points

"China Colorectal Cancer Screening and Early Diagnosis and Early Treatment Guidelines" pointed out

High-risk groups of bowel cancer package Including:

The above 6 categories of people should pay attention to discomfort symptoms

and undergo regular colonoscopy

However, for non-high-risk groups

a high-quality colonoscopy

can reduce the incidence and mortality of bowel cancer

Its effect can last for 10 years

As a digestive tract tumor

Bowel cancer is closely related to diet

If you want to prevent

you might as well start with diet

9

The World Cancer Research Fund’s expert report pointed out that daily consumption of

whole grain foods, dairy products, fish,

foods rich in dietary fiber, vitamin C and calcium

Helps reduce the risk of colorectal cancer

The relationship between diet, nutrition, physical activity and other factors and the risk of colorectal cancer丨Source: WCRF

Increase exercise, quit smoking and limit alcohol

Physical exercise can reduce the incidence of colorectal cancer Incidence and recurrence rate

There are also studies that

If smokers and alcoholics quit smoking and limit alcohol as soon as possible

it can also help reduce the risk of bowel cancer

In short

the key to preventing cancer is early detection , early treatment

If you or your family members belong to the high-risk group

then more attention should be paid

Regular screening

Reference:

[1] China Anti-Cancer Association Colorectal Cancer Professional Committee China Colorectal Tumor Early Diagnosis and Screening Strategy Development Expert Group. Expert consensus on screening strategies for early diagnosis and treatment of colorectal cancer in China [J]. Chinese Journal of Gastrointestinal Surgery, 2018, 21(10): 6.

[2] Guidelines for Colorectal Cancer Screening, Early Diagnosis and Early Treatment in China (2020, Beijing) [J]. Chinese Oncology 2021 Volume 30 Issue 1, Pages 1-28, ISTIC PKU CSCD CA, 2021.

[3] Chen Hongda, Dai Min. Thoughts on the prevention and control of colorectal cancer in China [J]. Chinese Journal of Epidemiology, 2020, 41(10): 1627-1632.DOI: 10.3760/cma.j.cn112338-20200423-00629.

[4] WuY, Li Y, Giovannucci E. (2021). Potential impact of time trend of lifestyle risk factors on burden of majorgastrointestinal cancers in China. Gastroenterology. doi: 10.1053/j.gastro.2021.08.006. Epub ahead of print. PMID: 34389341.

[5] Zhou Changming, Feng Xiaoshuang, Shen Jie, et al. Diet, nutrition, physical activity and cancer [J]. Shanghai Medicine, 2021(022): 042.