Capsule Endoscopy

Capsule Endoscopy(CE) is a procedure in which a capsule with a miniature camera is swallowed and it transmits images as it goes through the gastrointestinal tract. It has advantages and disadvantages. While easier on the patient, it does not allow for a biopsy, and if it shows a suspicious findings, full endoscopyto perform a biopsy will still be required. A recent European guideline says that patients at high risk for CRC, because of symptoms or

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PET for possibly recurring colon cancer

After definitive treatmetn of colon cancer, patients are followed with CEA levels. When they begin to rise, a recurrence is suspected. PET is being more frequenlty used to detect and identify recurrence in this situation. More recently NCCN has been more supportive of PET in this setting. It used to support PET only in the situation of rising CEA and no identified recurrence for localization of disease recurrence in patients with rising CEA level

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Posttreatment surveillance after hepatic metastases resection for colorectal cancer

Since the appearance of effective new drugs for colorectal cancer and more aggressive surgical approaches to resecting isolated metastases, many patients who had metastatic cancer are now free of disease for an extended period of time. There are few guidelines on how to follow such patients it is fairly new situation and there are no mature studies. For high risk non-metastatic colon cancer, NCCN guidelines recommend annual CT of chest, abdomen

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