Application value of electronic rectosigmoidoscope in screening of anorectal diseases in elderly population_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHOU Xuetao , LI Jianming , ZENG Wei , FENG Weijing , CHEN Chen

Department of Surgery, The Second Hospital of Beijing, Beijing 100031, P. R. China;

Corresponding?author：

ZHOU Xuetao, Email: zhouxuetao@163.com

Keywords：

anorectal disease; electronic rectosigmoidoscope; elderly population; screening

DOI：

10.7507/1007-9424.202008014

Video：

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Objective To understand the prevalence of anorectal diseases in the elderly in the community, and to evaluate the role of electronic rectosigmoidoscope in the screening of anorectal diseases.Method The resident population aged 60–74 in the Xichang’an Street Area of Xicheng District of Beijing were collected to complete the initial screening by filling in the risk factor assessment questionnaire, and who were classified as the high-risk with positive initial screening were admitted to the diagnostic re-screening by electronic rectosigmoidoscope.Results There were 4 782 screening subjects, while 4 347 people actually participated in the initial screening, and 2 997 people were positive (positive rate was 68.9%). Among them, 2 312 participated in the electronic rectosigmoidoscope screening, and the compliance rate was 77.1%. A total of 2 275 patients with various anorectal diseases were detected by electronic rectosigmoidoscope, 1 311 (56.7%) of whom were hemorrhoids, 458 (19.8%) were rectal polyps, 154 (6.7%) were anal papillary hypertrophy, 147 (6.4%) were proctitis, 103 (4.4%) were anal fissure, 52 (2.2%) were anal fistula , 33 (1.4%) were rectal melanoma , and 17 (0.7%) were suspected rectal cancer. The detection rates of rectal polyps, proctitis, and anal fistula in the men were higher than those in the women (P<0.05), while the detection rates of hemorrhoids, anal papilla hypertrophy, anal fissure, and rectal melanosis in the women were higher than those in the men (P<0.05).Conclusions As a screening tool, electronic rectosigmoidoscope has the characteristics of simple operation, good compliance of the subject, and high compliance rate for re-screening. It is suitable for large-scale screening of anorectal diseases for elderly residents in the community.

Citation： ZHOU Xuetao, LI Jianming, ZENG Wei, FENG Weijing, CHEN Chen. Application value of electronic rectosigmoidoscope in screening of anorectal diseases in elderly population. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(5): 606-609. doi: 10.7507/1007-9424.202008014 Copy

1.	江維, 張虹璽, 隋楠. 中國城市居民常見肛腸疾病流行病學調查. 中國公共衛生, 2016, 32(10): 1293-1296.
2.	李志芳, 黃慧瑤, 石菊芳, 等. 結直腸癌疾病自然史模型研究的系統綜述: 體系分類、參數分析及推薦構建我國人群特異性模型. 中華流行病學雜志, 2017, 38(2): 253-260.
3.	彭洪云. 肛腸診療儀器系列創新研究和應用. 北京: 首屆中國肛腸創新論壇論文集, 2013: 121-124.
4.	李景南. 重視健康體檢人群中的結直腸癌篩查. 中國腫瘤, 2013, 22(2): 81-82.
5.	曹毛毛, 陳萬青. 中國惡性腫瘤流行情況及防控現狀. 中國腫瘤臨床, 2019, 46(3): 145-149.
6.	Jackaman C, Tomay F, Duong L, et al. Aging and cancer: The role of macrophages and neutrophils. Ageing Res Rev, 2017, 36: 105-116.
7.	潘曉輝. 結腸癌與直腸癌臨床表現的對比及分析. 中國醫刊, 2018, 53(1): 45-47.
8.	陳宏達, 盧明, 代敏. 我國結直腸癌人群篩查參與率現狀及影響因素探討. 華西醫學, 2018, 33(12): 1-5.
9.	Bujanda L, Sarasqueta C, Zubiaurre L, et al. Low adherence to colonoscopy in the screening of first-degree relatives of patients with colorectal cancer. Gut, 2007, 56(12): 1714-1718.
10.	張秀, 朱鋼. 直腸乙狀結腸鏡檢查對結直腸癌簡便篩查的應用價值. 北京醫學, 2012, 34(11): 1010-1011.
11.	王寧, 孫婷婷, 鄭榮壽, 等. 中國2009年結直腸癌發病和死亡資料分析. 中國腫瘤, 2013, 22(7): 515-520.
12.	蔣燕, 張忠夫, 羅毅, 等. 30250名健康體檢者電子直乙結腸鏡檢查結果分析. 中華健康管理學雜志, 2014, 8(6): 406-408.
13.	林堅, 王舒莉, 盧明. 電子肛腸鏡在海勤人員體檢中的應用體會. 東南國防醫藥, 2010, 12(5): 433-434.
14.	畢亮, 王自強. 直腸癌根治術的切除范圍. 中國醫刊, 2019, 54(1): 4-9.
15.	馬春慧, 葉明, 白二龍. 電子直乙腸鏡對混合痔術前檢查的臨床意義. 中國臨床醫生雜志, 2019, 47(6): 717-718.
16.	李心潔, 田雅軍, 羅毅. 2013~2015年70 430例體檢人群電子直乙結腸鏡結果探討. 安徽醫科大學學報, 2018, 53(10): 1562-1566.
17.	陳瓊, 宋國慧, 孫喜斌, 等. 2003~2007年中國結直腸癌發病與死亡分析. 中國腫瘤, 2012, 21(3): 179-182.
18.	申玉翠, 韓冰, 徐建華, 等. 1 990例社區結直腸癌篩查高危人群的結腸鏡檢查結果分析. 中華消化雜志, 2015, 35(3): 179-182.
19.	劉芳, 李倩蕾. 電子直乙鏡對直腸腫瘤診斷的價值. 臨床醫藥文獻電子雜志, 2017, 4(45): 8855.
20.	Atkin W, Wooldrage K, Parkin DM, et al. Long term effects of once-only flexible sigmoidoscopy screening after 17 years of follow-up: the UK Flexible Sigmoidoscopy Screening randomised controlled trial. Lancet, 2017, 389(10076): 1299-1311.
21.	趙勝兵, 王樹玲, 方軍, 等. 國內外結直腸癌早診早治現狀. 中華消化內鏡雜志, 2019, 36(2): 143-147.

1. 江維, 張虹璽, 隋楠. 中國城市居民常見肛腸疾病流行病學調查. 中國公共衛生, 2016, 32(10): 1293-1296.
2. 李志芳, 黃慧瑤, 石菊芳, 等. 結直腸癌疾病自然史模型研究的系統綜述: 體系分類、參數分析及推薦構建我國人群特異性模型. 中華流行病學雜志, 2017, 38(2): 253-260.
3. 彭洪云. 肛腸診療儀器系列創新研究和應用. 北京: 首屆中國肛腸創新論壇論文集, 2013: 121-124.
4. 李景南. 重視健康體檢人群中的結直腸癌篩查. 中國腫瘤, 2013, 22(2): 81-82.
5. 曹毛毛, 陳萬青. 中國惡性腫瘤流行情況及防控現狀. 中國腫瘤臨床, 2019, 46(3): 145-149.
6. Jackaman C, Tomay F, Duong L, et al. Aging and cancer: The role of macrophages and neutrophils. Ageing Res Rev, 2017, 36: 105-116.
7. 潘曉輝. 結腸癌與直腸癌臨床表現的對比及分析. 中國醫刊, 2018, 53(1): 45-47.
8. 陳宏達, 盧明, 代敏. 我國結直腸癌人群篩查參與率現狀及影響因素探討. 華西醫學, 2018, 33(12): 1-5.
9. Bujanda L, Sarasqueta C, Zubiaurre L, et al. Low adherence to colonoscopy in the screening of first-degree relatives of patients with colorectal cancer. Gut, 2007, 56(12): 1714-1718.
10. 張秀, 朱鋼. 直腸乙狀結腸鏡檢查對結直腸癌簡便篩查的應用價值. 北京醫學, 2012, 34(11): 1010-1011.
11. 王寧, 孫婷婷, 鄭榮壽, 等. 中國2009年結直腸癌發病和死亡資料分析. 中國腫瘤, 2013, 22(7): 515-520.
12. 蔣燕, 張忠夫, 羅毅, 等. 30250名健康體檢者電子直乙結腸鏡檢查結果分析. 中華健康管理學雜志, 2014, 8(6): 406-408.
13. 林堅, 王舒莉, 盧明. 電子肛腸鏡在海勤人員體檢中的應用體會. 東南國防醫藥, 2010, 12(5): 433-434.
14. 畢亮, 王自強. 直腸癌根治術的切除范圍. 中國醫刊, 2019, 54(1): 4-9.
15. 馬春慧, 葉明, 白二龍. 電子直乙腸鏡對混合痔術前檢查的臨床意義. 中國臨床醫生雜志, 2019, 47(6): 717-718.
16. 李心潔, 田雅軍, 羅毅. 2013~2015年70 430例體檢人群電子直乙結腸鏡結果探討. 安徽醫科大學學報, 2018, 53(10): 1562-1566.
17. 陳瓊, 宋國慧, 孫喜斌, 等. 2003~2007年中國結直腸癌發病與死亡分析. 中國腫瘤, 2012, 21(3): 179-182.
18. 申玉翠, 韓冰, 徐建華, 等. 1 990例社區結直腸癌篩查高危人群的結腸鏡檢查結果分析. 中華消化雜志, 2015, 35(3): 179-182.
19. 劉芳, 李倩蕾. 電子直乙鏡對直腸腫瘤診斷的價值. 臨床醫藥文獻電子雜志, 2017, 4(45): 8855.
20. Atkin W, Wooldrage K, Parkin DM, et al. Long term effects of once-only flexible sigmoidoscopy screening after 17 years of follow-up: the UK Flexible Sigmoidoscopy Screening randomised controlled trial. Lancet, 2017, 389(10076): 1299-1311.
21. 趙勝兵, 王樹玲, 方軍, 等. 國內外結直腸癌早診早治現狀. 中華消化內鏡雜志, 2019, 36(2): 143-147.

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Application value of electronic rectosigmoidoscope in screening of anorectal diseases in elderly population

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