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GI Malignancies in Asians

GI Malignancies in Asians. Dr M E Donat Center for Digestive Health (248) 844 9710 Sunday May 17 2009. Colon Cancer Colorectal Cancer (CRC). Colon Cancer. Colon Cancer in USA. 800,000 new cases per year (worldwide) 150,000 new diagnoses per year (USA) 50,000 deaths per year (USA).

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GI Malignancies in Asians

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  1. GI Malignancies in Asians Dr M E Donat Center for Digestive Health (248) 844 9710 Sunday May 17 2009

  2. Colon CancerColorectal Cancer (CRC)

  3. Colon Cancer

  4. Colon Cancer in USA • 800,000 new cases per year (worldwide) • 150,000 new diagnoses per year (USA) • 50,000 deaths per year (USA)

  5. CRC Risk Factors • Age: 90% of patients are over age 50 • Family history • Personal history of CRC • Personal history of colon polyps • Hereditary conditions (<5% of total) • Diet (animal fat) / Exercise • Cigarette smoke / Alcohol

  6. CRC Incidence by Ethnicity(per 100,000 population)

  7. CRC Signs and Symptoms • Usually none until late • Rectal bleeding • Change in bowel habits • Narrow stools • Abdominal pain • Weight loss • Incomplete evacuation

  8. CRC Screening and Detection • CRC IS PREVENTABLE • Everyone should have a colonoscopy starting at age 50

  9. Colonoscopy • Drink liquids and take medication to clean the colon the day before the procedure • Day of the procedure, patient is sedated • The procedure takes about 10 minutes • There is no discomfort

  10. Normal Colonoscopy

  11. Colon Polyps

  12. Colon Cancer

  13. Stomach Cancer

  14. Incidence • 760, 000 new cases per year worldwide • 24,00 new cases per year in USA • More than 50% of patients die

  15. Incidence by Ethnicity(per 100,000 population)

  16. Risk Factors • Age • Sex – men are 2X more effected • Race • Diet • Smoked, salted or pickles foods • Nitrites (preservatives in cured meats – deli foods, hot dogs.. • H Plylori infection • Smoking

  17. Symptoms • None during the early phase • Pain • Blood in the stools • Nausea and vomiting • Loss of appetite • Getting full quickly • Weight loss

  18. Diagnosis • Complete blood count • UGI Series • Upper endoscopy (EGD)

  19. Upper Endoscopy

  20. Normal Stomach

  21. Early Stomach Cancer

  22. Advanced Stomach Cancer

  23. GI Cancer Prevention • Eat fresh fruits and vegetables • Avoid red meat and processed meats foods • No smoking • Minimal alcohol use • Regular exercise and weight control • Regular physical exams • Colonoscopy starting at age 50 • See your doctor if you develop any new GI symptoms

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