Colorectal cancer: Risk and prevention in inflammatory bowel diseases

Herfarth, Hans (2002) Colorectal cancer: Risk and prevention in inflammatory bowel diseases. CHIRURGISCHE GASTROENTEROLOGIE, 18 (4). pp. 319-324. ISSN 0177-9990

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Abstract

The increased risk of colorectal cancer represents a significant problem in the clinical management of patients with long-standing ulcerative colitis or Crohn's disease with a predominant manifestation in the colon. Risk factors for the development of colorectal cancer in patients with these chronic inflammatory bowel diseases are a disease duration of at least 8-10 years, extensive disease (pancolitis) and the presence of the concomitant hepatobiliary complication, primary sclerosing cholangitis. Numerous epidemiologic studies provide strong evidence that sustained use of aspirin and other traditional nonsteroidal anti-inflammatory drugs (NSAIDs), which inhibit the cyclo-oxygenase-1 and -2 isoenzymes, may reduce the risk of colon cancer. Data from several retrospective analyses of patients with ulcerative colitis, which will be depicted in the following review, also suggest a potential chemopreventive role of sulfasalazine or 5-aminosalicylic acid.

Item Type: Article
Uncontrolled Keywords: PRIMARY SCLEROSING CHOLANGITIS; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; EXTENSIVE ULCERATIVE-COLITIS; COLON-CANCER; URSODEOXYCHOLIC ACID; CYCLOOXYGENASE-2 INHIBITOR; PROSTAGLANDIN E(2); CROHNS-DISEASE; REDUCED RISK; F344 RATS; ulcerative colitis; Crohn's disease; colorectal cancer; chemoprevention
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 28 Sep 2021 10:04
Last Modified: 28 Sep 2021 10:04
URI: https://pred.uni-regensburg.de/id/eprint/39594

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