GI Malignancies in Asians

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GI Malignancies in Asians

• Dr M E Donat
• Center for Digestive Health
• [phone]
• Sunday May 17 2009

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Colon CancerColorectal Cancer (CRC)
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Colon Cancer
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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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CRC Risk Factors

• Age 90 of patients are over age 50
• Family history
• Personal history of CRC
• Personal history of colon polyps
• Hereditary conditions (lt5 of total)
• Diet (animal fat) / Exercise
• Cigarette smoke / Alcohol

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CRC Incidence by Ethnicity(per 100,000
population)
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CRC Signs and Symptoms

• Usually none until late
• Rectal bleeding
• Change in bowel habits
• Narrow stools
• Abdominal pain
• Weight loss
• Incomplete evacuation

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CRC Screening and Detection

• CRC IS PREVENTABLE
• Everyone should have a colonoscopy starting at
  age 50

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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

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Normal Colonoscopy
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Colon Polyps
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Colon Cancer
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Stomach Cancer
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Incidence

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

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Incidence by Ethnicity(per 100,000 population)
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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

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Symptoms

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

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Diagnosis

• Complete blood count
• UGI Series
• Upper endoscopy (EGD)

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Upper Endoscopy
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Normal Stomach
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Early Stomach Cancer
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Advanced Stomach Cancer
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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