Strengthen postoperative follow-up to prevent recurrence of bowel cancer

  1. Prevention and care (1) Appropriately reduce the fat and meat content of the diet and increase fresh vegetables and fruits.  (2) Colorectal adenomas should be regularly reviewed and removed in a timely manner.  (3) For chronic inflammatory diseases of the colorectum, especially long-term chronic ulcerative colorectitis, be alert to the occurrence of cancer and have regular rectal finger diagnosis, X-ray or fiber fine intestinal microscopy.  (4) For patients over 50 years old, examination of fecal occult blood twice a year can help to detect colon cancer with less obvious symptoms earlier.  2.Post-operative follow-up (1)Follow up every 3 months for 2 years after surgery, especially the first follow-up should be done in 3 months after surgery. Each follow-up should include medical history and detailed physical examination, blood CEA and other tumor markers, immune function status, blood routine, liver function measurement, fecal occult blood test, chest X-ray and ultrasound scan of liver, peritoneal lymph nodes and pelvis.  (2) Fiberoptic colonoscopy should be performed once a year to detect heterochronic polygenic neoplasia and anastomotic recurrence, and a barium enema can be added in between. If for some reason fiberoptic colonoscopy and barium enema are not performed before surgery, one of them should be performed 6 months after surgery. CT or MRI once a year, and the first CT and colonoscopy should be reviewed within six months.  (3) Follow-up 2 years to 5 years after surgery can be extended to once every 6 months. Patients who are more than 5 years postoperative can be examined once a year or combined with health checkup plus key items.  (4) For patients receiving adjuvant chemotherapy after surgery, CEA and liver function can be increased to once every 1-2 years. Abnormalities found during follow-up should be examined in detail for early detection of recurrent and metastatic lesions. Blood counts should be checked more routinely, at least once a week in patients with DPD enzyme deficiency or on drugs with significant bone marrow suppression.