The Role of the District Therapist in the Prevention of Neoplasms of the Colon

Justification . Colonoscopy and polypectomy significantly reduce the risk of colon cancer. A follow-up colonoscopy performed after a polypectomy is an important method of monitoring patients with colorectal polyps. The aim of the study was to evaluate the role of a district therapist in the prevention of colon neoplasms based on the results of a study of groups of patients who were examined as part of a follow-up. Materials and methods . 322 patients underwent colonoscopy, of which 200 patients underwent follow-up colonoscopy. Results . In the group with colon polyps ( n = 148), a control colonoscopy was performed in 52/93 (55.91 %) patients after polypectomy — in 15/52 (28.85 %) colorectal polyps were found again; 41/55 (74.55 %) in the patient who refused polypectomy — in all 41/41 (100 %) polyps were found ( p < 0.001). In patients after polypectomy, new localization of colon polyps was significantly more common and their morphological pattern changed significantly more common than in those who refused surgery ( p = 0.017 and p = 0.031, respectively). Conclusion . A follow-up colonoscopy is an important stage in the follow-up of patients with colon polyps. Dynamic colonoscopy is necessary for patients both after polypectomy and without surgical treatment of colon polyps for their early diagnosis and removal, as well as, as a result, the prevention of colorectal cancer.