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Colorectal cancer and the obese patient: a call for guidelines
File(s)
cancers-14-05255.pdf (279.32 KB)
Published version
Author(s)
Kontovounisios, Christos
Type
Journal Article
Abstract
The link between obesity and colorectal cancer has been well established. The worldwide rise in obesity rates in the past 40 years means that we are dealing with increasing numbers of obese patients with colorectal cancer. We aimed to review the existing guidelines and make recommendations specific to this group of patients. Upon comparing the current NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines ®), the guidelines from the European Society of Medical Oncology (ESMO) and the guidelines of the Japanese Society for Cancer of the Colon and Rectum (JSCCR), we observed that these did not take into consideration the needs of obese patients. We proceeded to make specific recommendations with regards to the diagnostic work-up, surgical pathways, minimally invasive technique, perioperative treatment, post-operative surveillance, and management of metastatic disease in this group of patients. Our review highlights the need for modification of the existing guidelines to account for the needs of this patient cohort. A multidisciplinary approach, including principles used by bariatric surgeons, should be the way forward to reach consensus in the management of this group of patients.
Date Issued
2022-10-26
Date Acceptance
2022-09-08
Citation
Cancers, 2022, 14 (21), pp.1-16
URI
URL
DOI
ISSN
2072-6694
Publisher
MDPI AG
Start Page
1
End Page
16
Journal / Book Title
Cancers
Volume
14
Issue
21
Copyright Statement
© 2022 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
License URL
Identifier
https://www.mdpi.com/2072-6694/14/21/5255
Subjects
colorectal cancer
minimally invasive surgery
obesity
surveillance
1112 Oncology and Carcinogenesis
Publication Status
Published
Date Publish Online
2022-10-26