Modern management of colorectal cancer

Colorectal cancer affects approximately 1:20 of the population and in South Africa is largely managed by general surgeons. Management of this disease has undergone very significant changes over the last two decades. Until very recently, only two academic general surgery departments included a specia...

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Main Author: R.J. Baigrie
Format: Article
Language:English
Published: AOSIS 2013-02-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/3688
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author R.J. Baigrie
author_facet R.J. Baigrie
author_sort R.J. Baigrie
collection DOAJ
description Colorectal cancer affects approximately 1:20 of the population and in South Africa is largely managed by general surgeons. Management of this disease has undergone very significant changes over the last two decades. Until very recently, only two academic general surgery departments included a specialist colorectal unit, and this remains so in the majority of our universities. This has resulted in a generation of surgical graduates who are unfamiliar with, and unskilled in current best management practices for this disease. Rectal cancer is particular challenging and attracts extremely high morbidity and mortality, with poor oncological outcomes. Repeatedly, outcome has been shown to be worse in the hands of generalists, rather than specialist colorectal surgeons, of whom there are very few in the country. This review presents the most important advances of the last 20 years and highlights current controversies and frontiers.
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spelling doaj-art-993ba7dcc0c84d6fbfbabc133dd380102025-08-20T03:06:54ZengAOSISSouth African Family Practice2078-61902078-62042013-02-0155110.1080/20786204.2013.108743014684Modern management of colorectal cancerR.J. Baigrie0Department of Colorectal Surgery, Groote Schuur Hospital, South Africa; and, University of Cape TownColorectal cancer affects approximately 1:20 of the population and in South Africa is largely managed by general surgeons. Management of this disease has undergone very significant changes over the last two decades. Until very recently, only two academic general surgery departments included a specialist colorectal unit, and this remains so in the majority of our universities. This has resulted in a generation of surgical graduates who are unfamiliar with, and unskilled in current best management practices for this disease. Rectal cancer is particular challenging and attracts extremely high morbidity and mortality, with poor oncological outcomes. Repeatedly, outcome has been shown to be worse in the hands of generalists, rather than specialist colorectal surgeons, of whom there are very few in the country. This review presents the most important advances of the last 20 years and highlights current controversies and frontiers.https://safpj.co.za/index.php/safpj/article/view/3688colorectal cancermanagement
spellingShingle R.J. Baigrie
Modern management of colorectal cancer
South African Family Practice
colorectal cancer
management
title Modern management of colorectal cancer
title_full Modern management of colorectal cancer
title_fullStr Modern management of colorectal cancer
title_full_unstemmed Modern management of colorectal cancer
title_short Modern management of colorectal cancer
title_sort modern management of colorectal cancer
topic colorectal cancer
management
url https://safpj.co.za/index.php/safpj/article/view/3688
work_keys_str_mv AT rjbaigrie modernmanagementofcolorectalcancer