Loop ileostomy reversal: 5 year experience in an English rural district general hospital
2012
(April 2005-2006). Results: 2010/11 114 patients, 2005/6 133 patients. No change in proportion of emergency presentations 21.2% in 2010/2011 versus 25.6% in 2005/6 (p1⁄40.6044).A significant reduction in stage 45%DukesC/D compared to 64% in historic cohort (p1⁄40.0038).More right sided CRCs presenting 39.5% 2010/ 11 versus 33.8% 2005/6 (p1⁄40.36). Greater proportionpresentedwith anaemia (23.7% versus 14.3%, p1⁄40.0586). Duration of anaemia prior to presentation increased (365 days versus 150 days, p1⁄40.292). Conclusion: Since BCSP introduction there has been a significant decrease in stage of CRC at presentation but no decrease in emergency presentations. There has been a shift towards more right sided tumours which may explain the trend to an increase in those presenting with anaemia.
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