This information is not specific medical advice. Please consult you health care provider for personal recommendations regarding your gastrointestinal health and colon cancer screening timing.
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Illustration of colon polyps and early detection
Freepix[/caption]
Illustration of colon polyps and early detectionFreepix[/caption]
Did you know that colorectal cancer is the most common cancer in Singapore, yet it's also one of the most preventable through regular screening? Colonoscopy screening detects polyps before they develop into cancer, identifies early-stage colorectal cancer when treatment is available, and diagnoses causes of digestive symptoms like bleeding or chronic changes in bowel habits. Singapore's colonoscopy clinics combine MOH-accredited colorectal surgeons with specialized endoscopy facilities designed for patient comfort and procedural efficiency.l
The procedure involves inserting a flexible tube with a camera through the rectum to examine the entire colon lining. At a colonoscopy clinic Singapore, current colonoscopy equipment provides high-definition imaging that reveals tissue abnormalities as small as 1–2 mm, while therapeutic capabilities allow immediate removal of polyps during the same procedure. Sedation options range from conscious sedation to monitored anaesthesia care, ensuring comfort throughout the 20–30 minute examination.
Dr. Corley[/caption]
Douglas Corley, MD, PhD
Chief Research Officer, The Permanente Medical Group
Kaiser Permanente, Northern California
MedicalResearch.com: What is the background for this study?
Response: Kaiser Permanente Northern California (KPNC) is an integrated health care system that designs and implements population-based programs that support cancer prevention and early detection. In 2006, KPNC began to implement a comprehensive colorectal cancer screening program with the goal of increasing member screening rates, preventing colorectal cancer through polyp removal, and reducing cancer mortality. The initiative identifies whether screening-eligible KPNC members are up to date with their colorectal cancer screening test by either a colonoscopy or by stool-based tests, such as a fecal immunochemical testing (FIT) kit. If they are not up to date with screening, it mails them a FIT kit for at-home testing. Members can also choose other options for colorectal cancer screening, such as a colonoscopy, through their physician.
Dr. Mzoughi[/caption]
Slim Mzoughi, PhD
Prof. Rong Xu[/caption]
Rong Xu, PhD
Dr. Kamath[/caption]
Dr. Suneel Kamath MD
Gastrointestinal Oncologist
Cleveland Clinic
Senior Author on this research
MedicalResearch.com: What is the background for this study?
Response: Colorectal cancer rates in young people under age 50 are skyrocketing and have been for the last 3-4 decades. We really don’t understand why because most cases (probably around 70%) are not genetic or hereditary, just random, unfortunate events. We suspect that it is some exposure(s) like excess consumption of red meat, processed foods, sugar-sweetened beverages, excess antibiotic use altering the microbiome, rising incidence of obesity or some other factors. We really don’t know why yet.
Our study used a technology called metabolomics, the study of breakdown products and production building blocks for our bodies, to look for differences in colorectal cancer in young people versus people that are older that developed colorectal cancer. Because metabolomics measures how each individual interacts with the exposures in our environment like diet, air quality, etc., it is a way to bridge the gap between our nature (determined by genetics) and nurture (determined by our exposures).
Dr. Jinhee Hur[/caption]
Jinhee Hur, PhD
Research Fellow
Department of Nutrition
Harvard T.H. Chan School of Public Health
Boston, MA 02115
MedicalResearch.com: What is the background for this study?
Response: Early-onset colorectal cancer (EO-CRC, age <50 years at diagnosis) is rapidly rising in the US since the mid-1980s, with an unclear understanding of its etiology and contributors to the rise. Sugar-sweetened beverages (SSBs) exert adverse metabolic repercussions throughout the life course, including insulin resistance and inflammation. Higher SSB intake can induce obesity, which has been linked to risk of EO-CRC. A recent experimental study also suggests that high fructose corn syrup, a primary sweetener in SSBs, may promote colon tumor growth, independent of metabolic dysregulation. In the US, SSB consumption has dramatically increased during the 2nd half of the 20th century, and adolescents and young adults have been the heaviest SSB drinkers across all age groups. Thus, we expect SSBs may be an emerging risk factor for EO-CRC and likely contribute to the rising incidence of EO-CRC.
