Author/Editor     Tušek-Bunc, Ksenija
Title     Bolnik po operaciji raka širokega črevesa in danke - vprašanja in izkušnje zdravnika družinske medicine
Translated title     Patient after colorectal carcinom surgery - family phisitian's experiences and questions
Type     članek
Source     In: Tonin M, Repše S, Tomažič A, et al, editors. Zbornik predavanj 42. podiplomskega tečaja kirurgije; 2007 feb 2-3; Ljubljana. Ljubljana: Slovensko zdravniško društvo, Združenje kirurgov Slovenije,
Publication year     2007
Volume     str. 134-48
Language     slo
Abstract     Malignant diseases present a serious public health problem in the world as well in Slovenia. Colorectal carcinoma is second leading cause of mortality due to malignancies. The incidence of colorectal carcinoma is rising in the past few years. In spite of better five years survival rates in patients with the disease, there are many patients diagnosed in advanced stages with worse prognosis. Early detection of colorectal carcinoma has not been introduced in a systematic way. There is not any doubt, that screening is feasible in family practice. Family doctors have a unique role in preventing and early detection of colorectal carcinoma. Guidelines for management of predisposing factors, for early detection of the disease and for healthier life style are an important tool in the hands of family doctors with the aim to reduce morbidity and mortality due to colorectal carcinoma. Family doctor has to be familiar with diagnostic and therapeutic possibilities of colonoscopy, surgery and additional treatment by adjuvant chemotherapy of metastatic colorectal cancer. As opposite to other specialties, in family medicine we practice holistic management of our patients. Management of a patient after gastric surgery is only one and temporal priority among management of several concomitant diseases in a comorbid patient. Family physician has to manage pains, advice healthy living style and adequate nutrition. He has to pay attention to complications with late onset. Those patients have to be followed up lifelong with an aim to detect disease relapses in time and to treat them and improve quality of life of the patients. Good cooperation with the consultants over the interface between primary and secondary care specialists, i.e. oncologists, gastroenterologists and abdominal surgeons, is necessary. Further the author describes options to manage pain in patients after gastric surgery, psychological support to them and their work capacity.