1. Dr M E Donat Center for Digestive Health (248) 844 9710 Sunday May 17 2009

4.  800,000 new cases per year (worldwide)  150,000 new diagnoses per year (USA)  50,000 deaths per year (USA)

5.  Age: 90% of patients are over age 50  Family history  Personal history of CRC  Personal history of colon polyps  Hereditary conditions (<5% of total)  Diet (animal fat) / Exercise  Cigarette smoke / Alcohol

7.  Usually none until late  Rectal bleeding  Change in bowel habits  Narrow stools  Abdominal pain  Weight loss  Incomplete evacuation

8.  CRC IS PREVENTABLE  Everyone should have a colonoscopy starting at age 50

9.  Drink liquids and take medication to clean the colon the day before the procedure  Day of the procedure, patient is sedated  The procedure takes about 10 minutes  There is no discomfort

14.  760, 000 new cases per year worldwide  24,00 new cases per year in USA  More than 50% of patients die

16.  Age  Sex – men are 2X more effected  Race  Diet  Smoked, salted or pickles foods  Nitrites (preservatives in cured meats – deli foods, hot dogs..  H Plylori infection  Smoking

17.  None during the early phase  Pain  Blood in the stools  Nausea and vomiting  Loss of appetite  Getting full quickly  Weight loss

18.  Complete blood count  UGI Series  Upper endoscopy (EGD)

23.  Eat fresh fruits and vegetables  Avoid red meat and processed meats foods  No smoking  Minimal alcohol use  Regular exercise and weight control  Regular physical exams  Colonoscopy starting at age 50  See your doctor if you develop any new GI symptoms