Incidencia y supervivencia del cáncer del tracto digestivo detectado mediante endoscopia con confirmación histológica en una región de alto riesgo en Colombia.

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Bibliographic Details
Title:	Incidencia y supervivencia del cáncer del tracto digestivo detectado mediante endoscopia con confirmación histológica en una región de alto riesgo en Colombia.
Alternate Title:	Incidence and Survival of Digestive Tract Cancer Detected by Endoscopy with Histological Confirmation in a High-Risk Region of Colombia.
Authors:	Manuel Limas-Solano, Luis¹, Patricia Barreto, Clara² clarapbarreton@gmail.com, Carlos Vega, Juan³
Source:	Revista Colombiana de Gastroenterología. ene-mar2025, Vol. 41 Issue 1, p3-11. 9p.
Subjects:	ALIMENTARY canal, SURVIVAL analysis (Biometry), SURVIVAL rate, LOG-rank test, NON-communicable diseases
Abstract (English):	Introduction: Cancers of the digestive tract are among the leading causes of mortality from non-communicable chronic diseases, both in Colombia and worldwide. These malignancies are often asymptomatic in their early stages, which significantly impacts survival rates and poses a major public health challenge. This study aimed to analyze survival rates following histopathological confirmation of digestive tract neoplasms detected through endoscopy at a regional referral center. Methods: A retrospective crosssectional study was conducted, reviewing biopsy results from endoscopies and colonoscopies performed between 2018 and 2020. Sociodemographic variables were analyzed, and survival rates were assessed using the Kaplan-Meier method and the Log-Rank test. Results: A total of 133 cases of gastrointestinal neoplasms were identified: 66.1% in the stomach (n = 88), 23.3% in the colon (n = 31), and 10.6% in the esophagus (n = 14). The median age was 66.7 years (interquartile range [IQR]: 59-79), with a predominance of male patients. Follow-up data showed a median survival of five months from diagnosis to death, with a maximum survival of 2.3 years. Conclusion: The majority of patients diagnosed with digestive tract cancer at the regional referral center were male and presented with advanced-stage disease, as reflected in the short survival times observed. [ABSTRACT FROM AUTHOR]
Abstract (Turkish):	Introducción: los cánceres del tubo digestivo representan una de las principales causas de mortalidad por enfermedades crónicas no transmisibles tanto en Colombia como a nivel mundial. Estos padecimientos suelen ser asintomáticos en sus etapas iniciales, lo cual compromete la supervivencia y constituye un desafío relevante para la salud pública. Este estudio tuvo como objetivo caracterizar la supervivencia luego de la confirmación histopatológica de neoplasias del tubo digestivo detectadas mediante endoscopia en un centro de referencia departamental. Metodología: estudio transversal retrospectivo en el que se revisaron los resultados de biopsias obtenidas en endoscopias y colonoscopias realizadas entre 2018 y 2020. Se realizó la caracterización de variables sociodemográficas y el análisis de supervivencia mediante el método de Kaplan-Meier y la prueba Log-Rank. Resultados: se identificaron 133 casos de neoplasias del tracto gastrointestinal, con el 66,1% en el estómago (n = 88), el 23,3% en el colon (n = 31) y el 10,6% en el esófago (n = 14). La mediana de edad fue de 66,7 años (rango intercuartílico [RIC]: 59-79) y predominó una población masculina. El seguimiento reveló una mediana de supervivencia de cinco meses entre el diagnóstico y la muerte, y una supervivencia máxima de 2,3 años. Conclusión: la población atendida en el centro de referencia departamental con diagnóstico de cáncer del tubo digestivo fue mayoritariamente masculina, con diagnóstico en estadios avanzados, lo que se refleja en la corta supervivencia observada. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction: Cancers of the digestive tract are among the leading causes of mortality from non-communicable chronic diseases, both in Colombia and worldwide. These malignancies are often asymptomatic in their early stages, which significantly impacts survival rates and poses a major public health challenge. This study aimed to analyze survival rates following histopathological confirmation of digestive tract neoplasms detected through endoscopy at a regional referral center. Methods: A retrospective crosssectional study was conducted, reviewing biopsy results from endoscopies and colonoscopies performed between 2018 and 2020. Sociodemographic variables were analyzed, and survival rates were assessed using the Kaplan-Meier method and the Log-Rank test. Results: A total of 133 cases of gastrointestinal neoplasms were identified: 66.1% in the stomach (n = 88), 23.3% in the colon (n = 31), and 10.6% in the esophagus (n = 14). The median age was 66.7 years (interquartile range [IQR]: 59-79), with a predominance of male patients. Follow-up data showed a median survival of five months from diagnosis to death, with a maximum survival of 2.3 years. Conclusion: The majority of patients diagnosed with digestive tract cancer at the regional referral center were male and presented with advanced-stage disease, as reflected in the short survival times observed. [ABSTRACT FROM AUTHOR]
ISSN:	01209957
DOI:	10.22516/25007440.1292