As part of organized screening, Hem occult test is recommended every two years for anyone 50 to 74 years. But what are the recommendations and what consideration is to be produced in case of symptoms such as individuals or in patients with history of bowel disease?

Colorectal cancer screening by level of risk

At the time of the extension of the national screening program for colorectal cancer , the Ministry of Health reminds the decision tree, that is to say the type of examination and other procedures, depending on the case, and particular depending on symptoms and risk levels of each.

doctor checking

Thus, it is recommended to some people to participate in organized screening, while others will need to comply with more specific tests and / or more frequent. People without symptoms and without particular risk A Hemoccult II is every two years recommended for men and women from 50 years and up to 74 years. If particular symptoms The presence of the following symptoms must push to achieve a colonoscopy:

Red blood or black stools.
Transit disorders of recent onset: unusual diarrhea or constipation.
Abdominal pain of recent onset (especially after 50 years).
Unexplained weight loss.

People at high risk of colorectal cancer is recommended for persons at high risk discuss with their doctor when to perform a colonoscopy and organize follow-up:
Personal history of colorectal cancer or adenoma (large bowel polyp).
Family history of colorectal cancer or adenoma (a relative of first degree relative had colorectal cancer or adenoma before age 65 years , or two 1st degree relatives regardless of age).
History of chronic inflammatory disease ( ulcerative colitis and Crohn’s disease ).

People at high risk of colorectal cancer An ontogenetic consultation can be offered in the following two cases because then there is a high hereditary risk of colorectal cancer:
Familial adenomatous polyp sis (characterized by the presence of numerous polyps in the digestive tract).
Non-polyploidy colorectal cancer hereditary (HNPCC or Lynch syndrome).