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Día Mundial contra el Cáncer de Colon: diagnóstico, prevención y tratamiento en Colombia
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El cáncer de colon es una de las enfermedades más frecuentes y mortales a nivel mundial, representando un desafío significativo para los sistemas de salud. Según la Organización Mundial de la Salud (OMS), esta enfermedad es la segunda causa de muerte por cáncer a nivel global, con más de 1,9 millones de casos nuevos y más de 930.000 muertes en 2020. En el contexto colombiano, el cáncer de colon y recto figura entre los tipos de cáncer con mayor impacto en la población, tanto por su incidencia como por su tasa de mortalidad.
Panorama epidemiológico del cáncer de colon en Colombia
En Colombia, el cáncer de colon y recto ocupa un lugar prioritario en las políticas de salud pública debido a su alta prevalencia y mortalidad asociada. Según datos de la Cuenta de Alto Costo, este tipo de cáncer ocupó en 2023 el tercer lugar entre los once tipos de cáncer priorizados, representando aproximadamente el 8% de los nuevos casos reportados en hombres y mujeres en 2022. Esta situación se agrava por el diagnóstico tardío de la enfermedad, lo que reduce las probabilidades de éxito en el tratamiento y compromete la calidad de vida de los pacientes.
El Hospital San Vicente Fundación Medellín, institución de referencia en atención oncológica, atendió en 2024 un total de 266 pacientes con cáncer de colon, de los cuales 135 requirieron hospitalización y 77 fueron intervenidos quirúrgicamente. Además, se realizaron 1.028 consultas externas especializadas, evidenciando un incremento en la demanda de servicios de alta complejidad para el manejo integral de esta patología. El Dr. Santiago Rojas Restrepo, cirujano oncólogo del hospital, destacó la importancia de la detección temprana y el tratamiento oportuno para mejorar el pronóstico y aumentar la supervivencia de los pacientes.
Factores de riesgo y prevención del cáncer de colon
El cáncer de colon se relaciona con factores genéticos y de estilo de vida. La presencia de antecedentes familiares, enfermedades inflamatorias intestinales y síndromes hereditarios aumentan el riesgo. Sin embargo, el alto consumo de alimentos ultraprocesados, dietas pobres en fibra, el tabaquismo, el consumo excesivo de alcohol, la obesidad y el sedentarismo son factores prevenibles que inciden significativamente en el desarrollo de la enfermedad.
Para reducir el riesgo, la OMS y las guías clínicas recomiendan mantener una dieta rica en frutas, verduras, legumbres y granos integrales, así como realizar actividad física regular y evitar el consumo de alcohol y tabaco. En cuanto a la prevención secundaria, la detección temprana mediante tamizaje es fundamental. Se recomienda realizar una colonoscopia cada 10 años a partir de los 50 años en personas sin síntomas ni antecedentes familiares, o antes si existen factores de riesgo. Las pruebas de sangre oculta en heces y el examen de ADN fecal también son herramientas útiles para identificar anomalías de manera temprana.
Síntomas y diagnóstico oportuno: la clave para salvar vidas
El cáncer de colon puede ser asintomático en etapas iniciales, lo que subraya la importancia del tamizaje regular. Los síntomas de alarma incluyen anemia inexplicada, cambios persistentes en el hábito intestinal, sangrado rectal, pérdida de peso inexplicada y dolor abdominal crónico. Ante cualquiera de estos signos, es esencial acudir al médico para una evaluación exhaustiva.
El diagnóstico temprano es crucial para aumentar la tasa de supervivencia. En el Hospital San Vicente Fundación Medellín, el Dr. Santiago Rojas Restrepo explicó que la detección en etapas iniciales puede elevar la tasa de supervivencia a más del 90%. En casos avanzados, especialmente si hay metástasis, el pronóstico es desfavorable y la expectativa de vida puede ser menor a un año sin tratamiento.
Avances en el tratamiento integral del cáncer de colon
El manejo del cáncer de colon es multidisciplinario e incluye cirugía, quimioterapia, radioterapia y terapias dirigidas según el estadio de la enfermedad. En el Hospital San Vicente Fundación Medellín se cuenta con un equipo especializado en cirugía oncológica, quimioterapia y radioterapia que ofrece un tratamiento integral adaptado a cada paciente.
El Dr. Santiago Rojas Restrepo enfatizó que el acceso oportuno a diagnósticos precisos y tratamientos especializados es vital para mejorar la calidad de vida de los pacientes y sus familias. Además, destacó el papel del personal de atención primaria en la identificación temprana de síntomas y la referencia oportuna a servicios especializados.
Un llamado a la conciencia y la prevención en el marco del Día Mundial contra el Cáncer de Colon y Recto, el Hospital San Vicente Fundación Medellín insta a la población a adoptar estilos de vida saludables, realizar tamizajes periódicos y consultar ante cualquier síntoma de alarma. La detección temprana y el tratamiento oportuno pueden salvar vidas, reduciendo el impacto de esta enfermedad en Colombia y el mundo.
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