Irrua:Dr. Clement Odion, a Consultant General Surgeon at Irrua Specialist Teaching Hospital, has urged Nigerians to seek medical attention at the first signs of colorectal cancer.
According to News Agency of Nigeria, Dr. Odion highlighted several risk factors associated with colorectal cancer, including diets high in processed and red meat, low consumption of fruits and vegetables, physical inactivity, being overweight or obese, tobacco use, and alcohol consumption. Additionally, family history, genetics, previous colorectal cancer, or certain types of polyps increase the risk, which becomes more pronounced after the age of 50.
Dr. Odion noted that warning signs of colorectal cancer can include changes in bowel habits, blood in the stool, ongoing abdominal cramps, pain or bloating, unexplained weight loss, and persistent fatigue. He emphasized the importance of medical attention for Nigerians aged 45 and above, even in the absence of symptoms.
Screening methods discussed by Dr. Odion include colonoscopy and stool-based tests, such as the Faecal Immunochemical Test (FIT) and Faecal Occult Blood Test (FOBT). Colonoscopy, considered the gold standard, is recommended every ten years, whereas stool-based tests should be conducted annually.
Preliminary findings from an ongoing hospital survey revealed that the cost of screening poses a barrier for 47% of respondents. Additionally, 27% feared the results, 13% were concerned about pain or discomfort, and 12% were unaware of where to get screened. Other barriers include a lack of awareness, the absence of a national screening program, and limited availability of screening methods and specialists.
While Nigeria has initiated steps to improve early detection and treatment of colorectal cancer, Dr. Odion asserts that current efforts are insufficient to significantly reduce mortality rates. He mentioned NICE-SCAN, a government initiative targeting five cancers, including colorectal cancer, and the Cancer Health Fund, which currently supports breast, prostate, and cervical cancers.
Dr. Odion advocates for the establishment of a national screening program, increased specialist and diagnostic capacity, reduced costs, enhanced public awareness, and stronger primary healthcare services. He also calls for improved treatment infrastructure, better data collection through a National Cancer Registry, and community mobilization involving NGOs and faith-based organizations.