{"id":63278,"date":"2026-03-18T18:34:51","date_gmt":"2026-03-18T17:34:51","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=63278"},"modified":"2026-03-18T18:36:09","modified_gmt":"2026-03-18T17:36:09","slug":"rakovina-tlusteho-streva-muze-ohrozovat-jiz-ctyricatniky-gastroenterologicke-dny-zacnou-jiz-zitra","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=63278","title":{"rendered":"Rakovina tlust\u00e9ho st\u0159eva m\u016f\u017ee ohro\u017eovat ji\u017e \u010dty\u0159ic\u00e1tn\u00edky. Gastroenterologick\u00e9 dny za\u010dnou z\u00edtra"},"content":{"rendered":"\n

L\u00e9ka\u0159i proto sn\u00ed\u017eili v\u011bk vstupu do programu screeningu<\/em><\/p>\n\n\n\n

Na rakovinu tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku zem\u0159e ro\u010dn\u011b v\u00edce ne\u017e 3\u00a0000 lid\u00ed. Tento karcinom pat\u0159\u00ed k\u00a0nej\u010dast\u011bj\u0161\u00edm u n\u00e1s. P\u0159i v\u010dasn\u00e9m odhalen\u00ed je p\u0159itom velmi dob\u0159e l\u00e9\u010diteln\u00fd. L\u00e9ka\u0159i se proto sna\u017e\u00ed detekovat p\u0159\u00edpadn\u00e9 zm\u011bny ve st\u0159evech co nejd\u0159\u00edve, aby dali pacient\u016fm \u0161anci na \u00fapln\u00e9 uzdraven\u00ed. Od ledna sn\u00ed\u017eili doln\u00ed hranici preventivn\u00edho screeningu z\u00a050 na 45 let. <\/strong><\/p>\n\n\n\n

O dosavadn\u00edch v\u00fdsledc\u00edch budou odborn\u00edci na tr\u00e1vic\u00ed trakt diskutovat na 28. Hradeck\u00fdch gastroenterologick\u00fdch dnech, kter\u00e9 startuj\u00ed ve \u010dtvrtek 19. b\u0159ezna.<\/strong><\/p>\n\n\n\n

\u201eP\u0159ib\u00fdv\u00e1 d\u016fkaz\u016f, \u017ee se kolorekt\u00e1ln\u00ed karcinom objevuje u st\u00e1le mlad\u0161\u00edch ro\u010dn\u00edk\u016f. V souladu s aktu\u00e1ln\u00edmi doporu\u010den\u00edmi, kter\u00e1 ji\u017e plat\u00ed v USA, jsme proto p\u0159istoupili ke sn\u00ed\u017een\u00ed hranice, od kdy tuto nemoc kontrolujeme. V Evrop\u011b pat\u0159\u00edme k prvn\u00edm, kte\u0159\u00ed to ud\u011blali,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. Ilja Tachec\u00ed, Ph.D., p\u0159edseda \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti \u010cLS JEP.<\/p>\n\n\n\n

Program nab\u00edz\u00ed dv\u011b varianty: bu\u010f prim\u00e1rn\u00ed koloskopick\u00e9 vy\u0161et\u0159en\u00ed jednou za deset let, nebo test okultn\u00edho krv\u00e1cen\u00ed ve stolici, kter\u00fd je nutn\u00e9 opakovat ka\u017ed\u00e9 dva roky. V roce 2024, tedy je\u0161t\u011b p\u0159ed upraven\u00edm v\u011bkov\u00e9 hranice, podstoupilo koloskopii v r\u00e1mci screeningu kolorekt\u00e1ln\u00edho karcinomu t\u00e9m\u011b\u0159 27 tis\u00edc lid\u00ed. Podle dat z N\u00e1rodn\u00edho screeningov\u00e9ho centra \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky je to o 6 tis\u00edc v\u00edce ne\u017e v p\u0159edchoz\u00edm roce. Screeningov\u00fd test na okultn\u00ed krv\u00e1cen\u00ed pak v roce 2024 absolvovalo p\u0159es 700 tis\u00edc pacient\u016f.<\/p>\n\n\n\n

Krom\u011b \u00fapravy v\u011bku pro vstup do screeningu odborn\u00edci od leto\u0161n\u00edho roku ur\u010dili nov\u011b tak\u00e9 horn\u00ed hranici, a to na 74 let. Dosud se u t\u011bchto kontrol \u017e\u00e1dn\u00e9 v\u011bkov\u00e9 omezen\u00ed sm\u011brem nahoru nestanovovalo. \u201eVy\u0159azen\u00ed osob od v\u011bku 75 let ze screeningu vypl\u00fdv\u00e1 z n\u00edzk\u00e9 pravd\u011bpodobnosti \u00famrt\u00ed na kolorekt\u00e1ln\u00ed karcinom u asymptomatick\u00fdch star\u0161\u00edch osob v p\u0159\u00edpad\u011b, \u017ee do tohoto v\u011bku byli sou\u010d\u00e1st\u00ed screeningu. To ale neznamen\u00e1, \u017ee t\u011bmto osob\u00e1m nen\u00ed provedena diagnostick\u00e1 koloskopie v p\u0159\u00edpad\u011b klinick\u00e9ho podez\u0159en\u00ed na tento n\u00e1dor,\u201c <\/em>vysv\u011btluje prof. MUDr. Ond\u0159ej Urban, Ph.D., p\u0159ednosta II. intern\u00ed kliniky \u2013 gastroenterologick\u00e9 a geriatrick\u00e9 Fakultn\u00ed nemocnice Olomouc.<\/p>\n\n\n\n

I p\u0159es sn\u00ed\u017een\u00ed v\u011bkov\u00e9 hranice vstupu do screeningu l\u00e9ka\u0159i skokov\u00fd n\u00e1r\u016fst po\u010dtu vy\u0161et\u0159en\u00ed a p\u0159\u00edliv pacient\u016f ve sv\u00fdch ordinac\u00edch neo\u010dek\u00e1vaj\u00ed. D\u016fvodem je podle nich fakt, \u017ee mlad\u0161\u00ed ro\u010dn\u00edky zat\u00edm o preventivn\u00ed prohl\u00eddky nejev\u00ed tak velk\u00fd z\u00e1jem a p\u00e9\u010di o zdrav\u00ed v\u011bnuj\u00ed m\u00e9n\u011b pozornosti.<\/p>\n\n\n\n

\u201eNa n\u00e1r\u016fst pacient\u016f jsme ale p\u0159ipraveni a douf\u00e1me, \u017ee se zejm\u00e9na lid\u00e9 mlad\u0161\u00ed pades\u00e1ti let do screeningu zapoj\u00ed. Z\u00e1rove\u0148 ale po\u010d\u00edt\u00e1me s t\u00edm, \u017ee discipl\u00edna mlad\u0161\u00edch a \u010dasto vyt\u00ed\u017een\u00fdch osob m\u016f\u017ee b\u00fdt ni\u017e\u0161\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. P\u0159emysl Falt, Ph.D., MHA, p\u0159edseda Endoskopick\u00e9 sekce \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti (\u010cGS).<\/p>\n\n\n\n

Koloskopie pat\u0159\u00ed k ob\u00e1van\u00fdm z\u00e1krok\u016fm, kter\u00e9 lid\u00e9 obvykle rad\u011bji odkl\u00e1daj\u00ed. L\u00e9ka\u0159i v\u0161ak pacienty ubezpe\u010duj\u00ed, \u017ee dne\u0161n\u00ed vy\u0161et\u0159ovac\u00ed techniky jsou velmi pokro\u010dil\u00e9 a \u017ee l\u00e9ka\u0159i, kte\u0159\u00ed z\u00e1krok prov\u00e1d\u011bj\u00ed, jsou zku\u0161en\u00ed. \u201eZ\u00e1krok sice nen\u00ed \u00fapln\u011b p\u0159\u00edjemn\u00fd, rozhodn\u011b v\u0161ak nen\u00ed bolestiv\u00fd. V\u011bt\u0161inou jej lze zvl\u00e1dnout bez injekc\u00ed a anestezie. Jen n\u011bkte\u0159\u00ed pacienti pot\u0159ebuj\u00ed zklid\u0148uj\u00edc\u00ed injekci a v n\u011bkter\u00fdch od\u016fvodn\u011bn\u00fdch p\u0159\u00edpadech p\u0159istupujeme i k celkov\u00e9 anestezii, nap\u0159\u00edklad u \u017een po gynekologick\u00fdch operac\u00edch,\u201c <\/em>\u0159\u00edk\u00e1 prof. Urban.<\/p>\n\n\n\n

Rakovina tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku se \u010dasto projevuje nen\u00e1padn\u011b a pom\u011brn\u011b pozd\u011b. Mezi hlavn\u00ed varovn\u00e9 p\u0159\u00edznaky pat\u0159\u00ed dlouhodob\u00e9 zm\u011bny v tr\u00e1ven\u00ed, nap\u0159\u00edklad st\u0159\u00eddaj\u00edc\u00ed se pr\u016fjmy a z\u00e1cpa, krev ve stolici, prudk\u00fd \u00fabytek hmotnosti nebo bolesti b\u0159icha. Z\u00e1sadn\u00edm faktorem pro rozvoj rakoviny je \u017eivotn\u00ed styl, a to p\u0159edev\u0161\u00edm strava bohat\u00e1 na \u010derven\u00e9 maso a pr\u016fmyslov\u011b zpracovan\u00e9 potraviny, kou\u0159en\u00ed, nadm\u011brn\u00e1 konzumace alkoholu, a naopak nedostatek pohybu. Pokud l\u00e9ka\u0159i odhal\u00ed nemoc v\u010das, je velmi dob\u0159e l\u00e9\u010diteln\u00e1.<\/p>\n\n\n\n

\u201eP\u0159i screeningov\u00e9 koloskopii nej\u010dast\u011bji objev\u00edme tzv. adenomov\u00fd polyp. Jeho odstran\u011bn\u00edm zabr\u00e1n\u00edme mo\u017en\u00e9mu rozvoji kolorekt\u00e1ln\u00edho karcinomu, proto\u017ee v\u011bt\u0161ina jich vznik\u00e1 v pr\u016fb\u011bhu mnoha let pr\u00e1v\u011b z takov\u00fdch polyp\u016f. V n\u011bkter\u00fdch p\u0159\u00edpadech ale nalezneme i karcinom. V \u010dasn\u00fdch stadi\u00edch, u pacient\u016f bez p\u0159\u00edznak\u016f je ale l\u00e9pe \u0159e\u0161iteln\u00fd, s nad\u011bj\u00ed na \u00fapln\u00e9 vyl\u00e9\u010den\u00ed, a to v\u010detn\u011b miniinvazivn\u00ed endoskopick\u00e9 l\u00e9\u010dby,\u201c<\/em> dopl\u0148uje prof. Falt.<\/p>\n\n\n\n

O dosavadn\u00edch v\u00fdsledc\u00edch screeningu kolorekt\u00e1ln\u00edho karcinomu i mo\u017enostech l\u00e9\u010dby nemoci budou odborn\u00edci spole\u010dn\u011b debatovat na 28. Hradeck\u00fdch gastroenterologick\u00fdch dnech, kter\u00e9 za\u010d\u00ednaj\u00ed ve \u010dtvrtek 19. b\u0159ezna a potrvaj\u00ed do p\u00e1tku 20. b\u0159ezna.<\/p>\n\n\n\n

O \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti (\u010cGS)<\/strong>\u202f 
Spole\u010dnost (zalo\u017een\u00e1 v roce 1945) sdru\u017euje t\u00e9m\u011b\u0159 900 profesion\u00e1l\u016f zab\u00fdvaj\u00edc\u00edch se onemocn\u011bn\u00edmi tr\u00e1vic\u00edho \u00fastroj\u00ed. Hlavn\u00edm \u00fakolem \u010cGS je vytv\u00e1\u0159et odborn\u00e9 a organiza\u010dn\u00ed podm\u00ednky pro zm\u00edr\u0148ov\u00e1n\u00ed dopadu gastroenterologick\u00fdch onemocn\u011bn\u00ed na populaci \u010cesk\u00e9 republiky. V r\u00e1mci \u010cGS pracuj\u00ed t\u0159i odborn\u00e9 sekce (Endoskopick\u00e1 sekce, Sekce mlad\u00fdch gastroenterolog\u016f a Sekce ambulantn\u00edch gastroenterolog\u016f) a \u0161est pracovn\u00edch skupin. Odbornou platformou oboru je \u010dasopis Gastroenterologie a hepatologie, kter\u00fd je hlavn\u00edm oborov\u00fdm periodikem t\u0159\u00ed odborn\u00fdch spole\u010dnost\u00ed. \u010cGS po\u0159\u00e1d\u00e1 kongresy s\u202fmezin\u00e1rodn\u00edm zastoupen\u00edm, jich\u017e se standardn\u011b \u00fa\u010dastn\u00ed na tis\u00edc odborn\u00edk\u016f.\u202fSpole\u010dnost se hl\u00e1s\u00ed k\u202faktivn\u00ed spolupr\u00e1ci s\u202fpacientsk\u00fdmi organizacemi, org\u00e1ny st\u00e1tn\u00ed spr\u00e1vy a pl\u00e1tci p\u00e9\u010de, kter\u00e9 pova\u017euje za partnery sv\u00e9 \u010dinnosti. Je pevn\u011b zakotvena v\u202fevropsk\u00fdch a sv\u011btov\u00fdch gastroenterologick\u00fdch organiza\u010dn\u00edch struktur\u00e1ch. P\u0159edsedou je prof. MUDr. Ilja Tachec\u00ed, Ph.D., p\u0159ednosta II. intern\u00ed gastroenterologick\u00e9 kliniky Fakultn\u00ed nemocnice a L\u00e9ka\u0159sk\u00e9 fakulty UK v Hradci Kr\u00e1lov\u00e9. V\u00edce informac\u00ed na www.cgs-cls.cz<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

L\u00e9ka\u0159i proto sn\u00ed\u017eili v\u011bk vstupu do programu screeningu Na rakovinu tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku zem\u0159e ro\u010dn\u011b v\u00edce ne\u017e 3\u00a0000 lid\u00ed. Tento karcinom pat\u0159\u00ed k\u00a0nej\u010dast\u011bj\u0161\u00edm u […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":40540,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-63278","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63278","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=63278"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63278\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/40540"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=63278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=63278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=63278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}