Should elderly patients with new inguinal hernias have colorectal screening for suspected occult constipation?

Updated: Jul 05, 2019
  • Author: Marc D Basson, MD, PhD, MBA, FACS; Chief Editor: BS Anand, MD  more...
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Answer

It was once widely held that elderly patients with new inguinal hernias should be assumed to have occult constipation due to partially obstructing colonic neoplasms and that these patients therefore required colorectal cancer screening. At present, the requirement for colorectal cancer screening in such patients remains controversial. The pathophysiology underlying a link between colonic neoplasms and hernias is unknown, because the lesions detected on screening are early lesions and are unlikely to have caused constipation.


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