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The Faecal Occult Blood test for bowel cancer :
What is the NHS bowel cancer screening programme?
The pilot and the programme since then
Initial reaction to the invitation for screening
People's views of the initial information leaflet
Why people decide to take part in screening
Why some were reluctant or did not take part
The instructions for using the FOBt kit
Doing the Faecal Occult Blood test at home
Storing the samples and posting them
Getting a 'normal' result of a FOBt by post
Getting an 'unclear' or 'abnormal' result by post
When a screening test is abnormal :
Talking to specialist practitioners about results
Preparing for a colonoscopy
The colonoscopy procedure and treatment
Side effects of colonoscopy
Getting colonoscopy results
More treatment needed after an initial colonoscopy :
More treatment needed after an initial colonoscopy
Views of the service and messages to others :
Views of the service and messages to others
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Bowel screening
Subject index
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Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 42
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When she woke up she learnt that she had to have an operation to remove a polyp. At the time they didn't know if it was benign or cancerous.
In 2006 her Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy. Three small polyps were removed. She had a right hemi-colectomy to remove a larger polyp, which was not malignant.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 44
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He was told that he might need a stoma bag for a few months but in the end he didn't.
He had a Faecal Occult Blood (FOB) test in 2001. The result was abnormal so he had a colonoscopy. Cancer was diagnosed, so later he had part of his bowel removed, followed by chemotherapy. He feels well now.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 42
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Part of her bowel was removed because the polyps in her bowel were considered potentially malignant.
In 2006 her Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy. Three small polyps were removed. She had a right hemi-colectomy to remove a larger polyp, which was not malignant.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 43
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He was fully informed, went into hospital for a “pre-operation check”, and was very impressed with members of the pilot scheme team.
In 2005 he had a Faecal Occult Blood (FOB) test, which was abnormal, so he had a colonoscopy, during which a polyp was found. Later he had a right hemi-colectomy and the polyp, which was found to be malignant, was removed.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 46
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She was given an enema on the day of the operation to prepare the bowel for surgery.
Invited to be screened for bowel cancer in 2006. The result of the Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy, when five polyps were removed. One polyp was cancerous, so she had a left hemi-colectomy.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 01
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He found the surgery 'devastating' and was in hospital for three weeks. He needed a temporary colostomy (stoma).
Invited for screening in 2001 when aged 62. The first Faecal Occult Blood (FOB) test suggested there might be a problem, so test repeated. He had a colonoscopy, was diagnosed with bowel cancer, had surgery and a temporary ileostomy.
Cancer
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Bowel screening
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FOBt with normal result
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Interview 03
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After the operation he was in the high dependency unit for about 12 hours, then in an ordinary ward for two weeks before going home.
Screened in 2000, aged 64. Faecal Occult Blood test (FOB) test was normal, but later he noticed blood in his stools, was referred to a consultant, diagnosed with cancer, and treated with surgery.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 15
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He had a right hemi-colectomy to remove part of the bowel. When he woke up he felt no pain because he had had an epidural as well as a general anaesth
In 2001, aged 64, he was screened for bowel cancer. The result of the Faecal Occult Blood (FOB) test was abnormal. After a colonoscopy he was diagnosed with cancer and had surgery.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 46
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Describes the operation, the pain relief, and post-operative care. She got 'fantastic' care from the nurses and doctors.
Invited to be screened for bowel cancer in 2006. The result of the Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy, when five polyps were removed. One polyp was cancerous, so she had a left hemi-colectomy.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 35
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The operation went well, but being in hospital was not pleasant and nursing care was inadequate.
Screened in 2003, with a normal result. In 2005 another Faecal Occult Blood (FOB) test was abnormal. She had a colonoscopy, during which a small polyp was removed. This was followed by surgery to remove a larger cancerous polyp.
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