{"id":86294,"date":"2025-08-25T00:16:38","date_gmt":"2025-08-24T22:16:38","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=86294"},"modified":"2025-08-24T14:00:51","modified_gmt":"2025-08-24T12:00:51","slug":"severska-studie-zpochybnuje-prinosy-kolonoskopie","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/08\/25\/severska-studie-zpochybnuje-prinosy-kolonoskopie\/","title":{"rendered":"Seversk\u00e1 studie zpochyb\u0148uje p\u0159\u00ednosy kolonoskopie"},"content":{"rendered":"
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Kolonoskopie je pova\u017eov\u00e1na za nesporn\u00fd standard prevence rakoviny tlust\u00e9ho st\u0159eva \u2013 ale rozs\u00e1hl\u00e1, dlouhodob\u00e1 studie ze seversk\u00fdch zem\u00ed tuto d\u016fv\u011bru ot\u0159\u00e1s\u00e1. Navzdory masivn\u00edm screeningov\u00fdm program\u016fm kolonoskopie z\u0159ejm\u011b zachra\u0148uje mnohem m\u00e9n\u011b \u017eivot\u016f, ne\u017e tvrd\u00ed l\u00e9ka\u0159i a zdravotnick\u00e9 org\u00e1ny. Statisticky se zd\u00e1, \u017ee mezi t\u011bmi, kte\u0159\u00ed toto vy\u0161et\u0159en\u00ed podstoup\u00ed, a t\u011bmi, kte\u0159\u00ed jej nepodstoup\u00ed, je mal\u00fd rozd\u00edl.<\/span><\/strong><\/p>\n

Kolonoskopie jsou po cel\u00e1 desetilet\u00ed pova\u017eov\u00e1ny za nejlep\u0161\u00ed prevenci rakoviny. L\u00e9ka\u0159i je chv\u00e1l\u00ed jako zlat\u00fd standard, reklamn\u00ed kampan\u011b opakovan\u011b nab\u00e1daj\u00ed pacienty k pravideln\u00fdm screeningov\u00fdm prohl\u00eddk\u00e1m od 50 let a toto odv\u011btv\u00ed z nich \u0161t\u011bd\u0159e profituje. N\u011bmecko v roce 2023 zaregistrovalo\u00a0<\/span>v\u00edce ne\u017e 600 000<\/span><\/a> takov\u00fdch z\u00e1krok\u016f. Jedn\u00e1 se o nov\u00fd rekord, kter\u00fd vyvol\u00e1v\u00e1 dojem, \u017ee riziko rakoviny tlust\u00e9ho st\u0159eva lze prakticky eliminovat jednoduch\u00fdm rutinn\u00edm z\u00e1krokem. St\u0159\u00edzliv\u00fd pohled na \u010d\u00edsla v\u0161ak odhaluje pon\u011bkud sm\u00ed\u0161en\u00fd obraz.<\/span><\/p>\n

Mezi rokem 2002, kdy byl zaveden screeningov\u00fd program pro osoby star\u0161\u00ed 50 let, a rokem 2021 klesl ro\u010dn\u00ed po\u010det \u00famrt\u00ed na rakovinu tlust\u00e9ho st\u0159eva\u00a0<\/span>z necel\u00fdch 29 000 na p\u0159ibli\u017en\u011b 24 000.<\/span><\/a>\u00a0\u010casto se uv\u00e1d\u00ed, \u017ee je to zp\u016fsobeno prevenc\u00ed prost\u0159ednictv\u00edm kolonoskopi\u00ed. Tento \u00fasp\u011b\u0161n\u00fd p\u0159\u00edb\u011bh v\u0161ak za\u010d\u00edn\u00e1 vykazovat zn\u00e1mky poklesu: U osob mlad\u0161\u00edch 50 let doch\u00e1z\u00ed k n\u00e1r\u016fstu p\u0159\u00edpad\u016f. D\u016fvody? Krom\u011b rostouc\u00ed\u00a0<\/span>konzumace energetick\u00fdch n\u00e1poj\u016f<\/span><\/a>\u00a0(kter\u00e9 maj\u00ed\u00a0<\/span>negativn\u00ed dopad na st\u0159evn\u00ed mikrobiom<\/span><\/a>\u00a0) a konzumace vysoce zpracovan\u00fdch potravin\u00a0mohou hr\u00e1t roli i injekce gen\u016f mRNA (kl\u00ed\u010dov\u00e9 slovo \u201e\u00a0<\/span>turbo rakovina \u201c).<\/span><\/a><\/p>\n

Existuje n\u011bjak\u00fd skute\u010dn\u00fd p\u0159\u00ednos?<\/span><\/h3>\n

D\u016fvodem kolonoskopie je: detekce a odstran\u011bn\u00ed polyp\u016f, prevence rakoviny. Citlivost tohoto vy\u0161et\u0159en\u00ed je skute\u010dn\u011b vysok\u00e1 a jeho role jako diagnostick\u00e9ho n\u00e1stroje je st\u011b\u017e\u00ed zpochybniteln\u00e1. V mnoha zem\u00edch, v\u010detn\u011b N\u011bmecka, je kolonoskopie sou\u010d\u00e1st\u00ed bezplatn\u00e9ho d\u016fchodov\u00e9ho pl\u00e1nu. Zat\u00edmco l\u00e9ka\u0159i hovo\u0159\u00ed o z\u00e1chran\u011b \u017eivot\u016f, dlouhodob\u00e9 studie poskytuj\u00ed p\u0159ekvapiv\u00e9 nuance. Studie z roku 2022 s n\u00e1zvem \u201e\u00a0<\/span>Vliv kolonoskopick\u00e9ho screeningu na riziko kolorekt\u00e1ln\u00edho karcinomu a souvisej\u00edc\u00edch \u00famrt\u00ed<\/span><\/a> \u201c, kter\u00e1 p\u0159it\u00e1hla zvl\u00e1\u0161tn\u00ed pozornost v seversk\u00fdch zem\u00edch, zpochybnila jej\u00ed skute\u010dn\u00fd p\u0159\u00ednos z hlediska d\u00e9lky \u017eivota.<\/span><\/p>\n

Seversko-evropsk\u00e1 iniciativa pro kolorekt\u00e1ln\u00ed karcinom (NordICC) oslovila 84 585 \u00fa\u010dastn\u00edk\u016f v Polsku, Norsku, \u0160v\u00e9dsku a Nizozemsku. 28 220 z nich bylo pozv\u00e1no na kolonoskopii a 56 365 dostalo b\u011b\u017enou l\u00e9ka\u0159skou p\u00e9\u010di. Po deseti letech se objevil pozoruhodn\u00fd v\u00fdsledek: riziko \u00famrt\u00ed na kolorekt\u00e1ln\u00ed karcinom bylo 0,28 procenta ve skupin\u011b s kolonoskopi\u00ed a 0,31 procenta v kontroln\u00ed skupin\u011b. Celkov\u00e9 riziko \u00famrt\u00ed bylo prakticky stejn\u00e9: 11,03 procenta oproti 11,04 procenta.<\/span><\/p>\n

Tato \u010d\u00edsla vyvol\u00e1vaj\u00ed ot\u00e1zky ohledn\u011b nekriticky chv\u00e1len\u00e9ho \u201e\u017eivot zachra\u0148uj\u00edc\u00edho \u00fa\u010dinku\u201c kolonoskopie. Mezin\u00e1rodn\u00ed l\u00e9ka\u0159sk\u00e1 komunita reagovala se sm\u00ed\u0161en\u00fdmi pocity. Mnoho odborn\u00edk\u016f po\u017eaduje del\u0161\u00ed sledov\u00e1n\u00ed, proto\u017ee skute\u010dn\u00fdm p\u0159\u00ednosem kolonoskopie je odstran\u011bn\u00ed prekancer\u00f3zn\u00edch polyp\u016f, a t\u00edm i vliv na m\u00edru p\u0159e\u017eit\u00ed po cel\u00e1 desetilet\u00ed.\u00a0<\/span>Jin\u00ed kritizuj\u00ed<\/span><\/a> n\u00edzkou m\u00edru spolupr\u00e1ce ve studii: Pouze 42 procent pozvan\u00fdch \u00fa\u010dastn\u00edk\u016f skute\u010dn\u011b podstoupilo vy\u0161et\u0159en\u00ed a podrobnosti o dodr\u017eov\u00e1n\u00ed pokyn\u016f pro monitorov\u00e1n\u00ed polyp\u016f zcela chyb\u00ed.<\/span><\/p>\n

Pochybn\u00fd p\u0159\u00ednos<\/span><\/h3>\n

Nakonec v\u0161ak z\u016fst\u00e1v\u00e1 z\u00e1v\u011brem, \u017ee jedin\u00e1 kolonoskopie nezaru\u010duje dlouh\u00fd \u017eivot bez rakoviny tlust\u00e9ho st\u0159eva. To je t\u011bmito studiemi zna\u010dn\u011b zpochybn\u011bno. Realita je slo\u017eit\u011bj\u0161\u00ed. Prevence nen\u00ed jen intervence, ale dlouhodob\u00fd proces, kter\u00fd mus\u00ed zahrnovat \u017eivotn\u00ed styl, stravu, cvi\u010den\u00ed a pravideln\u00e9 sledov\u00e1n\u00ed. A to tak\u00e9 ukazuje, \u017ee mnoho z\u00e1padn\u00edch spole\u010dnost\u00ed se p\u0159\u00edli\u0161 spol\u00e9h\u00e1 na high-tech medic\u00ednu a zanedb\u00e1v\u00e1 z\u00e1kladn\u00ed preventivn\u00ed opat\u0159en\u00ed. Trend sm\u011brem ke zdrav\u011bj\u0161\u00ed v\u00fd\u017eiv\u011b, kter\u00fd se objevil v posledn\u00edch letech, v\u0161ak pravd\u011bpodobn\u011b bude m\u00edt tak\u00e9 sv\u016fj pozitivn\u00ed dopad.<\/span><\/p>\n

V n\u011bkolika zem\u00edch v sou\u010dasn\u00e9 dob\u011b prob\u00edhaj\u00ed dlouhodob\u00e9 studie, kter\u00e9 by mohly poskytnout podrobn\u011bj\u0161\u00ed v\u00fdsledky. Sou\u010dasn\u00e1 zji\u0161t\u011bn\u00ed jsou v\u0161ak jasn\u00e1: \u00fadajn\u00e1 z\u00e1zra\u010dn\u00e1 kolonoskopie evidentn\u011b zachra\u0148uje m\u00e9n\u011b \u017eivot\u016f, ne\u017e nazna\u010duje neust\u00e1l\u00e1 l\u00e9ka\u0159sk\u00e1 propaganda. \u010c\u00edsla nab\u00e1daj\u00ed k opatrnosti p\u0159i p\u0159ece\u0148ov\u00e1n\u00ed b\u011b\u017en\u00fdch l\u00e9ka\u0159sk\u00fdch postup\u016f a znovu ukazuj\u00ed, jak se bohat\u00e9 spole\u010dnosti spol\u00e9haj\u00ed na technologie, zat\u00edmco z\u00e1kladn\u00ed faktory zdrav\u00ed a prevence jsou \u010dasto p\u0159ehl\u00ed\u017eeny. Pro samotn\u00e9 lidi mohou b\u00fdt kolonoskopie prosp\u011b\u0161n\u00e9, ale nejsou v\u0161el\u00e9kem.<\/span><\/p>\n

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\"\"<\/p>\n","protected":false},"excerpt":{"rendered":"

Kolonoskopie je pova\u017eov\u00e1na za nesporn\u00fd standard prevence rakoviny tlust\u00e9ho st\u0159eva \u2013 ale rozs\u00e1hl\u00e1, dlouhodob\u00e1 studie…<\/p>\n","protected":false},"author":2,"featured_media":86295,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[9684,839,1156,21],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/86294"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=86294"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/86294\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/86295"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=86294"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=86294"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=86294"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}