The Development System for Screening on Liver flukes and Cholangiocarcinoma in Risk Groups as Participatory Communities, Suwannaphum Hospital

Abstract

Purposes : To analyze problems, develop on screening system and evaluate a participatory screening system on liver flukes and cholangiocarcinoma in risk groups as participatory communities.

Study design : Research and Development : R&D

Materials and Methods : All total 876 of cases were consisted of paticipants aged 40 years old and over who lived in Sakhu subdistrict area, Suvarnabhumi district who were screened verbally with 5 questions and found to be at risk for bile duct cancer in one or more questions, and were willing and able to apply to participate in  research project and received ultrasound examinations. Data were collected using questionnaires and recording forms. Data were analyzed using frequency, percentage, mean and standard deviation.

Main findings : All most of them female (70.1%) had an mean age of 53 years (SD.=10.1), ages ranging until 50-59 years, graduated from primary school, agricultural, occupation and history of father or mother having bile duct cancer, had you ever assorted Sashimi, undercooked, scaly freshwater fish or fermented fish. The system for screening were consisted of 6 steps: survey of problems and needs; create a screening database; data recording; additional diagnostic testing and data recovery, and treatment and surveillance of at-risk groups. We were found that Suspected cases accounted for 1,712 per 100,000 population, dilated bile duct (0.23%) parenchymal echo examination results found Normal 10 cases (1.14%), abnormal 5 cases (0.57%), PDF (Bile duct fibrosis) 1 case (0.11%), parenchymal change (abnormal liver tissue) 2 cases (0.23%) and Refer case 228 cases (26.02%).

Conclusion and recommendations : This research resulted in the discovery of suspected cases, dilated bile duct and parenchymal change. therefore, relevant agencies should apply them in high-risk areas.