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How Kentucky’s Lifestyle and Genetics Are Contributing To High Colon Cancer Rates

Dr. Whitney Jones was recently featured in a Bowling Green Daily News article about how Kentucky’s lifestyle and genetics are contributing to high colon cancer rates.

The article highlights some alarming statistics. According to the Centers for Disease Control and Prevention, Kentucky has the highest rate of colorectal cancer in the nation, and it is the third leading cause of cancer death in women and men.

Lifestyle Causes of Colorectal Cancer Include

  • Lack of exercise
  • Diet high in processed red meat and low in fruits and vegetables
  • Obesity
  • Excessive alcohol consumption
  • Tobacco use

The Centers for Disease Control and Prevention ranks Kentucky as the second highest state in the nation for tobacco use. What’s more, over two-thirds of adults in Kentucky are overweight, less than a tenth eat enough fruits and vegetables, and more than a third do not exercise regularly.

In addition to harmful lifestyle habits, a family history of colorectal cancer puts patients at a higher risk for developing the disease themselves.

Dr. Whitney Jones, a gastroenterologist with Gastroenterology Health Partners in Louisville is a national expert and frequent speaker on early-age onset colorectal cancer prevention, as well as genetic GI cancer syndrome testing, risk management and communication strategies for population-based cancer prevention.

Founder of the Colon Cancer Prevention Project, an organization dedicated to colon cancer prevention, Dr. Jones is an advocate for utilizing genetic testing to improve patient outcomes and lower cancer-related societal outcomes. The article notes a bill recently passed by Kentucky legislators that requires health insurance to cover genetic tests for cancer when recommended by licensed medical professionals.

DNA testing can help expose those with genetic risks for colorectal cancer and determine the appropriate age for them to begin screening. In his work, Dr. Jones recognizes a correlation between low screening rates and high incidences of colon cancer and mortality rates. “Only one in 10 people get genetic testing before developing cancer. If you know you were going to have a car wreck next Thursday, what would you do?”

Read the full article here:

 

Dr. Whitney Jones Discusses Colorectal Cancer

Dr. Whitney Jones is a national expert and frequent speaker on early-age onset colorectal cancer prevention, genetic GI cancer syndrome testing and risk management, and communication strategies for population-based cancer prevention.

On this episode of KET’s Kentucky Health, Dr. Jones explains how we can decrease incidents and mortality rates of colorectal cancer.

Colorectal cancer is the second cause of death due to cancer in the United States. Prior to 2004, Kentucky had one of the highest death rates from colon cancer. One major factor was a lack of screenings. However, now the mortality rate has decreased by more than 20% and we have gone from being 49th in the U.S. for people being screened for colon cancer to a current ranking of 20th.

This is due in large part to the development in 2003 of the Colon Cancer Prevention Project by Dr. Whitney Jones; an organization dedicated to spreading the message of colon cancer.

While the rates are decreasing for those over the age of 55, for reasons unknown, rates of colorectal cancer, specifically rectal cancer, have increased in those under the age of 55. Genetics and lifestyle habits could be prominent factors in this increase. Early screening is an important preventive tool as these rates are projected to continue to rise. 

Causes of Colorectal Cancer

  • Obesity
  • Tobacco use
  • Diets high in red processed meat and low in fresh fruits or veggies
  • Lack of exercise 
  • A family history
  • Excessive or ongoing alcohol use

Symptoms of Colorectal Cancer

  • Rectal bleeding
  • Change in bowel habits
  • Weight loss
  • Unexplained abdominal pain

However, the most common symptom of colon cancer is no symptom at all. It is known as the silent killer and early onset colon cancer has an average 6 month delay from the time a person has symptoms until they see a doctor. 

Screenings

Those with a family history should start screening a decade before their family history indicates, even as early as one’s twenties. 20% of those with a family history of colorectal cancer are at more of a risk themselves. 

If no warning signs or family history exist, screenings should being at the age of 45.

All colonoscopy screenings are covered in the state of Kentucky due to the Affordable Care Act. For those who don’t want a colonoscopy,  there are other options available. However, colonoscopies are still the gold standard of screenings as they remove polyps and the removal of polyps help prevent cancer from developing.

Knowing Your Family History

Genetic medical grade testing is an important proactive tool in diagnosing colorectal cancer. It is now more affordable and accessible than ever before.

Lynch syndrome for example is the most common genetic trait for colorectal cancer. Polyps in the colon develop into cancer faster for persons with Lynch syndrome than those with other genetic predispositions. Those who have it are also at an increased risk of ovarian cancer, endometrial cancer, and pancreatic cancer, among several others. 

Other Preventative Measures

  • Increase the amount of veggies in your diet.
  • Aspirin has been known to reduce the formation of polyps, but has it’s side effects.
  • If you have had polyps in the past, keep up with your follow up surveillance.

Watch the full episode of Dr. Whitney Jones on Kentucky Health here: 


Dr. Whitney Jones is a practicing Gastroenterologist, former therapeutic endoscopist and Clinical Professor at the University of Louisville from 1994 until 2017. He joined GHP in 2017 cofounding its new east Louisville division, Gastroenterology & Endoscopy Associates, PLLC, alongside Drs. Ashok Kapur and Laszlo Makk.

Dr. William Evans Discusses Pancreatitis

Dr. William Evans offers diagnostic and therapeutic care for conditions involving the GI tract, pancreas, and liver.  He provides his patients with comprehensive care that has been honed through years of specialized training and experience.

On this episode of KET’s Kentucky Health, Dr. Evans thoroughly discusses the pancreas as well as pancreatitis.

What is the Pancreas?

The pancreas is an organ that aids in the digestion of food. Located behind the stomach and deep in the abdomen, inflammation of the pancreas can affect all the important organs that surround it and even cause paralysis of the intestines. The two main functions of the pancreas are to regulate blood sugar and to make a enzyme fluid that helps digest any proteins or fats that are consumed. Pancreatitis is a disease that occurs when the pancreas becomes inflamed.

Causes of Pancreatitis 

  • Excessive Alcohol Abuse
  • Certain Medications
  • High Cholesterol
  • Gallstones or Gallbladder Disease (The most common cause.)
  • Virus or Traumatic Injury: (While not very common, viruses or traumatic injuries can result in pediatric cases of pancreatitis.) 
  • Distended Belly or Bloating (Present in more significant cases due to inflammation.)

Symptoms of Pancreatitis 

  • Abdominal Pain (Severe and focused on one’s back, especially triggered when eating.)
  • Nausea or Vomiting

Acute Vs. Chronic Pancreatitis 

Anyone can have acute pancreatitis. The most common cause of acute pancreatitis is trapped gallstones blocking the flow of pancreatic juice. In acute pancreatitis, inflammation can be so profound that the organ digests itself. Long term complications include a severe episode where one must be admitted to a hospital and kept for a few days, the death of the pancreas itself, a build up fluid that can become infected, as well as an impact on multiple other organs.

Chronic pancreatitis is most commonly associated with risk factors such as regular alcohol or tobacco use. Chronic pancreatitis can take months to develop and is often asymptomatic. In chronic pancreatitis cases, scar tissue builds up in the pancreas surrounding the nerves and causing pain. Overtime, one can lose function of the gland as well as the ability to digest food, and are at an increased risk for diabetes as well as pancreatic cancer. 

Pancreatic cancer is the 4th leading cause of cancer related deaths in the United States affecting those 45 or older. Signs of pancreatitis cancer include unexplained weight loss, a history of smoking, no obvious cause of pancreatitis, and a family history of the disease.   

Diagnosing & Treating Pancreatitis

Diagnosing pancreatitis often involves a basic exam, medical history, lab work and imaging. A CT scan of the abdomen can show if a stone is causing blockage or if a tumor is present. If a gallstone is a factor, an endoscopy may be required. With little if any food intake, pancreatitis usually takes 3-5  days to resolve, and an additional 6 weeks for the pancreas itself to normalize.

In order to avoid pancreatitis, abstaining from smoking and drinking is recommended. Educating one’s self on gallstones is also a helpful resource in preventative care, as one can have them removed if they become problematic.

Watch the full episode of Dr. William Evans on Kentucky Health here: 


Dr. William Evans earned his Medical degree from St. George’s University School of Medicine in Grenada, West Indies.  He completed his clinical training at the University of Louisville, where he completed an Internship, a Residency in Internal Medicine, and Fellowship in Gastroenterology.  During his fellowship training, Dr. Evans also earned a Masters in Science & Clinical Investigation at the University of Louisville School of Public Health & Information Sciences.  Dr. Evans went on to complete a second Fellowship in Therapeutic Endoscopy at the University of Florida College of Medicine in Gainesville, Florida.