PMID- 20140828
OWN - NLM
STAT- MEDLINE
DCOM- 20100622
LR  - 20100208
IS  - 1438-8812 (Electronic)
IS  - 0013-726X (Linking)
VI  - 42
IP  - 2
DP  - 2010 Feb
TI  - Differences in the prevalence of colorectal polyps in patients undergoing 
      endoscopic removal of gastric adenoma or early gastric cancer and in healthy 
      individuals.
PG  - 114-20
LID - 10.1055/s-0029-1243875 [doi]
AB  - BACKGROUND AND AIMS: We compared the prevalence of adenomatous and cancerous 
      colon polyps in patients who underwent endoscopic removal of gastric neoplasms 
      and in healthy controls. MATERIALS AND METHODS: This retrospective study reviewed 
      the medical records of 186 patients with gastric neoplasms and 186 healthy 
      subjects from January 2002 to October 2008. The gastric neoplasm group was 
      comprised of patients undergoing endoscopic removal of gastric adenomas or early 
      gastric cancers and serial fiberoptic colonoscopy (FCS) for checkups. The control 
      group was comprised of subjects undergoing fiberoptic esophagogastroduodenoscopy 
      (FEGD) and FCS for general checkup and was matched for age and sex with the 
      gastric neoplasm group. Advanced colonic neoplasm was defined by any of the 
      following: (1) the presence of three or more polyps; (2) polyp size at least 1.0 
      cm; (3) high-grade dysplasia or adenocarcinoma confirmed by histopathologic 
      examination. RESULTS: Of the 372 persons, colorectal polyps were detected in 124 
      (33.3 %), advanced colonic neoplasms in 44 (11.8 %), and adenocarcinomas in 10 
      (2.7 %). The overall prevalence of adenomatous or cancerous polyps ("all polyps") 
      and the prevalence of advanced colonic neoplasms were significantly higher in the 
      gastric neoplasm group than in the control group (all polyps: 40.9 % in the 
      gastric neoplasm group vs. 25.8 % in the control group, P = 0.002; advanced 
      colonic neoplasms: 15.6 % vs. 8.1 %, P = 0.025). The risk factors for all polyps 
      were age, male sex, diabetes mellitus, and being assigned to the gastric neoplasm 
      group, and those for advanced colonic neoplasms were age and being assigned to 
      the gastric neoplasm group. Confining the analysis to the gastric neoplasm group, 
      the risk factors for all polyps were identical with those for the total group; 
      however, those for advanced colonic neoplasm were different (age vs. diabetes and 
      hypertriglyceridemia). CONCLUSION: Endoscopists should consider performing 
      routine FCS in patients undergoing endoscopic removal of gastric neoplasms.
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Joo, M K
AU  - Joo MK
AD  - Department of Internal Medicine, Korea University College of Medicine, Seoul, 
      152-703 Korea.
FAU - Park, J-J
AU  - Park JJ
FAU - Lee, W W
AU  - Lee WW
FAU - Lee, B J
AU  - Lee BJ
FAU - Hwang, J K
AU  - Hwang JK
FAU - Kim, S-H
AU  - Kim SH
FAU - Jung, W
AU  - Jung W
FAU - Kim, J H
AU  - Kim JH
FAU - Yeon, J E
AU  - Yeon JE
FAU - Kim, J S
AU  - Kim JS
FAU - Byun, K S
AU  - Byun KS
FAU - Bak, Y T
AU  - Bak YT
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20100205
PL  - Germany
TA  - Endoscopy
JT  - Endoscopy
JID - 0215166
SB  - IM
MH  - Adenoma/complications/*surgery
MH  - Colonic Polyps/complications/*epidemiology
MH  - Female
MH  - Follow-Up Studies
MH  - Gastrectomy/*methods
MH  - Gastroscopy/*methods
MH  - Humans
MH  - Korea/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Neoplasm Staging
MH  - Prevalence
MH  - Retrospective Studies
MH  - Stomach Neoplasms/complications/diagnosis/*surgery
EDAT- 2010/02/09 06:00
MHDA- 2010/06/23 06:00
CRDT- 2010/02/09 06:00
PHST- 2010/02/09 06:00 [entrez]
PHST- 2010/02/09 06:00 [pubmed]
PHST- 2010/06/23 06:00 [medline]
AID - 10.1055/s-0029-1243875 [doi]
PST - ppublish
SO  - Endoscopy. 2010 Feb;42(2):114-20. doi: 10.1055/s-0029-1243875. Epub 2010 Feb 5.