The Usefulness of Colonoscopy as a Colon Cancer Screening Test for Asymptomatic Adults / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 14-18, 2007.
Article
in Korean
| WPRIM
| ID: wpr-116421
ABSTRACT
BACKGROUND/AIMS:
This study evaluated the prevalence and location of colonic adenomatous polyps in asymptomatic adults.METHODS:
A total of 2,849 asymptomatic adults underwent colonscopic screening as a part of health evaluation from January 2003 to September 2005. Completed questionnaires as well as the colonoscopic and pathologic findings were analyzed.RESULTS:
There were 406 (14.3%) subjects with adenomatous polyps including 78 (2.7%) with advanced polyps. There was a trend toward an increased prevalence of adenomatous polyps with age. The relative risk of a proximal polyp according to the distal findings was 5.7 (95% CI 4.3 ~ 7.4) for adenoma, 4.9 (95% CI 3.0 ~ 7.7) for advanced adenoma compared with that for no adenomatous polyp. There were no index polyps at the distal colon in 30% of the 406 subjects.CONCLUSIONS:
Though distal polyps are associated with the proximal polyps, 30% of asymptomatic adults with proximal polyps are not associated with any distal index polyps. For those without any contraindication to the procedure, colonoscopy performed by experienced colonoscopists as a screening test is feasible for detecting those patients with colorectal polyps.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polyps
/
Adenoma
/
Mass Screening
/
Prevalence
/
Surveys and Questionnaires
/
Colonoscopy
/
Colon
/
Colonic Neoplasms
/
Adenomatous Polyps
Type of study:
Diagnostic study
/
Etiology study
/
Prevalence study
/
Screening study
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2007
Type:
Article
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