Is Preoperative Work-Up Colonoscopy Necessary for Patient with Gastric Cancer?
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
;
: 215-220, 2016.
Artigo
em Coreano
| WPRIM
| ID: wpr-8143
ABSTRACT
BACKGROUND/AIMS:
Recently, many studies have reported the incidence of colorectal neoplasm (CRN) to be increased in patients with gastric cancer. Thus preoperative colonoscopy is recommended for the screening of CRN. The purpose of this study is to investigate the prevalence of colorectal adenoma and cancer in patients with gastric cancer and evaluate the necessity of preoperative colonoscopy in patients with gastric cancer. MATERIALS ANDMETHODS:
We collected data from 293 patients who underwent gastrectomy due to gastric cancer at one tertiary institution between January to December 2015. Preoperative colonoscopy was performed in 127 patients of 293 patients. To compare the prevalence of colorectal neoplasm, we selected 900 persons who underwent upper esophagogastroduodenoscopy and colonoscopy for health screening during 2015.RESULTS:
The prevalence of overall CRN was similar in the gastric cancer group and the control group. The prevalence of colorectal advanced adenoma and cancer was higher in the gastric cancer group compared with control group, but it did not show statistical significance. The prevalence of colorectal advanced adenoma was significantly higher in the group of age ≥ years and smoking.CONCLUSIONS:
The risk of advanced colorectal adenoma increases significantly in patients with old age but not in patients with gastric cancer. We suggest that all patients with gastric cancer might not carry a high risk for advanced colorectal adenoma compared with the normal population. Patients with old age might require surveillance colonoscopy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fumaça
/
Neoplasias Gástricas
/
Neoplasias Colorretais
/
Fumar
/
Adenoma
/
Programas de Rastreamento
/
Incidência
/
Prevalência
/
Endoscopia do Sistema Digestório
/
Colonoscopia
Tipo de estudo:
Estudo de incidência
/
Estudo de prevalência
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Ano de publicação:
2016
Tipo de documento:
Artigo
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