Significance of small distal adenoma for detection of proximal neoplasms in the colorectum.

Abstract:

BACKGROUND:The significance of the small distal tubular adenoma detected by sigmoidoscopy as a predictor of proximal neoplasm remains controversial. The aim of this study was to examine the prevalence of proximal neoplasms in patients with and without distal neoplasms. METHODS:This is a retrospective study of 3131 asymptomatic middle-aged men who underwent total colonoscopy. For 812 men with colorectal neoplasms characteristics of the identified neoplasms were determined. RESULTS:The prevalence of proximal neoplasms in patients with small distal tubular adenoma was 20% (92 of 461), whereas the prevalence of proximal neoplasms in patients without distal neoplasms was 11.5% (301 of 2620). The prevalence of advanced proximal neoplasms in patients with small distal tubular adenoma and without distal neoplasm was 1.3% and 0.8%, respectively. In the 29 patients with advanced proximal neoplasms, only 6 (21%) had a small distal tubular adenoma. CONCLUSIONS:The presence of small distal tubular adenomas may provide a clue to the presence of small proximal tubular adenomas. However, the majority of advanced proximal neoplasms (79%) do not have a synchronous small distal tubular adenoma. (Gastrointest Endosc 2000;52:358-61).

journal_name

Gastrointest Endosc

authors

Ikeda Y,Mori M,Miyazaki M,Yoshizumi T,Maehara Y,Sugimachi K

doi

10.1067/mge.2000.107908

keywords:

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

358-61

issue

3

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(00)97578-3

journal_volume

52

pub_type

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