The risk of subsequent primary cancers after colorectal cancer in southeast England.

Abstract:

BACKGROUND:Multiple cancers may occur in an individual because of a genetic predisposition, environmental exposure, cancer therapy, or immunological deficiency. Colorectal cancer is one of the most commonly diagnosed cancers, and inherited factors play an important role in its aetiology. AIMS:To characterise the occurrence of multiple primary cancers in patients diagnosed with colorectal cancer and explore the possibility of a common aetiology for different cancer sites. PATIENTS:The Thames Cancer Registry database was used to identify patients with a first colorectal cancer, resident in the North or South Thames region, diagnosed between 1 January 1961 and 31 December 1995. A total of 127 281 patients were included, 61 433 men and 65 848 women. METHODS:Observed numbers of cancers occurring after the diagnosis of colorectal cancer were compared with expected numbers, calculated using appropriate age, sex, and period specific rates, to obtain standardised incidence ratios. The occurrence of colorectal cancers subsequent to cancers at other sites was also examined. RESULTS:Small intestinal cancer was significantly increased in men diagnosed with colorectal cancer before the age of 60 years and in women diagnosed with colorectal cancer after the age of 65 years. Colorectal cancer was also significantly increased after a first diagnosis of cancer of the small intestine. Other cancer sites with a significant increase after colorectal cancer included the cervix uteri, corpus uteri, and ovary. CONCLUSIONS:Patients with colorectal cancer are at increased risk of developing cancer at a number of other sites. Some of these associations are consistent with the effects of known inherited cancer susceptibility genes.

journal_name

Gut

journal_title

Gut

authors

Evans HS,Møller H,Robinson D,Lewis CM,Bell CM,Hodgson SV

doi

10.1136/gut.50.5.647

keywords:

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

647-52

issue

5

eissn

0017-5749

issn

1468-3288

journal_volume

50

pub_type

杂志文章

相关文献

GUT文献大全
  • Specialist investigation of obscure gastrointestinal bleeding.

    abstract::The investigation and treatment of 131 patients with 'obscure' gastrointestinal bleeding has been reviewed. One hundred and six patients were assessed electively for recurrent haemorrhage, 25 presented as emergencies. The major presenting feature was melaena (55 patients), anaemia (35), rectal bleeding (34), haemateme...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.1.47

    authors: Thompson JN,Salem RR,Hemingway AP,Rees HC,Hodgson HJ,Wood CB,Allison DJ,Spencer J

    更新日期:1987-01-01 00:00:00

  • Effects of 13-nle-motilin on the electrical and mechanical activity of the isolated perfused canine stomach and duodenum.

    abstract::Synthetic 13-norleucine-motilin (13-nle-motilin), structural and biological analogue of the naturally-occurring duodenal polypeptide, motilin, is known to stimulate antral and duodenal motor activity in vitro, but delays gastric emptying in man. In this study the direct actions of the synthetic polypeptide on myoelect...

    journal_title:Gut

    pub_type: 杂志文章

    doi:

    authors: Green WE,Ruppin H,Wingate DL,Domschke W,Wünsch DE,Demling L,Ritchie HD

    更新日期:1976-05-01 00:00:00

  • Lactate and pH in faeces from patients with colonic adenomas or cancer.

    abstract::Earlier studies have reported that faecal pH is more alkaline in patients with colonic cancer, indicating a reduction in colonic carbohydrate fermentation to organic acids. The pH of faeces from 11 pre and 14 postoperative, selected colonic cancer patients without intestinal obstruction, major loss of appetite or weig...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.5.625

    authors: Hove H,Rye Clausen M,Brøbech Mortensen P

    更新日期:1993-05-01 00:00:00

  • Motor activity recorded in the unprepared colon of healthy humans.

    abstract::A manometric method was developed to study the motor activity in the unprepared human colon, and the results in eight healthy subjects were compared with those obtained in the same subjects after bowel cleansing with a non-absorbable solution containing polyethylene glycol 4000 (PEG). A tube assembly (4.5 m long, 12 l...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.37.5.649

    authors: Lémann M,Flourié B,Picon L,Coffin B,Jian R,Rambaud JC

    更新日期:1995-11-01 00:00:00

  • Limitations of faecal chymotrypsin as a screening test for chronic pancreatitis.

    abstract::Faecal chymotrypsin was measured in patients with chronic pancreatitis and in healthy black urban and rural control subjects. In the patients, significantly lower values of faecal chymotrypsin were obtained (mean (SD) 2.4 1.79 U/g stool) whereas in urban control subjects, values were within the normal range (mean (SD)...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.3.321

    authors: Riedel L,Walker AR,Segal I,Mohamed AE,Smyth AE,Daya B,Naik I

    更新日期:1991-03-01 00:00:00

  • Effects of morphine on human pancreatic secretion: studies on pure pancreatic juice.

    abstract::Data concerning the effects of morphine on human pancreatic secretion are fragmentary and inconclusive. In the present study, we evaluated the effects of morphine on pure pancreatic secretion in nine subjects with external transduodenal drainage of the main pancreatic duct performed after biliary tract surgery. Intrav...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.23.9.739

    authors: Gullo L,Priori P,Costa PL,Garcea D,Baldoni F,Mattioli G,Labo G

    更新日期:1982-09-01 00:00:00

  • Cancer surveillance in longstanding ulcerative colitis: endoscopic appearances help predict cancer risk.

    abstract:BACKGROUND AND AIMS:The risk of colorectal cancer is increased in ulcerative colitis (UC). Patients with UC have diverse colonoscopic appearances. Determining colonoscopic markers for cancer risk could allow patient risk stratification. PATIENTS AND METHODS:Following on from an earlier study which demonstrated a corre...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.038505

    authors: Rutter MD,Saunders BP,Wilkinson KH,Rumbles S,Schofield G,Kamm MA,Williams CB,Price AB,Talbot IC,Forbes A

    更新日期:2004-12-01 00:00:00

  • Impact of common risk factors of fibrosis progression in chronic hepatitis C.

    abstract:OBJECTIVE:The natural course of chronic hepatitis C varies widely. To improve the profiling of patients at risk of developing advanced liver disease, we assessed the relative contribution of factors for liver fibrosis progression in hepatitis C. DESIGN:We analysed 1461 patients with chronic hepatitis C with an estimat...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2014-306997

    authors: Rüeger S,Bochud PY,Dufour JF,Müllhaupt B,Semela D,Heim MH,Moradpour D,Cerny A,Malinverni R,Booth DR,Suppiah V,George J,Argiro L,Halfon P,Bourlière M,Talal AH,Jacobson IM,Patin E,Nalpas B,Poynard T,Pol S,Abel L,

    更新日期:2015-10-01 00:00:00

  • Epidemiological trends of pre-malignant gastric lesions: a long-term nationwide study in the Netherlands.

    abstract:BACKGROUND:The pre-malignant gastric lesions atrophic gastritis (AG), intestinal metaplasia (IM) and dysplasia (DYS) have long been identified as principal risk factors for gastric cancer. OBJECTIVE:To evaluate epidemiological time trends of pre-malignant gastric lesions in the Netherlands. METHODS:Patients with a fi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.127167

    authors: de Vries AC,Meijer GA,Looman CW,Casparie MK,Hansen BE,van Grieken NC,Kuipers EJ

    更新日期:2007-12-01 00:00:00

  • Decreased miR-199 augments visceral pain in patients with IBS through translational upregulation of TRPV1.

    abstract:OBJECTIVE:Many patients with irritable bowel syndrome IBS not only have abdominal pain but also may suffer from visceral hypersensitivity and heighted visceral nociception. Moreover, IBS has few effective therapeutic agents and mechanisms of disease are unclear. Our goals were to (i) identify microRNA (miRNA) expressio...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2013-306464

    authors: Zhou Q,Yang L,Larson S,Basra S,Merwat S,Tan A,Croce C,Verne GN

    更新日期:2016-05-01 00:00:00

  • Autonomic dysfunction in gastrointestinal motility disorders.

    abstract::The records of 113 consecutive patients with a suspected gastrointestinal motility disorder referred between January 1988 and July 1991 were retrospectively reviewed. The aims were to identify the prevalence of autonomic dysfunction in those with or without associated neurological disease and to determine the diagnost...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.3.397

    authors: Bharucha AE,Camilleri M,Low PA,Zinsmeister AR

    更新日期:1993-03-01 00:00:00

  • Pentagastrin induced motility pattern in the human upper gastrointestinal tract is reversed by proglumide.

    abstract::The effects of pentagastrin and the putative gastrin antagonist proglumide on interdigestive motility of the upper small bowel were studied in a randomised double blind study in 10 healthy human volunteers. Intraluminal pressures were recorded manometrically in the duodenum and jejunum for five hours. Sixty minutes af...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.25.9.953

    authors: Erckenbrecht JF,Caspari J,Wienbeck M

    更新日期:1984-09-01 00:00:00

  • Oxidative DNA damage accumulation in gastric carcinogenesis.

    abstract:BACKGROUND:Gastric carcinogenesis is a multifactorial, multistep process, in which chronic inflammation plays a major role. AIMS:In order to ascertain whether free radical mediated oxidative DNA damage is involved in such a process, concentrations of 8-hydroxydeoxyguanosine (8OHdG), a mutagenic/carcinogenic adduct, an...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.42.3.351

    authors: Farinati F,Cardin R,Degan P,Rugge M,Mario FD,Bonvicini P,Naccarato R

    更新日期:1998-03-01 00:00:00

  • Interval cancers after negative colonoscopy: population-based case-control study.

    abstract:OBJECTIVE:The risk of colorectal cancer after a previous negative colonoscopy is very low. Nevertheless, interval cancers occur. We aimed to assess the characteristics and predictors of interval cancers after negative colonoscopy. METHODS:A population-based case-control study was conducted in Southern Germany in 2003-...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-301531

    authors: Brenner H,Chang-Claude J,Seiler CM,Hoffmeister M

    更新日期:2012-11-01 00:00:00

  • Is gastric cancer preventable?

    abstract::Gastric cancer is a major health burden worldwide and prevention is the most promising strategy to control the disease. The available scientific evidence indicates that curing Helicobacter pylori infection results in a modest retardation of the precancerous process but does not prevent all cancers. Individuals at the ...

    journal_title:Gut

    pub_type: 评论,杂志文章,评审

    doi:10.1136/gut.2004.039834

    authors: Correa P

    更新日期:2004-09-01 00:00:00

  • Human hepatic stellate cell lines, LX-1 and LX-2: new tools for analysis of hepatic fibrosis.

    abstract:BACKGROUND:Hepatic stellate cells (HSCs) are a major fibrogenic cell type that contributes to collagen accumulation during chronic liver disease. With increasing interest in developing antifibrotic therapies, there is a need for cell lines that preserve the in vivo phenotype of human HSCs to elucidate pathways of human...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.042127

    authors: Xu L,Hui AY,Albanis E,Arthur MJ,O'Byrne SM,Blaner WS,Mukherjee P,Friedman SL,Eng FJ

    更新日期:2005-01-01 00:00:00

  • Endothelial progenitors promote hepatocarcinoma intrahepatic metastasis through monocyte chemotactic protein-1 induction of microRNA-21.

    abstract:OBJECTIVES:Endothelial progenitor cells (EPCs) circulate with increased numbers in the peripheral blood of patients with highly-vascularised hepatocellular carcinoma (HCC) and contribute to angiogenesis and neovascularisation. We hypothesised that angiogenic EPCs, that is, colony forming unit-endothelial cells (CFU-ECs...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2013-306302

    authors: Shih YT,Wang MC,Zhou J,Peng HH,Lee DY,Chiu JJ

    更新日期:2015-07-01 00:00:00

  • Activation of signal transducer and activator of transcription (STAT) 1 in human chronic inflammatory bowel disease.

    abstract:BACKGROUND:Increased expression of proinflammatory cytokines, including tumour necrosis factor alpha, interleukin 6, and interferon gamma, as well as activation of proinflammatory signalling molecules such as nuclear factor kappa B, is characteristic of inflammatory bowel disease (IBD). AIMS:To investigate expression ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.51.3.379

    authors: Schreiber S,Rosenstiel P,Hampe J,Nikolaus S,Groessner B,Schottelius A,Kühbacher T,Hämling J,Fölsch UR,Seegert D

    更新日期:2002-09-01 00:00:00

  • Increased risk and case fatality rate of pyogenic liver abscess in patients with liver cirrhosis: a nationwide study in Denmark.

    abstract:BACKGROUND:Patients with liver cirrhosis are at increased risk of serious bacterial infections carrying a high case fatality rate. Case reports have suggested an association between liver cirrhosis and pyogenic liver abscess. AIMS:To estimate the risk and case fatality rate of pyogenic liver abscess in Danish patients...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.48.2.260

    authors: Mølle I,Thulstrup AM,Vilstrup H,Sørensen HT

    更新日期:2001-02-01 00:00:00

  • Inhibition of liver regeneration by chronic alcohol administration.

    abstract::Liver regeneration is the common mechanism whereby a patient recovers form a liver injury. In the western world, ethanol is the single most important aetiological factor associated with liver disease, and it appears crucial to determine if ethanol interferes with liver regeneration. We studied the response to a 70% he...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.23.1.8

    authors: Duguay L,Coutu D,Hetu C,Joly JG

    更新日期:1982-01-01 00:00:00

  • Plasminogen fragment K1-5 improves survival in a murine hepatocellular carcinoma model.

    abstract:BACKGROUND:The prognosis of patients with hepatocellular carcinoma (HCC) remains poor, and new alternative treatments are needed. AIMS:To comparatively test the angiostatic and antitumour effects of adenoviral gene transfer of angiostatin (PlgK1-4, amino acids 1-440) and full kringles 1-5 (PlgK1-5, amino acids 1-546) ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2005.088583

    authors: Schmitz V,Raskopf E,Gonzalez-Carmona MA,Vogt A,Rabe C,Leifeld L,Kornek M,Sauerbruch T,Caselmann WH

    更新日期:2007-02-01 00:00:00

  • Role of bone marrow-derived cells in experimental chronic pancreatitis.

    abstract:BACKGROUND:Chronic pancreatitis is a known risk factor for pancreatic adenocarcinoma. Recent work has pointed to a role for bone marrow-derived progenitor cells (BMDCs) in chronic inflammation-based carcinogenesis. Consequently, the role of BMDCs in chronic pancreatitis was investigated. METHODS:The fate of BMDCs was ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.143271

    authors: Marrache F,Pendyala S,Bhagat G,Betz KS,Song Z,Wang TC

    更新日期:2008-08-01 00:00:00

  • Effect of the gastric balloon versus sham procedure on weight loss in obese subjects.

    abstract::The mechanism by which intragastric balloons induce weight loss is not known, although they may act simply by reducing the amount of food needed to induce satiety. The knowledge that a balloon is present may influence the patients' eating patterns and reduce caloric intake and weight. In order to test whether the ball...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.30.8.1054

    authors: Ramhamadany EM,Fowler J,Baird IM

    更新日期:1989-08-01 00:00:00

  • Chemoprevention of colorectal cancer.

    abstract::Colorectal cancer is the fourth commonest form of cancer in men with 678 000 estimated new cases per year worldwide, representing 8.9% of all new cancers. The disease is most frequent in Occidental countries and particularly so in North America, Australia, New Zealand, and parts of Europe. Prospects for colorectal can...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.43.4.578

    authors: Langman M,Boyle P

    更新日期:1998-10-01 00:00:00

  • Batf-dependent Th17 cells critically regulate IL-23 driven colitis-associated colon cancer.

    abstract:OBJECTIVES:IBDs have an increased risk for development of colorectal cancer (CRC). Here, we aimed at the characterisation of the functional role of Th17-associated transcription factors in sporadic and colitis-associated colon cancer in vivo. DESIGN:We used mice deficient or transgenic for the activating protein 1 fam...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2014-308227

    authors: Punkenburg E,Vogler T,Büttner M,Amann K,Waldner M,Atreya R,Abendroth B,Mudter J,Merkel S,Gallmeier E,Rose-John S,Neurath MF,Hildner K

    更新日期:2016-07-01 00:00:00

  • Serum hepatocyte growth factor as an index of extensive catabolism of patients awaiting liver transplantation.

    abstract:BACKGROUND:Whole body catabolism as the result of intrahepatic metabolic derangement is common in liver transplant candidates. However, individual nutritional assessment parameters lack sensitivity and specificity in determining energy status of these patients. Recently, serum hepatocyte growth factor (HGF) has been sh...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.44.6.862

    authors: Miki C,Mayer AD,Buckels JA,Iriyama K,Suzuki H,McMaster P

    更新日期:1999-06-01 00:00:00

  • Psychological stress and corticotropin-releasing hormone increase intestinal permeability in humans by a mast cell-dependent mechanism.

    abstract:OBJECTIVE:Intestinal permeability and psychological stress have been implicated in the pathophysiology of IBD and IBS. Studies in animals suggest that stress increases permeability via corticotropin-releasing hormone (CRH)-mediated mast cell activation. Our aim was to investigate the effect of stress on intestinal perm...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2013-305690

    authors: Vanuytsel T,van Wanrooy S,Vanheel H,Vanormelingen C,Verschueren S,Houben E,Salim Rasoel S,Tόth J,Holvoet L,Farré R,Van Oudenhove L,Boeckxstaens G,Verbeke K,Tack J

    更新日期:2014-08-01 00:00:00

  • Aminoacid constitution of two gastrins isolated from Zollinger-Ellison tumour tissue.

    abstract::Two peptides which are potent stimulants of gastric acid secretion are isolated from Zollinger-Ellison tumour tissue. They have aminoacid constitutions identical with those of human gastrin types I and II as isolated from human antral mucosa, and they are present in similar proportions. Their electrophoretic and chrom...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.10.8.603

    authors: Gregory RA,Tracy HJ,Agarwal KL,Grossman MI

    更新日期:1969-08-01 00:00:00

  • Duodenal mucosal architecture in non-specific and ulcer-associated duodenitis.

    abstract::This study was done to determine the severity and extent of abnormalities of duodenal mucosal architecture in non-specific (non-ulcerative) and ulcer-associated duodenitis. The effect of successful treatment with cimetidine on these changes has also been assessed. A method of microdissection and measurement of villus ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.22.8.637

    authors: Hasan M,Sircus W,Ferguson A

    更新日期:1981-08-01 00:00:00

  • Antimitochondrial antibody negative primary biliary cirrhosis: a distinct syndrome of autoimmune cholangitis.

    abstract::This study reports on a group of 20 patients with an initial diagnosis of primary biliary cirrhosis (PBC) whose serum tested negative for antimitochondrial antibodies by immunofluorescence. All had a clinical history compatible with primary biliary cirrhosis, and results of biochemical, histological, and radiological ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.2.260

    authors: Michieletti P,Wanless IR,Katz A,Scheuer PJ,Yeaman SJ,Bassendine MF,Palmer JM,Heathcote EJ

    更新日期:1994-02-01 00:00:00