Differences in characteristics of colorectal neoplasm between young and elderly Thais.

Abstract:

AIM:To analyze the differences of clinical characteristics of colorectal neoplasm including polyps between the elderly and young Thai patients. METHODS:Colonoscopy database from December 2000 to October 2004 was retrospectively analyzed. There were 1822 eligible patients who underwent colonoscopy (with a mean age of 56.6 years). Patients were classified into two groups: the older age group (aged > or = 60 years; n = 989) and the younger age group (aged < 60 years; n = 833). Data were recorded on age, colonoscopic indications, tumor location, colonoscopic findings and their related histological findings. RESULTS:Colorectal malignancy related lesions were more often found in the older age group (21%) than in the younger age group (12%). Left-sided lesions were detected more commonly than right-sided in both age groups in approximately two-thirds of all cases. Hematochezia showed greater association with left-sided lesions in the elderly. No relationship was found between age and neoplasm staging and severity. CONCLUSION:The chance of detecting colorectal neoplasm by colonoscopy was higher in the elderly than in the young Thais. However, both groups had the lesions predominantly located in the left side.

journal_name

World J Gastroenterol

authors

Rerknimitr R,Ratanapanich W,Kongkam P,Kullavanijaya P

doi

10.3748/wjg.v12.i47.7684

subject

Has Abstract

pub_date

2006-12-21 00:00:00

pages

7684-9

issue

47

eissn

1007-9327

issn

2219-2840

journal_volume

12

pub_type

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