Prevalence of adenomas and advanced adenomas in patients in the 40- to 49-year age group undergoing screening colonoscopy because of a family history of adenoma/polyp in a first-degree relative.

Abstract:

BACKGROUND:Per current guidelines, patients with a first-degree relative (FDR) with adenomas should get screened at age 40. Data on the prevalence of adenomas and advanced adenomas (AAs) in these patients are lacking. OBJECTIVE:To examine the prevalence of adenomas and AAs in 40- to 49-year-old individuals undergoing screening colonoscopy because of a family history (FH) of polyps and to compare these data with those of a control population of similar age. DESIGN:Retrospective cross-sectional study. SETTING:Tertiary care academic medical center and Veterans Affairs medical center. PATIENTS:Study subjects included all 40- to 49-year-old asymptomatic individuals undergoing initial screening colonoscopy at our institution from January 1, 2006, to June 1, 2009, because of an FDR with polyps. The control population consisted of all 40- to 49-year-old individuals who underwent their first colonoscopy during the same period because of abdominal pain, diarrhea, or constipation without an FH of polyps or colorectal cancer. INTERVENTION:Colonoscopy. MAIN OUTCOME MEASUREMENTS:The prevalence of adenomas of any size, AAs, and risk factors associated with adenomas. RESULTS:The prevalence of adenomas was greater in the FH of polyps group (n = 176) compared with the control sample (n = 178) (26.7% vs 13.5%; P = .002) but was not statistically greater for AAs (5.7% vs 3.4%; P = .3). After adjusting for confounders, FH of a polyp was associated with an increased prevalence of adenomas (odds ratio 2.8 [95% CI, 1.4-5.5]). LIMITATIONS:Limited data on polyp histology in FDRs and limited sample size. CONCLUSIONS:Among 40- to 49-year-old patients undergoing screening colonoscopy because of an FDR with polyps, the prevalence of adenomas was greater than in a control population. Prospective research is needed to quantify the prevalence of AAs in this group and to determine whether these individuals should undergo screening colonoscopy at age 40.

journal_name

Gastrointest Endosc

authors

Gupta A,Samadder J,Elliott E,Sethi S,Schoenfeld P

doi

10.1016/j.gie.2012.01.046

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

705-11

issue

4

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(12)00105-8

journal_volume

75

pub_type

杂志文章
  • Cutting the defiant lower esophageal ring.

    abstract::A symptomatic lower esophageal ring generally responds to standard bougienage therapy. However, a subset of patients with a lower esophageal ring defy dilation therapy. We have evaluated the efficacy of electrocautery incision of "defiant" lower esophageal rings, the data of which forms the basis of this report. Seven...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(93)70210-2

    authors: Burdick JS,Venu RP,Hogan WJ

    更新日期:1993-09-01 00:00:00

  • Water-pocket endoscopic submucosal dissection for superficial gastric neoplasms (with video).

    abstract:BACKGROUND AND AIMS:During endoscopic submucosal dissection (ESD), a clear view is essential for precise dissection of the appropriate submucosal layer. Some advantages have been reported for underwater techniques of endoscopic resection in comparison with the gas insufflation method. We have developed a new ESD method...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2018.04.2331

    authors: Harada H,Murakami D,Suehiro S,Nakahara R,Ujihara T,Sagami R,Katsuyama Y,Hayasaka K,Amano Y

    更新日期:2018-08-01 00:00:00

  • Systematic review comparing radiofrequency ablation and complete endoscopic resection in treating dysplastic Barrett's esophagus: a critical assessment of histologic outcomes and adverse events.

    abstract:BACKGROUND:With recent advances in endoscopy, endoscopic techniques have surpassed esophagectomy in the treatment of dysplastic Barrett's esophagus (BE). OBJECTIVE:To compare the efficacy and safety of complete EMR and radiofrequency ablation (RFA) in the treatment of dysplastic BE. DESIGN:Systematic review of litera...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2013.11.030

    authors: Chadwick G,Groene O,Markar SR,Hoare J,Cromwell D,Hanna GB

    更新日期:2014-05-01 00:00:00

  • Argon beam coagulation for treatment of symptomatic radiation-induced proctitis.

    abstract:BACKGROUND:Radiation proctitis is a complication of radiotherapy for malignant pelvic disease. Argon beam coagulation is a new and rapidly evolving technology that permits a "no-touch" electrocoagulation of diseased tissue. METHODS:We analyzed retrospectively the records of 7 patients with prostatic and endometrial ca...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)70054-4

    authors: Fantin AC,Binek J,Suter WR,Meyenberger C

    更新日期:1999-04-01 00:00:00

  • Single-session endoscopic resection and focal radiofrequency ablation for short-segment Barrett's esophagus with early neoplasia.

    abstract:BACKGROUND AND AIMS:The management of early neoplasia in Barrett's esophagus (BE) requires endoscopic resection of visible lesions, followed by radiofrequency ablation (RFA) of the remaining BE. We evaluated the safety and efficacy of combining endoscopic resection and focal RFA in a single endoscopic session in patien...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2015.12.034

    authors: Barret M,Belghazi K,Weusten BL,Bergman JJ,Pouw RE

    更新日期:2016-07-01 00:00:00

  • Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: a systematic review and meta-analysis.

    abstract:BACKGROUND AND AIMS:EUS-guided biliary drainage (EUS-BD) is increasingly used as an alternate therapeutic modality to percutaneous transhepatic biliary drainage (PTBD) for biliary obstruction in patients who fail ERCP. We conducted a systematic review and meta-analysis to compare the efficacy and safety of these 2 proc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.gie.2016.12.023

    authors: Sharaiha RZ,Khan MA,Kamal F,Tyberg A,Tombazzi CR,Ali B,Tombazzi C,Kahaleh M

    更新日期:2017-05-01 00:00:00

  • Application of optical character recognition with natural language processing for large-scale quality metric data extraction in colonoscopy reports.

    abstract:BACKGROUND AND AIMS:Colonoscopy is commonly performed for colorectal cancer screening in the United States. Reports are often generated in a non-standardized format and are not always integrated into electronic health records. Thus, this information is not readily available for streamlining quality management, particip...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.08.038

    authors: Laique SN,Hayat U,Sarvepalli S,Vaughn B,Ibrahim M,McMichael J,Qaiser KN,Burke C,Bhatt A,Rhodes C,Rizk MK

    更新日期:2020-09-03 00:00:00

  • Age, anemia, and obesity-associated oxygen desaturation during upper gastrointestinal endoscopy.

    abstract::Although upper gastrointestinal endoscopy is generally a safe procedure, it is known to be associated with arterial oxygen desaturation. We studied 82 patients undergoing diagnostic upper gastrointestinal endoscopy following a standard premedication consisting of xylocaine throat spray and intravenous midazolam. The m...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(92)70564-1

    authors: Dhariwal A,Plevris JN,Lo NT,Finlayson ND,Heading RC,Hayes PC

    更新日期:1992-11-01 00:00:00

  • Preoperative predictors of choledocholithiasis in patients presenting with acute calculous cholecystitis.

    abstract:BACKGROUND AND AIMS:Markedly increased liver chemistries in patients presenting with acute calculous cholecystitis (AC) often prompt an evaluation for concomitant choledocholithiasis (CDL). However, current guidelines directing the workup for CDL fail to address this unique population. The aims of this study are to def...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2018.11.017

    authors: Chisholm PR,Patel AH,Law RJ,Schulman AR,Bedi AO,Kwon RS,Wamsteker EJ,Anderson MA,Elta GH,Govani SM,Prabhu A

    更新日期:2019-05-01 00:00:00

  • Performance characteristics of unsedated ultrathin video endoscopy in the assessment of the upper GI tract: systematic review and meta-analysis.

    abstract:BACKGROUND AND AIMS:Reports on the performance of unsedated ultrathin endoscopy via the transnasal (uTNE) and transoral (uTOE) routes are conflicting. We aimed to estimate the technical success rate, patient preference, and acceptability of uTNE and uTOE alone and in comparison with conventional EGD (cEGD; with or with...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.gie.2015.07.016

    authors: Sami SS,Subramanian V,Ortiz-Fernández-Sordo J,Saeed A,Singh S,Guha IN,Iyer PG,Ragunath K

    更新日期:2015-11-01 00:00:00

  • Endoscopic balloon dilation for benign gastric outlet obstruction with or without Helicobacter pylori infection.

    abstract:BACKGROUND:Endoscopic balloon dilation has been used to treat patients with gastric outlet obstruction caused by peptic stricture. This study assessed the role of endoscopic balloon dilation in patients with gastric outlet obstruction with or without Helicobacter pylori infection. METHODS:Consecutive patients seen bet...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)01569-x

    authors: Lam YH,Lau JY,Fung TM,Ng EK,Wong SK,Sung JJ,Chung SS

    更新日期:2004-08-01 00:00:00

  • Colorectal cancer mortality prevented by use and attributable to nonuse of colonoscopy.

    abstract:BACKGROUND:Use of colonoscopy is thought to reduce colorectal cancer (CRC) mortality, but its impact at the population level is unclear. OBJECTIVE:To estimate the effect of current colonoscopy use on CRC mortality and its further potential in reducing CRC mortality. DESIGN:Population-level analysis was performed by u...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2010.12.005

    authors: Stock C,Knudsen AB,Lansdorp-Vogelaar I,Haug U,Brenner H

    更新日期:2011-03-01 00:00:00

  • ASGE guideline on the role of endoscopy for bleeding from chronic radiation proctopathy.

    abstract::Chronic radiation proctopathy is a common sequela of radiation therapy for malignancies in the pelvic region. A variety of medical and endoscopic therapies have been used for the management of bleeding from chronic radiation proctopathy. In this guideline, we reviewed the results of a systematic search of the literatu...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.gie.2019.04.234

    authors: Lee JK,Agrawal D,Thosani N,Al-Haddad M,Buxbaum JL,Calderwood AH,Fishman DS,Fujii-Lau LL,Jamil LH,Jue TL,Khashab MA,Law JK,Naveed M,Qumseya BJ,Sawhney MS,Storm AC,Yang J,Wani SB

    更新日期:2019-08-01 00:00:00

  • Gastroesophageal endoscopic signs of cirrhosis: independent diagnostic accuracy, interassociation, and relationship to etiology and hepatic dysfunction.

    abstract:BACKGROUND:The main objective of this prospective study was to evaluate the independent diagnostic accuracy of gastroesophageal endoscopic signs for cirrhosis. METHODS:Endoscopic signs were evaluated in vivo by one observer and on standardized videotape recordings by a consensus opinion of two endoscopists, with the s...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(98)70156-7

    authors: Oberti F,Burtin P,Maïga M,Valsesia E,Pilette C,Calès P

    更新日期:1998-08-01 00:00:00

  • Evaluation of the clinical efficacy of colon capsule endoscopy in the detection of lesions of the colon: prospective, multicenter, open study.

    abstract:BACKGROUND:Colon capsule endoscopy (CCE) is a new procedure for colon imaging. Limited information is available regarding visualization of flat colon lesions and patient acceptability in Japan. OBJECTIVE:The aims of this study were to evaluate the sensitivity of CCE in detecting polyps and other lesions compared with ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.gie.2015.02.004

    authors: Saito Y,Saito S,Oka S,Kakugawa Y,Matsumoto M,Aihara H,Watari I,Aoyama T,Nouda S,Kuramoto T,Watanabe K,Ohmiya N,Higuchi K,Goto H,Arakawa T,Tanaka S,Tajiri H

    更新日期:2015-11-01 00:00:00

  • Gastric residual volume after split-dose compared with evening-before polyethylene glycol bowel preparation.

    abstract:BACKGROUND AND AIMS:Split-dose bowel preparation for colonoscopy results in superior preparation quality. However, some endoscopy units remain hesitant to prescribe split-dose preparation given theoretical concerns about possible aspiration caused by gastric residual fluid when a second dose is given close to the time ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2015.08.081

    authors: Agrawal D,Elsbernd B,Singal AG,Rockey D

    更新日期:2016-03-01 00:00:00

  • EUS-guided FNA for the diagnosis of advanced lung cancer.

    abstract:BACKGROUND:A majority of patients with lung cancer are incurable but are symptomatic and may benefit from palliative therapy. Currently available diagnostic methods are either too risky or unsuccessful in obtaining a tissue diagnosis in up to 30% of patients. OBJECTIVE:To evaluate the role of EUS-guided FNA in obtaini...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2005.11.061

    authors: Sawhney MS,Kratzke RA,Lederle FA,Holmstrom AM,Nelson DB,Kelly RF

    更新日期:2006-06-01 00:00:00

  • Flumazenil used for reversal of midazolam-induced sedation in endoscopy outpatients.

    abstract::A double-blind, placebo-controlled randomized clinical study was performed in 69 outpatients scheduled for endoscopy and sedated with midazolam to assess the efficacy, safety, and usefulness of flumazenil in reversing the effects of midazolam-induced sedation. Midazolam was administered intravenously before endoscopy ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Bartelsman JF,Sars PR,Tytgat GN

    更新日期:1990-05-01 00:00:00

  • Clinical outcome of endoscopic aspiration mucosectomy for early stage gastric cancer.

    abstract:BACKGROUND:Endoscopic mucosal resection is an established treatment option for early stage gastric cancer. However, several problems with endoscopic mucosal resection remain to be solved, such as appropriate treatment for recurrence and incomplete tumor resection. The outcome for patients undergoing endoscopic aspirati...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.129085

    authors: Tanabe S,Koizumi W,Mitomi H,Nakai H,Murakami S,Nagaba S,Kida M,Oida M,Saigenji K

    更新日期:2002-11-01 00:00:00

  • Effects of meperidine on the pancreatic and biliary sphincter.

    abstract:BACKGROUND:Opioids are traditionally avoided during sphincter of Oddi manometry because of indirect evidence suggesting that these agents cause sphincter of Oddi spasm. This study was undertaken to determine the direct effects of meperidine on the biliary and pancreatic sphincter. METHODS:Forty-seven patients were pro...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70158-x

    authors: Sherman S,Gottlieb K,Uzer MF,Smith MT,Khusro QE,Earle DT,Brunelle RL,Hawes RH,Lehman GA

    更新日期:1996-09-01 00:00:00

  • Gastric peroral endoscopic pyloromyotomy for refractory gastroparesis: a systematic review of early outcomes with pooled analysis.

    abstract:BACKGROUND AND AIMS:Gastroparesis (GP) is a chronic debilitating condition. Prior pyloric-targeted procedures are either invasive or have questionable efficacy. Gastric peroral pyloromyotomy (G-POEM) has been proposed as a minimally invasive approach. We performed a pooled analysis to evaluate the efficacy and safety o...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2019.11.039

    authors: Spadaccini M,Maselli R,Chandrasekar VT,Anderloni A,Carrara S,Galtieri PA,Di Leo M,Fugazza A,Pellegatta G,Colombo M,Palma R,Hassan C,Sethi A,Khashab MA,Sharma P,Repici A

    更新日期:2020-04-01 00:00:00

  • Characteristics of magnified endoscopic images of gastric extranodal marginal zone B-cell lymphoma of the mucosa-associated lymphoid tissue, including changes after treatment.

    abstract:BACKGROUND:The utility of magnifying endoscopy for diagnosis of epithelial tumors has been reported, but there are few reports for nonepithelial tumors. OBJECTIVE:To determine the characteristics of magnified images of gastric extranodal marginal zone B-cell lymphoma of the mucosa-associated lymphoid tissue (MALT lymp...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.02.066

    authors: Ono S,Kato M,Ono Y,Itoh T,Kubota K,Nakagawa M,Shimizu Y,Asaka M

    更新日期:2008-10-01 00:00:00

  • A comparison of magnifying and nonmagnifying colonoscopy for diagnosis of colorectal polyps: A prospective study.

    abstract:BACKGROUND:Discrimination between neoplastic and non-neoplastic colorectal polyps is essential for determining appropriate treatment. The mucosal crypt pattern of polyps can be observed with a nonmagnifying colonoscope; however, mucosal crypt patterns are better seen by magnifying colonoscopy, which can also be a nonin...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1067/mge.2003.31

    authors: Konishi K,Kaneko K,Kurahashi T,Yamamoto T,Kushima M,Kanda A,Tajiri H,Mitamura K

    更新日期:2003-01-01 00:00:00

  • EUS-guided fine needle aspiration of idiopathic abdominal masses.

    abstract:BACKGROUND:EUS-guided fine needle aspiration (EUS-FNA) has significantly increased the diagnostic capability of EUS. FNA can also be helpful in the diagnosis of non-GI disorders. The role of EUS-FNA in the diagnosis of idiopathic abdominal masses has not been determined. This study evaluated the diagnostic accuracy of ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1067/mge.2002.122956

    authors: Catalano MF,Sial S,Chak A,Sivak MV Jr,Erickson R,Scheiman J,Gress F

    更新日期:2002-06-01 00:00:00

  • One-dimensional and 2-dimensional tumor size measurement for prediction of lymph node metastasis in differentiated early gastric cancer with minute submucosal invasion.

    abstract:BACKGROUND AND AIMS:Differentiated minute submucosal cancers measuring ≤3 cm that exhibit no lymphovascular invasion are considered eligible for endoscopic resection; however, the ≤3-cm criterion remains debatable. The aim of this study was to verify the optimal tumor size cutoff for endoscopic resection eligibility, a...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2016.07.046

    authors: Kim TJ,Lee H,Min YW,Min BH,Lee JH,Kim KM,Kim MJ,Kim K,Rhee PL,Kim JJ

    更新日期:2017-04-01 00:00:00

  • Does the addition of endoscopic sphincterotomy to stent insertion improve drainage of the bile duct in acute suppurative cholangitis?

    abstract:BACKGROUND:The treatment of patients with bile duct stones and acute suppurative cholangitis is emergent biliary decompression either by endoscopic sphincterotomy, nasobiliary drainage, or stent insertion. The aim of this retrospective study was to determine whether endoscopic sphincterotomy, in addition to an internal...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/s0016-5107(03)01871-6

    authors: Hui CK,Lai KC,Yuen MF,Ng M,Chan CK,Hu W,Wong WM,Lai CL,Wong BC

    更新日期:2003-10-01 00:00:00

  • The detection of premalignant colon polyps during colonoscopy is stable throughout the workday.

    abstract:BACKGROUND:Recent studies have shown that colonoscopic polyp detection decreases as the workday progresses. This may reflect time-dependent factors such as colonoscopist fatigue and decreased colon cleanliness, which can be addressed through adaptations in colonoscopy practice. OBJECTIVE:To test for time-of-day differ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.01.019

    authors: Freedman JS,Harari DY,Bamji ND,Bodian CA,Kornacki S,Cohen LB,Miller KM,Aisenberg J

    更新日期:2011-06-01 00:00:00

  • Endoscopic management of dumping syndrome after Roux-en-Y gastric bypass: a large international series and proposed management strategy.

    abstract:BACKGROUND AND AIMS:Roux-en-Y gastric bypass (RYGB) is refractory to lifestyle and pharmacotherapy measures, requiring reversal of the patient's bariatric surgery. Reversal can lead to weight regain and recrudescence of their comorbidities. Our aim was to report a multicenter experience on the endoscopic management of ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.02.029

    authors: Vargas EJ,Abu Dayyeh BK,Storm AC,Bazerbachi F,Matar R,Vella A,Kellogg T,Stier C

    更新日期:2020-07-01 00:00:00

  • Optimization of light dosimetry for photodynamic therapy of Barrett's esophagus: efficacy vs. incidence of stricture after treatment.

    abstract:BACKGROUND:Photodynamic therapy (PDT) may be used to ablate high-grade dysplasia/early stage cancer (HGD/T1) in patients with Barrett's esophagus. PDT may result in esophageal stricture. This nonrandomized, unblinded, dose de-escalation study in consecutive patients was designed to determine the lowest light dose effec...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(04)02394-6

    authors: Panjehpour M,Overholt BF,Phan MN,Haydek JM

    更新日期:2005-01-01 00:00:00

  • A comparison of laser therapy, plastic stents, and expandable metal stents for palliation of malignant dysphagia in patients without a fistula.

    abstract:BACKGROUND:Many options are available for palliation of inoperable malignant stenoses of the esophagus. We report our experience with different modalities of endoscopic therapy. METHODS:From 1986 to 1996, we treated 125 patients with dysphagia caused by unresectable malignant tumors with endoscopic therapy. Seventy pa...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(98)70007-0

    authors: Gevers AM,Macken E,Hiele M,Rutgeerts P

    更新日期:1998-10-01 00:00:00