Adenomatous colorectal polyps in patients referred for colonoscopy in a regional hospital in Kuwait

Alenezi, Saleh; Alsurayei, Saqer A.; Ismail, Ali; Aly, Nasser Yehia A.; Ismail, Waleed A.; Abou-Bakr, Amany A

doi:10.4103/1319-3767.65194

Cited by 15 publications

(16 citation statements)

References 27 publications

(32 reference statements)

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“…In the recent literature of colorectal polyps from the region and Asia, Al-Rashed and Al-Amri (1996) from KSA (Bafandah et al, 2005; from Iran have reported minimum age results of about 42 years, with wide standard deviations. From Kuwait a very close figure of 45 years has been quoted (Al-Enezi et al, 2010). On the other side of spectrum; mean age has been reported as above 50 years (Wisedopas et al, 2005;Tony et al, 2007), reaching up to maximum of 58 years (Bafandeh et al, 2005).…”

Section: Discussionmentioning

confidence: 86%

“…From Iran 78.9% adnomatous polypswere reported (Zahir et al, 2010). From Kuwait one group report that out of 530 eligible patients, 10% had 103 adenomatous polyps (Al-Enezi et al, 2010) and finally Al-Rashed and Al-Amri (1996) from KSA in their 2772 colonoscopy study, reported 188 polyps, most of them (89.5%) were tubular and tubulovillous adenomas. In contrast to all these consistent results, only one study from Thailand report higher frequency of Hyperplastic polyps (39%), followed by 36% tubular adenoma (Wisedopas et al, 2005).…”

Section: Discussionmentioning

confidence: 98%

“…As the colorectal polyps are well known precursors of CRC, their endoscopic removal during bowel screening programs, have significantly decreased the CRC incidence in the West (Levin et al, 2008;Consolo et al, 2010). Through previous and recent researches in screening endoscopy, colorectal polyps have been found to be quite common in the asymptomatic populations of the Western world (Patil et al, 2013) however the literature is quite insufficient in Africa (Veruttipong et al, 2012;Onyekwere et al, 2013) and Asia (Bashir et al, 2012;Geramizadeh and KeshtkarJahromi, 2013) especially the Middle East (Al-Enezi et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Among asymptomatic patients, the prevalence is approximately 10% in sigmoidoscopy studies and more than 25% in colonoscopy studies (Giacosa et al, 2004). Further reviewing the literature regarding colorectal polyps, we find a number of recent publications from the West Africa (Lee et al, 2012;Veruttipong et al, 2012;Onyekwere et al, 2013;Patil et al, 2013) and remaining Asia (Bashir et al, 2012), especially Iran (Geramizadeh and KeshtkarJahromi, 2013) however there is a dearth of any research on this pathology in the region except for a recent paper from Kuwait (Al-Enezi et al, 2010).…”

Section: Introductionmentioning

confidence: 92%

See 3 more Smart Citations

Profile of Colorectal Polyps: a Retrospective Study from King Fahad Hospital, Madinah, Saudi Arabia

Albasri

Yosef²,

Hussainy³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%

See 2 more Smart Citations

Profile of Colorectal Polyps: a Retrospective Study from King Fahad Hospital, Madinah, Saudi Arabia

Albasri

Yosef²,

Hussainy³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…However, this ratio was reported to be about 2:1 in countries such as Kuwait (Al-Enezi et al, 2010) and Saudi Arabia (Albasri et al, 2014). Also, Hajmanoochehri et al, 2014 reported an M/F ratio of 1.03:1 for colon adenocarcinoma.…”

Section: Discussionmentioning

confidence: 97%

High Rate of Advanced Colorectal Polyps in a 10-Year-Long Retrospective Study in Qazvin, Iran

Hajmanoochehri¹,

Mohammadi²,

Rasoli³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: Polyps are common lesions in the gastrointestinal (GI) tract. Colon cancer is mostly a result of progression from polyps. The present study aimed to evaluate demographic, clinical, and histological characteristics of colorectal polyps in Iran, particularly neoplastic and advanced types. Materials and Methods: Over a period of 10 years, specimens of all colorectal polyps obtained from colonoscopy were studied. The variables subjected to statistical analysis were age, sex, and the chief clinical complaint of the patients who underwent colonoscopy, their motivation, and the site, size, and histological types of detected polyps. The level of significance was set at p value <0.05. Results: Data were obtained from a total of 352 patients. No difference was seen between male and female patients regarding histological types. Only in nine patients was screening the reason for colonoscopy. Almost two-thirds (66.2%) of the polyps were neoplastic. Familial polyposis syndrome and inflammatory bowel disease were seen in 4.3% and 3.0% of the patients with neoplastic polyps, respectively. Sites of polyps were the sigmoid, rectum, and descending colon in 40.1%, 34.5%, and 17% of the cases, respectively. The advanced type made up 58.8% of neoplastic polyps. Only 3.6% of the patients undergoing colonoscopy in the study period had biopsied polyps. Discussion: No difference was observed between male and female patients in terms of overall incidence of polyps, histological and anatomical profiles, and mean age distribution. Anatomical and histological profiles agreed with the studies performed in areas with a low risk of colon cancer. The findings show that colonoscopy was not performed when it was necessary. A meaningful increase in the number polyp biopsy cases and a corresponding decrease in polyp size in the last few years of the study can be associated with the presence of more GI specialist clinicians in hospital centers, and this holds out much hope for the further improvement of the situation in the future.

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The Relationship Between Distal and Proximal Colonic Neoplasia: A Meta-Analysis

Dodou

Winter

2011

J GEN INTERN MED

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OBJECTIVESTo investigate the association between proximal colonic neoplasia and distal lesions as a function of the lesion type. The extent to which health, demographic, and study characteristics moderate this association was also examined.DATA SOURCESGoogle Scholar, Web of Science, Scopus, and PubMed.STUDY ELIGIBILITY CRITERIAStudies allowing the calculation of OR of proximal neoplasia(PN) and proximal advanced neoplasia (PAN) for distal hyperplastic polyps (HP), nonadvanced adenomas (NAA), adenomas (AD), and advanced neoplasia (AN); also, studies for which the proportions of subjects with isolated (i.e., not accompanied by distal lesions) PN (IPN) and PAN (IPAN) over the total number of subjects with PN or PAN could be calculated.STUDY APPRAISAL AND SYNTHESIS METHODSThirty-two studies were included for calculating OR between proximal neoplasia and distal lesions and 40 studies for proportions of IPN and IPAN. Subgroup analyses were conducted for presence of symptoms, prevalence of PN and PAN, age, proportion of males, geographic region, study design, and demarcation point.RESULTSThe association between distal lesions and proximal neoplasia increased with the severity of the distal lesions. Odds of PN were higher in subjects with HP compared to subjects with a normal distal colon. Odds of PN and PAN were higher in subjects with NAA, AD, and AN than in subjects with a normal distal colon. PAN were more strongly associated with distal lesions in asymptomatic populations, in young populations, and in populations with a low prevalence of PAN. In approximately 60% of the subjects with PN and PAN, these neoplasia were isolated.LIMITATIONSThe present results may be affected by publication bias and dichotomization in the subgroup analyses. Limitations related to the individual studies include self-selection, lesion misclassification and misses, and technological advances leading to changes in the detection of lesions during the time span of the included studies.CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGSAll types of distal lesions are predictive of PN. All types of distal neoplasia are predictive of PAN. The association between distal lesions and proximal neoplasia increases with the severity of the distal lesion. The association between distal lesions and proximal advanced neoplasia is stronger in low-risk groups as compared to high-risk groups.

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Adenomatous colorectal polyps in patients referred for colonoscopy in a regional hospital in Kuwait

Cited by 15 publications

References 27 publications

Profile of Colorectal Polyps: a Retrospective Study from King Fahad Hospital, Madinah, Saudi Arabia

Profile of Colorectal Polyps: a Retrospective Study from King Fahad Hospital, Madinah, Saudi Arabia

High Rate of Advanced Colorectal Polyps in a 10-Year-Long Retrospective Study in Qazvin, Iran

The Relationship Between Distal and Proximal Colonic Neoplasia: A Meta-Analysis

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