Frequency and risk factors of colorectal adenoma in patients with early gastric cancer

Chung, Hyun Hee; Kim, Kyeong O.; Lee, Si H.; Jang, Byung Ik; Kim, Tae N.

doi:10.1111/imj.13542

Cited by 2 publications

(3 citation statements)

References 35 publications

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“…Moreover, colonoscopy might be considered for patients with benign GN[ 12 - 14 ]. However, both Chung et al [ 16 ] and Koh et al [ 18 ] revealed that the prevalence of CRN was not significantly different between patients with and without GN. Based on the above findings, our study was designed to address the current controversy and provide more valuable suggestions for GN patients.…”

Section: Discussionmentioning

confidence: 97%

“…Recently, GN was also reported to have potential predictive value for CRN, especially for advanced CRN[ 11 - 15 ]. However, some other studies demonstrated that colonoscopy surveillance is not recommended for all GN patients[ 16 - 18 ]. Therefore, this study sought to investigate whether it is necessary for GN patients to receive colonoscopy.…”

Section: Introductionmentioning

confidence: 99%

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Colonoscopy plays an important role in detecting colorectal neoplasms in patients with gastric neoplasms

Liu,

Wen,

Liu

et al. 2024

World J Gastrointest Oncol

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BACKGROUND Gastric cancer (GC) and colorectal cancer (CRC) are the fifth and third most common cancer worldwide, respectively. Nowadays, GC is reported to have a potential predictive value for CRC, especially for advanced CRC. AIM To evaluate the necessity of colonoscopy for gastric neoplasm (GN) patients. METHODS Four databases, including PubMed, EMBASE, the Cochrane Library, and Ovid, were used to perform the search strategy on May 2, 2023. The prevalence of colorectal neoplasms (CRN) and baseline characteristics were compared between the neoplasm group and the control group. Continuous variables are expressed as the mean difference and standard deviation. Relationships of categorical variables in the two groups are expressed as odds ratios (OR) and 95% confidence intervals (95%CIs). Subgroup analysis according to different kinds of GNs was conducted for more in-depth analysis. The results of this study are represented by forest plots. Publication bias was evaluated by a funnel plot. All data analyses were performed by STATA SE 16.0 software. RESULTS A total of 3018 patients with GNs and 3905 healthy controls (age and sex matched) were enrolled for analysis. After comparing the prevalence of CRNs between the two groups, CRNs were detected significantly more frequently in GN patients than in controls (OR = 1.69, 95%CI = 1.28 to 2.23, I 2 = 85.12%, P = 0.00), especially in patients with GC (OR =1.80, 95%CI = 1.49 to 2.18, I 2 = 25.55%, P < 0.1). Moreover, other risk factors including age (OR = 1.08, 95%CI = 1.00 to 1.17, I 2 = 90.13%, P = 0.00) and male sex (OR = 2.31, 95%CI = 1.26 to 4.22, I 2 = 87.35%, P = 0.00), were related to the prevalence of CRNs. For patients in the GN group, body mass index (BMI, OR = 0.88, 95%CI = 0.80 to 0.98, I 2 = 0.00%, P = 0.92) and smoking (OR = 1.03, 95%CI = 1.01 to 1.05, I 2 = 0.00%, P = 0.57) were protective and risk factors for CRNs, respectively. CONCLUSION Patients are recommended to undergo colonoscopy when diagnosed with GNs, especially GC patients with a low BMI and a history of smoking.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Colonoscopy plays an important role in detecting colorectal neoplasms in patients with gastric neoplasms

Liu,

Wen,

Liu

et al. 2024

World J Gastrointest Oncol

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“…Among the 125 participants who had a prior gastric/small intestinal surgery in this study, 123 underwent gastrectomy mainly due to gastric cancer. Importantly, the incidence of colonic neoplastic lesions in the patients with gastric cancer is higher than that in the general population 171819. Therefore, high-quality colonoscopy is mandatory for these patients.…”

Section: Discussionmentioning

confidence: 99%

Quality of Bowel Preparation for Colonoscopy in Patients with a History of Abdomino-Pelvic Surgery: Retrospective Cohort Study

Kim

et al. 2019

Yonsei Med J

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PurposePrior abdomino-pelvic (AP) surgery makes colonoscopy difficult and can affect bowel preparation quality. However, bowel preparation quality has been found to vary according to prior AP surgery type. We examined the relationship of prior AP surgery type with bowel preparation quality in a large-scale retrospective cohort.Materials and MethodsIn the health screening cohort of the National Cancer Center, 12881 participants who underwent screening or surveillance colonoscopy between June 2007 and December 2014 were included. Personal data were collected by reviewing patient medical records. Bowel preparation quality was assessed using the Aronchick scale and was categorized as satisfactory for excellent to good bowel preparation or unsatisfactory for fair to inadequate bowel preparation.ResultsA total of 1557 (12.1%) participants had a history of AP surgery. The surgery types were colorectal surgery (n=44), gastric/small intestinal surgery (n=125), appendectomy/peritoneum/laparotomy (n=476), cesarean section (n=278), uterus/ovarian surgery (n=317), kidney/bladder/prostate surgery (n=19), or liver/pancreatobiliary surgery (n=96). The proportion of satisfactory bowel preparations was 70.7%. In multivariate analysis, unsatisfactory bowel preparation was related to gastric/small intestinal surgery (odds ratio=1.764, 95% confidence interval=1.230–2.532, p=0.002). However, the other surgery types did not affect bowel preparation quality. Current smoking, diabetes, and high body mass index were risk factors of unacceptable bowel preparation.ConclusionOnly gastric/small intestinal surgery was a potential risk factor for poor bowel preparation. Further research on patients with a history of gastric/small intestinal surgery to determine appropriate methods for adequate bowel preparation is mandatory.

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Frequency and risk factors of colorectal adenoma in patients with early gastric cancer

Abstract: The prevalence of a coexisting advanced CRN was higher in EGC patients. The study shows colonoscopy plays an important role with respect to the detection of synchronous advanced CRN in patients with EGC.

Cited by 2 publications

References 35 publications

Colonoscopy plays an important role in detecting colorectal neoplasms in patients with gastric neoplasms

Colonoscopy plays an important role in detecting colorectal neoplasms in patients with gastric neoplasms

Quality of Bowel Preparation for Colonoscopy in Patients with a History of Abdomino-Pelvic Surgery: Retrospective Cohort Study

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