The synchronous prevalence of colorectal neoplasms in patients with stomach cancer.

Sang Su Lee, Woon Tae Jung, Cha Young Kim, Chang Yoon Ha, Hyun Ju Min, Hyun Jin Kim, Tae Hyo Kim
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引用次数: 10

Abstract

Purpose: The association between stomach cancer and colorectal cancer is controversial. The purpose of this study was to determine the synchronous prevalence of colorectal neoplasms in patients with stomach cancer.

Methods: A total of 123 patients with stomach cancer (86 male) and 246 consecutive, age- and sex-matched persons without stomach cancer were analyzed from July 2005 to June 2010. All of them underwent colonoscopy within 6 months after undergoing gastroscopy.

Results: The prevalence of colorectal neoplasms was significantly higher in the stomach cancer group (35.8%) than in the control group (17.9%) (P < 0.001). Colorectal neoplasms were more prevalent in the patients with stomach cancer (odds ratio [OR], 3.10; 95% confidence interval [CI], 1.71 to 5.63). In particular, the difference in the prevalence of colorectal neoplasms was more prominent in the patients above 50 years old (OR, 3.54; 95% CI, 1.80 to 6.98).

Conclusion: The results showed that the synchronous prevalence of colorectal neoplasms was higher in patients with stomach cancer than in those without stomach cancer. Therefore, patients with stomach cancer should be regarded as a high-risk group for colorectal neoplasms, and colonoscopy should be recommended for screening.

Abstract Image

Abstract Image

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胃癌患者结直肠肿瘤的同步患病率。
目的:胃癌与结直肠癌之间的关系尚存争议。本研究的目的是确定胃癌患者结直肠肿瘤的同步患病率。方法:对2005年7月至2010年6月我院收治的123例胃癌患者(男性86例)和246例年龄、性别匹配的连续非胃癌患者进行分析。所有患者均在胃镜检查后6个月内行结肠镜检查。结果:胃癌组结直肠肿瘤患病率(35.8%)明显高于对照组(17.9%),差异有统计学意义(P < 0.001)。结直肠肿瘤在胃癌患者中更为普遍(优势比[OR], 3.10;95%置信区间[CI], 1.71 ~ 5.63)。特别是在50岁以上的患者中,结直肠肿瘤患病率的差异更为突出(OR, 3.54;95% CI, 1.80 ~ 6.98)。结论:胃癌患者结直肠肿瘤同步患病率高于非胃癌患者。因此,胃癌患者应被视为结直肠肿瘤的高危人群,建议进行结肠镜检查筛查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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