Relationship Between Colorectal Carcinoma and Adenoma Detection Rate by Colonoscopy

Background: in recent years, colorectal cancer incidence has declined dramatically. Screening programs, based on endoscopic resection of polipoid precancerous lesions, are being fundamental in that desirable improvement. Material and methods: prospective observational study of a set of patients who...

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Autores principales:	Fernando Mendoza-Moreno, Enrique Ovejero-Merino, Juan Ocaña, Fernando Noguerales-Fraguas, Belen Matias-Garcia, ana Quiroga-Valcarcel, Alma Blazquez-Martin, Ana Minaya-Bravo, Agusti Silva-Mato, Alberto Gutierrez
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2020
Materias:	colonoscopy colorectal adenoma endoscopic polipectomy colorectal carcinoma Medicine R
Acceso en línea:	https://doaj.org/article/8fad338f8e524505894615dfdd411b4a
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spelling	oai:doaj.org-article:8fad338f8e524505894615dfdd411b4a2021-11-14T08:12:23ZRelationship Between Colorectal Carcinoma and Adenoma Detection Rate by Colonoscopy2783-243010.30476/acrr.2021.89007.1074https://doaj.org/article/8fad338f8e524505894615dfdd411b4a2020-12-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47258_1f72c5c6f31f5553d37bd17385daba9a.pdfhttps://doaj.org/toc/2783-2430Background: in recent years, colorectal cancer incidence has declined dramatically. Screening programs, based on endoscopic resection of polipoid precancerous lesions, are being fundamental in that desirable improvement. Material and methods: prospective observational study of a set of patients who had an endoscopic resection of colonic polipoid lesions from January-2007 to December-2012. We analized “polyps rate” by colonoscopy, number of patients, follow-up time, and “relationship with later cancer appearance“. Results: 841 patients (357 women, a 42’4%, and 484 men, a 57’65%) with a total of 7007 colorectal polyps and a medium follow-up of 66 +/- 21’84 months. During the following 12 patients were diagnosed of colorectal cancer, who had not had any statistical significant difference in “polyps rate per colonoscopy”, nor for the number of “advanced adenomas” (Z=0’11, p=0’91), nor for “total adenomatous polyps” (Z=1’84, p=0’07). Nevertheless, we could see that patients without colorectal cancer showed lower “polyps rate per colonoscopy” of advanced adenoma (Z=4’61, p <0’001) and raw number of polyps (Z=7’09, p <0’001). Conclusions: when comparing rates by number of patients, number of colonoscopic explorations and follow-up time, the advanced adenoma rate was found to be higher in patients who later developed colorectal carcinoma.Fernando Mendoza-MorenoEnrique Ovejero-MerinoJuan OcañaFernando Noguerales-FraguasBelen Matias-Garciaana Quiroga-ValcarcelAlma Blazquez-MartinAna Minaya-BravoAgusti Silva-MatoAlberto GutierrezShiraz University of Medical Sciencesarticlecolonoscopycolorectal adenomaendoscopic polipectomycolorectal carcinomaMedicineRENIranian Journal of Colorectal Research, Vol 8, Iss 4, Pp 192-199 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	colonoscopy colorectal adenoma endoscopic polipectomy colorectal carcinoma Medicine R
spellingShingle	colonoscopy colorectal adenoma endoscopic polipectomy colorectal carcinoma Medicine R Fernando Mendoza-Moreno Enrique Ovejero-Merino Juan Ocaña Fernando Noguerales-Fraguas Belen Matias-Garcia ana Quiroga-Valcarcel Alma Blazquez-Martin Ana Minaya-Bravo Agusti Silva-Mato Alberto Gutierrez Relationship Between Colorectal Carcinoma and Adenoma Detection Rate by Colonoscopy
description	Background: in recent years, colorectal cancer incidence has declined dramatically. Screening programs, based on endoscopic resection of polipoid precancerous lesions, are being fundamental in that desirable improvement. Material and methods: prospective observational study of a set of patients who had an endoscopic resection of colonic polipoid lesions from January-2007 to December-2012. We analized “polyps rate” by colonoscopy, number of patients, follow-up time, and “relationship with later cancer appearance“. Results: 841 patients (357 women, a 42’4%, and 484 men, a 57’65%) with a total of 7007 colorectal polyps and a medium follow-up of 66 +/- 21’84 months. During the following 12 patients were diagnosed of colorectal cancer, who had not had any statistical significant difference in “polyps rate per colonoscopy”, nor for the number of “advanced adenomas” (Z=0’11, p=0’91), nor for “total adenomatous polyps” (Z=1’84, p=0’07). Nevertheless, we could see that patients without colorectal cancer showed lower “polyps rate per colonoscopy” of advanced adenoma (Z=4’61, p <0’001) and raw number of polyps (Z=7’09, p <0’001). Conclusions: when comparing rates by number of patients, number of colonoscopic explorations and follow-up time, the advanced adenoma rate was found to be higher in patients who later developed colorectal carcinoma.
format	article
author	Fernando Mendoza-Moreno Enrique Ovejero-Merino Juan Ocaña Fernando Noguerales-Fraguas Belen Matias-Garcia ana Quiroga-Valcarcel Alma Blazquez-Martin Ana Minaya-Bravo Agusti Silva-Mato Alberto Gutierrez
author_facet	Fernando Mendoza-Moreno Enrique Ovejero-Merino Juan Ocaña Fernando Noguerales-Fraguas Belen Matias-Garcia ana Quiroga-Valcarcel Alma Blazquez-Martin Ana Minaya-Bravo Agusti Silva-Mato Alberto Gutierrez
author_sort	Fernando Mendoza-Moreno
title	Relationship Between Colorectal Carcinoma and Adenoma Detection Rate by Colonoscopy
title_short	Relationship Between Colorectal Carcinoma and Adenoma Detection Rate by Colonoscopy
title_full	Relationship Between Colorectal Carcinoma and Adenoma Detection Rate by Colonoscopy
title_fullStr	Relationship Between Colorectal Carcinoma and Adenoma Detection Rate by Colonoscopy
title_full_unstemmed	Relationship Between Colorectal Carcinoma and Adenoma Detection Rate by Colonoscopy
title_sort	relationship between colorectal carcinoma and adenoma detection rate by colonoscopy
publisher	Shiraz University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/8fad338f8e524505894615dfdd411b4a
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Relationship Between Colorectal Carcinoma and Adenoma Detection Rate by Colonoscopy

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