Korean J Helicobacter  Up Gastrointest Res Search

CLOSE


Korean J Helicobacter  Up Gastrointest Res > Volume 16(4); 2016 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2016;16(4):215-220.
DOI: https://doi.org/10.7704/kjhugr.2016.16.4.215    Published online December 10, 2016.
Is Preoperative Work-Up Colonoscopy Necessary for Patient with Gastric Cancer?
Hee Chan Yang, Ju Hyung Lee, Sung Kyun Yim, Hong Seon Son, Seung Young Seo, Seong Hun Kim, In Hee Kim, Seung Ok Lee, Soo Teik Lee, Sang Wook Kim
1Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea. clickm@jbnu.ac.kr
2Department of Preventive Medicine, Chonbuk National University Medical School, Jeonju, Korea.
위암 환자에서 수술 전 대장내시경검사가 필요한가?
양희찬, 이주형1, 임성균, 손홍선, 서승영, 김성훈, 김인희, 이승옥, 이수택, 김상욱
전북대학교 의학전문대학원 내과학교실, 예방의학교실1
Received: 7 November 2016   • Accepted: 3 December 2016
Abstract
BACKGROUND/AIMS
Recently, many studies have reported the incidence of colorectal neoplasm (CRN) to be increased in patients with gastric cancer. Thus preoperative colonoscopy is recommended for the screening of CRN. The purpose of this study is to investigate the prevalence of colorectal adenoma and cancer in patients with gastric cancer and evaluate the necessity of preoperative colonoscopy in patients with gastric cancer. MATERIALS AND METHODS: We collected data from 293 patients who underwent gastrectomy due to gastric cancer at one tertiary institution between January to December 2015. Preoperative colonoscopy was performed in 127 patients of 293 patients. To compare the prevalence of colorectal neoplasm, we selected 900 persons who underwent upper esophagogastroduodenoscopy and colonoscopy for health screening during 2015. RESULTS: The prevalence of overall CRN was similar in the gastric cancer group and the control group. The prevalence of colorectal advanced adenoma and cancer was higher in the gastric cancer group compared with control group, but it did not show statistical significance. The prevalence of colorectal advanced adenoma was significantly higher in the group of age ≥ years and smoking. CONCLUSIONS: The risk of advanced colorectal adenoma increases significantly in patients with old age but not in patients with gastric cancer. We suggest that all patients with gastric cancer might not carry a high risk for advanced colorectal adenoma compared with the normal population. Patients with old age might require surveillance colonoscopy.
Key Words: Colorectal neoplasm; Gastric cancer; Colonoscopy


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR AUTHORS
FOR REVIEWERS
Editorial Office
Lotte Gold Rose II Room 917, 31 Seolleung-ro 86-gil, Gangnam-gu, Seoul 06193, Korea
Tel: +82-2-565-9946    Fax: +82-2-565-9947    E-mail: hpylori@kams.or.kr                

Copyright © 2022 by Korean College of Helicobacter and Upper Gastrointestinal Research.

Developed in M2PI

Close layer
prev next