215 338

Cited 0 times in

대장 근위부 진행성 선종 예측을 위한 원위부 용종의 임상적 의의: 전향적 다기관 대장 용종 연구

Other Titles
 Clinical Value of Distal Colon Polyps for Prediction of Advanced Proximal Neoplasia:The KASID Prospective Multicenter Study 
Authors
 금보라  ;  진윤태  ;  최재현  ;  정성애  ;  김현수  ;  김영호  ;  김원호  ;  김태일  ;  김효종  ;  양석균  ;  명승재  ;  변정식  ;  이문성  ;  정일권  ;  정문관  ;  최 황  ;  한동수  ;  송재석 
Citation
 INTESTINAL RESEARCH, Vol.3(2) : 121-126, 2005 
Journal Title
INTESTINAL RESEARCH
ISSN
 1598-9100 
Issue Date
2005
Abstract
Backgroud/Aims: Proximal lesion without distal finding is weak point in colon cancer screening. Clinical significance of distal finding for advanced proximal neoplasia (APN) is uncertain. Aims of this study were to assess distal finding for prediction of APN. Methods: Asymptomatic 826 adults (age≥50) were collected in KASID prospective study, who underwent colonoscopy and polypectomy. Polyps located distal to splenic flexure were defined as distal polyps. Age, gender, size, appearance, histology of distal polyps were analyzed as risk factor of APN (adenoma≥10 mm or villous histology or high grade dysplasia or invasive cancer). Sensitivity and positive predictive value of distal polyp on APN were assessed. Results: APN were found in 98 patients and 45 (45.9%) patients of them were not associated with any distal findings. Risk factors of APN were male, size of distal polyp and advanced distal polyp. Sensitivity of distal polyp size≥10 mm on APN was 38.8% and advanced distal polyp also 38.8%. Positive predictive value of distal polyp size≥10 mm and advanced distal polyp were 13.3%, 14.4% respectively. Conclusions: Although distal colon findings were helpful to predict APN in asymptomatic 50 years of age or order patients screening, more careful examination is required considering APN without distal polyps.
Files in This Item:
T200501609.pdf Download
DOI
OAK-2005-06666
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151559
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links