Document Detail

Colonoscopy in patients with benign anorectal disease.
MedLine Citation:
PMID:  8458264     Owner:  NLM     Status:  MEDLINE    
A prospective study was performed to determine the incidence of colorectal neoplasia and inflammatory bowel disease in patients with benign anorectal disease. Over a three-year period, 102 consecutive patients who presented with hemorrhoids, fissure, fistula-in-ano, anorectal abscess, and anal condylomata and who did not have gastrointestinal symptoms underwent colonoscopy. The mean age of all patients was 53.5 years; males out-numbered females 1.6:1. No patient was found to have inflammatory bowel disease. Ten of 102 (9.8 percent) were found to have a neoplastic lesion (nine adenomas and one adenocarcinoma). Patients found to have a neoplastic lesion tended to be older (61 years vs. 52.7 years; P = 0.06). Neoplasia was found in 4 of 21 (19 percent) with a family history of colorectal cancer and in 6 of 81 (7.4 percent) without a family history (P = 0.24). Patients presenting with outlet-type bleeding were not found to have a higher detection of neoplasia. The specific type of anorectal disease present was not associated with an increased risk for colorectal neoplasia. Our study suggests that benign anorectal disease and colorectal neoplasia may coexist. Anorectal disease is not predictive of neoplasia. The decision to perform colonoscopy should be based on age, gastrointestinal symptoms, and other risk factors.
W E Longo; P A Dean; K S Virgo; A M Vernava
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  36     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-04-27     Completed Date:  1993-04-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  368-71     Citation Subset:  IM    
Department of Surgery, St. Louis University School of Medicine, Missouri.
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MeSH Terms
Age Factors
Aged, 80 and over
Anus Diseases / complications*
Colorectal Neoplasms / complications*,  diagnosis
Inflammatory Bowel Diseases / complications*,  diagnosis
Middle Aged
Prospective Studies
Rectal Diseases / complications*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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