| Colonoscopy in patients with benign anorectal disease. | |
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MedLine Citation:
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PMID: 8458264 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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W E Longo; P A Dean; K S Virgo; A M Vernava |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Diseases of the colon and rectum Volume: 36 ISSN: 0012-3706 ISO Abbreviation: Dis. Colon Rectum Publication Date: 1993 Apr |
Date Detail:
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Created Date: 1993-04-27 Completed Date: 1993-04-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 368-71 Citation Subset: IM |
Affiliation:
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Department of Surgery, St. Louis University School of Medicine, Missouri. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aged Aged, 80 and over Anus Diseases / complications* Colonoscopy Colorectal Neoplasms / complications*, diagnosis Female Humans Incidence Inflammatory Bowel Diseases / complications*, diagnosis Male 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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