| Diverticula, neoplasia, or both? Early detection of carcinoma in sigmoid diverticular disease. | |
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MedLine Citation:
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PMID: 4051609 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In 105 patients with symptomatic sigmoid diverticular disease, colonoscopy revealed an associated frequency of carcinoma of seven (6.6%) (Dukes A in 4, B in 2, and C in 1) and adenomas in 29 (27.6%), with a peak incidence of 60 to 79 years and an equal sex distribution. In 45 (43%) examinations, the barium enema was inaccurate. The presenting complaints of abdominal pain and/or alteration in bowel habit in 36 patients with neoplasms and 69 without were similar, but significantly more patients with neoplasms complained of rectal bleeding (p less than 0.05). Endoscopic examination is therefore recommended in patients with sigmoid diverticular disease, particularly in those aged over 60 years and with rectal bleeding. |
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Authors:
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P B Boulos; A P Cowin; D G Karamanolis; C G Clark |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of surgery Volume: 202 ISSN: 0003-4932 ISO Abbreviation: Ann. Surg. Publication Date: 1985 Nov |
Date Detail:
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Created Date: 1985-11-21 Completed Date: 1985-11-21 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0372354 Medline TA: Ann Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 607-9 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Carcinoma / diagnosis* Colon, Sigmoid Colonic Neoplasms / diagnosis* Diverticulum, Colon / diagnosis* Female Humans Male Middle Aged |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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