Document Detail

Diverticula, neoplasia, or both? Early detection of carcinoma in sigmoid diverticular disease.
MedLine Citation:
PMID:  4051609     Owner:  NLM     Status:  MEDLINE    
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.
P B Boulos; A P Cowin; D G Karamanolis; C G Clark
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of surgery     Volume:  202     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1985 Nov 
Date Detail:
Created Date:  1985-11-21     Completed Date:  1985-11-21     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  607-9     Citation Subset:  AIM; IM    
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MeSH Terms
Carcinoma / diagnosis*
Colon, Sigmoid
Colonic Neoplasms / diagnosis*
Diverticulum, Colon / diagnosis*
Middle Aged

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

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