Document Detail


Gallstones Are Associated with Colonic Adenoma: A Meta-analysis.
MedLine Citation:
PMID:  22562454     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Increased levels of secondary bile acids after gallstone disease and cholecystectomy are believed to increase the risk of colorectal cancer. It remains unclear whether there is a similar risk of developing adenomas. The aim of this meta-analysis was to determine the risk of developing colonic adenomas following gallstone disease or cholecystectomy. METHODS: The study was based on a systematic search of PubMed, MEDLINE, EMBASE, and Current Contents (1950-2012). Selection criteria were developed to sort for studies exploring the relationship between cholelithiasis, cholecystectomy, and colonic adenoma in an adult population. A random-effects model was used to generate pooled odds ratios (OR) and 95 % confidence intervals (CI). Publication bias and heterogeneity were assessed. RESULTS: Of the 1,276 studies identified, 14 were suitable for final analysis. There were 253,059 subjects in total, 42,543 of whom were diagnosed with colonic adenoma, and 28,281 of whom had gallstones or underwent cholecystectomy. There was a significant risk of developing colonic adenoma if gallstones were present (OR = 2.26; 95 % CI = 1.83-2.81). A risk was also seen with cholecystectomy (OR = 1.15; 95 % CI = 1.04-1.26), but this risk was negated when only adjusted odds were selected (OR = 1.01; 95 % CI = 0.91-1.12). No publication bias and only low levels of heterogeneity existed. CONCLUSIONS: Gallstones increase the risk of colonic adenoma. No association exists with cholecystectomy.
Authors:
Corinna Chiong; Michael R Cox; Guy D Eslick
Related Documents :
18373104 - Genetic variants in the 8q24 locus and risk of testicular germ cell tumors.
20203524 - Genetic susceptibility to type 2 diabetes is associated with reduced prostate cancer risk.
20171624 - Solitary and multiple uterine leiomyomas among caucasian women: two different disorders?
9129714 - Association of a polymorphism in intron 13 of the monoamine oxidase b gene with parkins...
15208004 - Bidi cigarette use among young adults in 15 states.
20090874 - Smoking, physical inactivity, and obesity: associations with social status.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-5
Journal Detail:
Title:  World journal of surgery     Volume:  -     ISSN:  1432-2323     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
The Whiteley-Martin Research Centre, Discipline of Surgery, The University of Sydney, Nepean Hospital, Level 5, South Block, P.O. Box 63, Penrith, NSW, 2751, Australia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Acute Appendicitis in a Developing Country.
Next Document:  Two-photon laser polymerization: from fundamentals to biomedical application in tissue engineering a...