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Increasing prevalence of advanced colonic polyps in young patients undergoing colonoscopy in a referral academic hospital in Hong Kong.

Lam, Tze-Jui; Wong, Benjamin C Y; Mulder, Chris J J; Peña, A Salvador; Hui, Wai Mo; Lam, Shiu Kum; Chan, Annie On On.
World J Gastroenterol; 13(28): 3873-7, 2007 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-17657845

AIM:

To investigate the distribution and frequency of advanced polyps over eight years.

METHODS:

6424 colonoscopies were reviewed during the study period 1998 to 2005. The study period was subdivided into period I 1998 to 2001 and period II 2002-2005.

RESULTS:

1856 polyps (33% advanced polyps) and 328 CRCs were detected. The mean ages of the patients with advanced polyps and cancer were 69.2 +/- 12.0 and 71.6 +/- 13.8 years, respectively. Advanced polyps were mainly left sided (59.5%). Advanced polyps were found in patients male subjects polyps rose from 21.5% in period I to 29.5% in period II (P < 0.05). Whereas cancers in male patients similar in both periods 23.2% vs 16.5% (P > 0.05).

CONCLUSION:

Advanced polyps increased significantly in the younger male group in the most recent period and there seems to be a shift towards a proximal location.
Selo DaSilva