Results of Screening Colonoscopy in Asymptomatic Average-risk Koreans at a Community-based Secondary Hospital.
- Author:
Jong Kyu KIM
1
;
Yong Sung CHOI
;
Jung Pil SUH
;
In Taek LEE
;
Eui Gon YOUK
;
Doo Seok LEE
Author Information
1. Department of Gastroenterology, Daehang Hospital, Seoul, Korea. yschoi71@dreamwiz.com
- Publication Type:Original Article
- Keywords:
Screening;
Colonoscopy;
Asymptomatic
- MeSH:
Colonic Neoplasms;
Colonoscopy;
Colorectal Neoplasms;
Delivery of Health Care;
Female;
Hospitals, University;
Humans;
Korea;
Male;
Mass Screening;
Prevalence
- From:Korean Journal of Gastrointestinal Endoscopy
2010;41(5):266-272
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Colonoscopy has emerged as the dominant colorectal cancer screening strategy, yet the data on the results of performing screening colonoscopy in asymptomatic average risk Koreans is limited. The aim of this study is to determine the results of screening colonoscopy at a community-based single center in Korea. METHODS: A total of 13,743 individuals (5,935 males and 7,808 females, age: 50.6+/-11.8 years) who underwent screening colonoscopy at a community based hospital from April 2006 to March 2008 were analyzed. RESULTS: Of the 13,743 subjects, neoplasia, advanced neoplasia and early colon cancer were detected in 3,270 subjects (23.8%), 315 subjects (2.3%) and 60 subjects (0.5%), respectively. The prevalence of neoplasia and advanced neoplasia increased with age (p<0.001), and this was higher among males as compared to that of females (p<0.001). Of the 3,666 subjects with neoplasia, 1,440 subjects (38.3%) had multiple neoplasia. Old age and male gender were associated with multiple neoplasia. CONCLUSIONS: The overall prevalence of colorectal neoplasia in asymptomatic average-risk Koreans at a community based hospital is comparable with that in a health care setting or university hospitals. Old age and male gender are associated with a higher risk of colorectal neoplasia and having multiple neoplasia.
