Analysis of colonoscopy examination in 529 healthy adults
10.3760/cma.j.issn.1007-5232.2012.05.009
- VernacularTitle:529例健康体检者结肠镜检查结果分析
- Author:
Jun WU
;
Jiaming QIAN
;
Xiaorong GAI
;
Fang YAO
;
Zhenjie WANG
;
Li ZHAO
;
Jingnan LI
- Publication Type:Journal Article
- Keywords:
Colonic polyps;
Colonoscopes;
Mass screening;
Health examination
- From:
Chinese Journal of Digestive Endoscopy
2012;29(5):272-275
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the significance of colonoscopy examination in healthy subjects.MethodsA total of 537 health examination cases who underwent colonoscopy from January 2010 to June 2011 in Peking Union Medical College Hospital (PUMCH) health examination center were enrolled,in which 529 cases underwent total colonoscopy.Detection of colorectal lesion,polyp types and pathology were recorded and the correlation between detection rate of polyps,lesion sites and ages as well as gender were analyzed.ResultsThere were 315 male and 214 female,with a mean age of 48.3 ± 9.3 years.A total of 158 colorectal polyps were detected in 104 cases ( 19.7％ ),including 84 ( 15.9％ ) adenomas,17 (3.2％ ) advanced polyps and 1 (0.2％ ) rectal cancer.Other abnormalities were hemorrhoids in 61 cases ( 11.5％ )and inflammation in 22 (4.2％ ).Colorectal polyps were more frequent in men (P ＜0.001 ).Adults older than 50 had higher rates of colorectal polyps (P ＜0.001 ) and advanced polyps ( P ＜0.05).The proportion of patients with proximal polyps increased with age,whereas that of patients with distal polyps decreased with age ( P ＜0.05).ConclusionColonoscopy is an effective screening modality for colorectal lesions and the importance of colonoscopy on health examination population to prevent colorectal cancer should be stressed.
