Association of gastric hyperplastic polyps with synchronous colorectal neoplasia
10.3760/cma.j.issn.1007-5232.2015.03.005
- VernacularTitle:胃增生性息肉患者合并大肠肿瘤的研究
- Author:
Nana HE
;
Hailong CAO
;
Shuli SONG
;
Mengque XU
;
Meiyu PIAO
;
Bangmao WANG
- Publication Type:Journal Article
- Keywords:
Gastroscopes;
Colonoscopes;
Gastric hyperplastic polyps;
Colorectal neoplasia
- From:
Chinese Journal of Digestive Endoscopy
2015;(3):154-157
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the association of gastric hyperplastic polyps with colorectal neo-plasia.Methods Data of consecutive patients who underwent esophagogastroduodenoscopy (EGD)and colonoscopy between January 2011 and December 2013 were reviewed retrospectively.They were compared with patients without gastric polyps who also underwent EGD in the same period.The relationship between gastric polyps and colorectal neoplasia was analyzed.Results The incidence of colorectal neoplasia in gas-tric hyperplastic polyps group was higher than that of the control group [24.0% (46 /192)VS 10.4%(40 /384),P =0.000].An increased incidence of colorectal adenomas in gastric hyperplastic polyps group was found,but there was no difference in the incidence of colorectal cancer in gastric hyperplastic polyps group and control group[2.1%(4 /192)VS 2.3%(9 /384),P =1.000].Stratification analysis suggested that the incidence of colorectal neoplasia in gastric hyperplastic polyps group who aged over 50 was signifi-cantly higher than that in the control group[28.5%(43 /151)VS 10.6%(29 /274),P =0.017],regard-less of different genders and the number of gastric hyperplastic polyps.Conclusion The incidence of color-ectal neoplasia in gastric hyperplastic polyps has significantly increased,especially in those aged over 50 years,regardless of different genders and the number of gastric hyperplastic polyps.Such patients should undergo colonoscopy to detect colorectal neoplasia.
