1.Localized form of colitis cystica profunda: a case of occurrence in the descending colon.
Woo Ho KIM ; Ghee Young CHOE ; Yong Il KIM ; Jin Pok KIM
Journal of Korean Medical Science 1992;7(1):76-78
An unusual localization of localized colitis cystica profunda in a 31-year-old man is described. The patient presented as anal bleeding and a protruding mass at the descending colon; the mass was polypoid and was made up of papillary epithelial hyperplasia with downward herniation of glands into the submucosa. Only one similar case involving a descending colon has been reported in the world literature.
Adult
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Colonic Diseases/complications/*pathology
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Colonic Polyps/complications/*pathology
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Cysts/complications/*pathology
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Humans
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Intestinal Mucosa/pathology
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Male
3.Clinicopathologic Study of Colorectal Polyps and Obesity in Korean Adults.
Jeong Hoon JI ; Bum Joon PARK ; Young Soo PARK ; Jin Hyeok HWANG ; Sook Hyang CHUNG ; Nayoung KIM ; Dong Ho LEE ; Hyun Chae JUNG ; In Sung SONG
The Korean Journal of Gastroenterology 2007;49(1):10-16
BACKGROUD/AIMS: Obesity is a rising problem in industrialized countries. Numerous epidemiologic studies have shown a positive association between obesity and colorectal polyps. There are few studies investigating the association between colorectal adenomatous polyps and body fat composition in Korea. We tried to examine the relationship between body fatness and colorectal adenomatous polyps in health check-up subjects in Korea. METHODS: Six thousand seven hundred and six routine health check-up subjects, who visited our hospital between March 2002 and April 2005 and underwent distal colon examimation with sigmoidoscopy, were enrolled in this study. Among them, colonoscopy was done in 860 patients to evaluate the entire colon. We tried to reveal the relationship between body mass index (BMI) and size, location, number and histopathological type of polyps. BMI was used as an indicator of obesity. RESULTS: The mean value of BMI in total polyp-free group (23.8+/-2.9) was not different from that of the polyp group (24.5+/-2.8, p=0.09). The frequency of rectosigmoid polyps in obese patients (20.4%) was higher than that in non-obese patients (16.0%, p<0.05). The frequency of adenomatous polyp was not different between obese and non-obese group. Number of polyps (> or =4) correlated well with obesity. Moreover, age and triglyceride level in patients with colonic adenoma were significantly higher than in patients without colonic adenom. CONCLUSIONS: This study shows that obesity is not associated with colonic adenomatous polyp in Korean population. However, we observed that obesity may be associated with rectosigmoid colon polyps. Furthermore, age and triglyceride level might be the risk factors of colonic adenomatous polyps in Korean population.
Adenomatous Polyps/*complications/epidemiology/pathology
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Adult
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Aged
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Aged, 80 and over
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Body Mass Index
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Colonic Neoplasms/*complications/epidemiology/pathology
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Colonic Polyps/complications/epidemiology/pathology
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Comorbidity
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Female
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Humans
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Korea
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Male
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Middle Aged
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Obesity/*complications/diagnosis/epidemiology
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Retrospective Studies
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Sigmoidoscopy
4.A Case of Cronkhite-Canada Syndrome Showing Resolution with Helicobactor pylori Eradication and Omeprazole.
Myung Shin KIM ; Hye Kyung JUNG ; Hae Sun JUNG ; Ju Young CHOI ; Yoon Ju NA ; Gun Woo PYUN ; Jung Hwa RYU ; Il Hwan MOON ; Min Sun JO
The Korean Journal of Gastroenterology 2006;47(1):59-64
We describe a 58-year-old woman who was incidentally found to have gastric and colonic polyposis, hypoalbuminemia, cutaneous hyperpigmentation and onychodystrophy (Cronkhite-Canada syndrome). Histology of polyps from the stomach showed features of juvenile or retention type (hamartomatous) polyps with Helicobacter pylori (H. pylori) infection. The large pedunculated colonic polyps showed hamartomatous polyps with adenomatous component and polypectomy was performed. After the treatment with H. pylori eradication and omeprazole, the gastric polyposis, hypoalbuminemia and anemia regressed, and endoscopic polypectomy of gastric polyps were performed. After the continuous use of omeprazole for 14 months, the patient showed complete resolution of clinical features of Cronkhite-Canada syndome. The experience of this case suggests that eradication of H. pylori and proton pump inhibitor treatment might be considered in patients with gastric polyposis combined with Cronkhite-Canada syndome.
Anti-Ulcer Agents/*therapeutic use
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Colonic Polyps/complications/microbiology/pathology
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Female
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Helicobacter Infections/complications/*drug therapy
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*Helicobacter pylori
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Humans
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Hyperpigmentation/pathology
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Middle Aged
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Nails, Malformed/pathology
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Omeprazole/*therapeutic use
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Polyps/*complications/microbiology/pathology
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Proton Pumps/antagonists & inhibitors
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Stomach Neoplasms/*complications/microbiology/pathology
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Syndrome
5.Multiple lymphomatous polyposis of intestine: report of a case.
Cai-qin WANG ; Zhong-xin SHI ; Jing JIANG ; Ji-hong ZHANG ; Ying ZHANG ; Qian WANG
Chinese Journal of Pathology 2011;40(5):341-342
Antigens, CD20
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metabolism
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CD5 Antigens
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metabolism
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Colonic Neoplasms
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complications
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metabolism
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pathology
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surgery
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Cyclin D1
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metabolism
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Diagnosis, Differential
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Female
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Humans
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Ileal Diseases
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complications
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pathology
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surgery
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Ileocecal Valve
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Intestinal Neoplasms
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complications
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metabolism
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pathology
;
surgery
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Intestinal Polyps
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complications
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metabolism
;
pathology
;
surgery
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Intussusception
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complications
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pathology
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surgery
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Leukemia, Lymphocytic, Chronic, B-Cell
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metabolism
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pathology
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Lymphoma, Mantle-Cell
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complications
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metabolism
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pathology
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surgery
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Middle Aged
6.A Case of Cap Polyposis Complicated with Idiopathic Retroperitoneal Fibrosis.
Limhwa SONG ; Byung Woo JHUN ; Jihyeon PARK ; Damin KIM ; Dong Kyung CHANG ; Young Ho KIM ; Jae Jun KIM ; Jin Yong KIM
The Korean Journal of Gastroenterology 2011;58(5):275-279
An optimal treatment for cap polyposis has not been established. Several treatment approaches, including anti-inflammatory agents, antibiotics, immunomodulators, and endoscopic therapy have been described. Surgical resection of the affected colon and rectum may be indicated for patients with persistent disease. Repeat surgery is indicated in cases of recurrence after surgery. However, symptomatic polyposis may still recur, and spontaneous resolution of cap polyposis is possible. We report a case of recurrent cap polyposis complicated with retroperitoneal fibrosis after inadequate low anterior resection with a positive resection margin. Surgical approaches for the treatment of cap polyposis should be carefully considered before treatment.
Anti-Inflammatory Agents/therapeutic use
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Colonic Polyps/surgery
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Colonoscopy
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Female
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Humans
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Intestinal Polyposis/complications/*diagnosis/pathology
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Middle Aged
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Prednisolone/therapeutic use
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Recurrence
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Retroperitoneal Fibrosis/complications/*diagnosis/drug therapy
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Tomography, X-Ray Computed
7.The Risk of Metachronous Advanced Colorectal Neoplasia Rises in Parallel with an Increasing Number of High-Risk Findings at Baseline.
Seung Min LEE ; Jeong Hwan KIM ; In Kyung SUNG ; Sung Noh HONG
Gut and Liver 2015;9(6):741-749
BACKGROUND/AIMS: Colorectal adenomas that are > or =10 mm have villous histology or high-grade dysplasia, or that are associated with > or =3 adenomas are considered high-risk for metachronous advanced neoplasia. We evaluated the cumulative incidence of metachronous advanced neoplasia according to the total number of high-risk findings detected on baseline colonoscopy. METHODS: This was a retrospective cohort study performed in 862 patients who underwent removal of colorectal adenomas between 2005 and 2009. At least one surveillance colonoscopy had been conducted at Konkuk University Medical Center, Seoul, Korea. RESULTS: The cumulative incidence of metachronous advanced neoplasia in patients with 0, 1, 2, and 3-4 high-risk findings at 1 year were 0.7%, 1.3%, 2.8%, and 8.0%; at 3 years, those were 5.9%, 11.9%, 15.5%, and 24.7%; and at 5 years, those were 8.5%, 18.7%, 26.3%, and 37.2%, respectively. In a multivariate model, the risk of metachronous advanced neoplasia was significantly higher for the multiple high-risk findings group when compared with the 0 high-risk findings group (1 high-risk (+): hazard ratio, 1.86 [95% confidence interval, 1.00-3.44]; 2 high-risk (+): 1.84 [0.88-3.84]; and 3-4 high-risk (+): 3.29 [1.54-7.01]; ptrend=0.020). CONCLUSIONS: The presence of overlapping multiple high-risk findings was associated with an increased risk of advanced neoplasia during surveillance.
Adenoma/epidemiology/*etiology/pathology
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Aged
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Colonic Polyps/complications/surgery
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*Colonoscopy
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Colorectal Neoplasms/epidemiology/*etiology/pathology
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Early Detection of Cancer/methods
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Female
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Humans
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Incidence
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Male
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Middle Aged
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Neoplasm Grading
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Neoplasms, Second Primary/epidemiology/*etiology/pathology
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Population Surveillance/methods
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Proportional Hazards Models
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Republic of Korea/epidemiology
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Retrospective Studies
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Risk Factors
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Time Factors
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Tumor Burden