1.Analysis of clinical and endoscopic characteristics of colorectal polyps in children.
Feng Fan WANG ; Ying FANG ; Xiao Xia REN ; Hong Bin YANG ; Ku Ku GE ; Han Hua ZHANG ; Hua WANG ; Li Na SUN
Chinese Journal of Preventive Medicine 2022;56(9):1327-1332
To analyze the clinical and endoscopic characteristics of colorectal polyps in children, and to explore the detection rate, age and gender distribution characteristics, endoscopic treatment effect and follow-up monitoring of colorectal polyps in children, so as to provide reference for disease management of colorectal polyps in children. The clinical and endoscopic characteristics of children with colorectal polyps in Xi 'an Children's Hospital from January 2019 to December 2019 were retrospectively analyzed. The patients were divided into 5 groups according to age (y): 0
Child
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Child, Preschool
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Colonic Polyps
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Colonoscopy
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Female
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Gastrointestinal Hemorrhage/complications*
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Humans
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Intestinal Polyps/surgery*
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Male
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Retrospective Studies
3.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
;
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
;
complications
;
metabolism
;
pathology
;
surgery
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Intussusception
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complications
;
pathology
;
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
4.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
5.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