Importance of colonoscopy in patients undergoing endoscopic resection for superficial esophageal squamous cell carcinoma
العنوان: | Importance of colonoscopy in patients undergoing endoscopic resection for superficial esophageal squamous cell carcinoma |
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المؤلفون: | Kunihiro Tsuji, Hiroshi Kurumaya, Naohiro Yoshida, Shinya Yamada, Hiroyoshi Nakanishi, Kenichi Takemura, Yasuhito Takeda, Ryosuke Ota, Hisashi Doyama, Kazuyoshi Katayanagi, Kei Tominaga, Shigetsugu Tsuji, Kazuhiro Matsunaga |
المصدر: | Annals of Gastroenterology : Quarterly Publication of the Hellenic Society of Gastroenterology |
بيانات النشر: | Hellenic Society of Gastroenterology, 2016. |
سنة النشر: | 2016 |
مصطلحات موضوعية: | medicine.medical_specialty, Adenoma, Colonoscopy, Gastroenterology, Asymptomatic, Esophageal squamous cell carcinoma, 03 medical and health sciences, 0302 clinical medicine, colonoscopy, Internal medicine, medicine, Advanced adenoma, neoplasms, medicine.diagnostic_test, business.industry, Incidence (epidemiology), Cancer, Odds ratio, medicine.disease, digestive system diseases, Surgery, esophageal squamous cell carcinoma, Dysplasia, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Original Article, medicine.symptom, business, colorectal neoplasm |
الوصف: | Background The aim of the study was to clarify the frequency of colorectal neoplasm (CRN) complicating superficial esophageal squamous cell carcinoma (ESCC) and the need for colonoscopy. Methods We retrospectively reviewed 101 patients who had undergone initial endoscopic resection (ER) for superficial ESCC. Control group participants were age- and sex-matched asymptomatic subjects screened at our hospital over the same period of time. Advanced adenoma was defined as an adenoma ≥10 mm, with villous features, or high-grade dysplasia. Advanced CRN referred to advanced adenoma or cancer. We measured the incidence of advanced CRN in superficial ESCC and controls, and we compared the characteristics of superficial ESCC patients with and without advanced CRN. Results In the superficial ESCC group, advanced CRNs were found in 17 patients (16.8%). A history of smoking alone was found to be a significant risk factor of advanced CRN [odds ratio 6.02 (95% CI 1.30-27.8), P=0.005]. Conclusion The frequency of synchronous advanced CRN is high in superficial ESCC patients subjected to ER. Colonoscopy should be highly considered for most patients who undergo ER for superficial ESCC with a history of smoking, and is recommended even in superfi cial ESCC patients. Keywords Advanced adenoma, colonoscopy, colorectal neoplasm, esophageal squamous cell carcinoma Ann Gastroenterol 2016; 29 (3): 318-324 |
اللغة: | English |
تدمد: | 1792-7463 1108-7471 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b115048be3b43656500c10e9e49ae9b7 http://europepmc.org/articles/PMC4923817 |
Rights: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....b115048be3b43656500c10e9e49ae9b7 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 17927463 11087471 |
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