하부대장 증식성 용종의 임상적 의의
Clinical Significant of Hyperplastic Polyps in the Distal Colon
홍부환, 김종한, 류근원, 김선한, 김진호, 문홍영,
소속 상세정보
홍부환 ( Hong Boo-Hwan )
고려대학교 의과대학 외과학교실
김종한 ( Kim Jong-Han )
고려대학교 의과대학 외과학교실
류근원 ( Ryu Keun-Won )
고려대학교 의과대학 외과학교실
김선한 ( Kim Seon-Hahn )
고려대학교 의과대학 외과학교실
김진호 ( Kim Jin-Ho )
고려대학교 의과대학 내과학교실
문홍영 ( Moon Hong-Young )
고려대학교 의과대학 외과학교실
KMID : 0356720000160030145
Abstract
Purpose: To determine whether hyperplastic polyps found in the distal colon are associated with proximal adenomas, and to judge whether patients with distal hyperplastic polyps found during sigmoidoscopy might benefit from full colonscopy.
Methods: We retropectively analyzed 2333 consecutive patients who were examined with colonoscopy between January 1991 and December 1994.
Results: 247 of 2333 patients (10.6%) had one or more colonic polyps. The prevalence of adenomatous polyps alone was 72.5%, hyperplastic polyps 22.7%, both 0.52%. The proportion of patients with distal hyperplastic polyps and proximal adenomatous polyps (4.4%) was not significiantly different from the proportion of those without distal hyperplastic polyps (1.6%). Patients with distal adenomatous polyps, on the other hand, were significantly more likely to have proximal adenomatous polyps than those without distal adenomatous polyps.
Conclusion: Distal hperplastic polyps are not strong predictors of risk for proximal adenomatous polyps. Based on the results of this study, we do not believe that finding a hyperplastic polyp during sigmoidoscopy justifies doing a full colonoscopy to search for proximal adenomatous polyps.
키워드
대장내시경;선종성 용종;증식성 용종;표지용종
Colonscopy;Adenomatous polyp;Hyperplastic polyp;Index polyp
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