Distal colonic hyperplastic polyps do not predict proximal adenomas in asymptomatic average-risk subjects

Douglas K. Rex, Jennefer J. Smith, Thomas M. Ulbright, Glen A. Lehman

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Abstract

The significance of distal colonic hyperplastic polyps was investigated in 482 asymptomatic average-risk subjects, aged 50-75 years, in whom fecal occult blood test results were negative and who underwent screening colonoscopy. The incidence of adenomas in the colon proximal to the sigmoid-descending colon junction in subjects with hyperplastic polyps distal to that point was 18% and was similar to the incidence of proximal colonic adenomas in subjects with no distal colonic polyps (15%). The incidence of proximal colonic adenomas in subjects with distal colonic adenomas was 38% and was significantly greater than the incidence found in individuals with no distal colonic polyps or only hyperplastic polyps. Our data do not support distal colonic hyperplastic polyps as markers for proximal colonic adenomas in asymptomatic average-risk subjects.

Original languageEnglish (US)
Pages (from-to)317-319
Number of pages3
JournalGastroenterology
Volume102
Issue number1
DOIs
StatePublished - Jan 1992

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Colonic Polyps
Adenoma
Incidence
Polyps
Descending Colon
Occult Blood
Hematologic Tests
Sigmoid Colon
Colonoscopy
Colon

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Distal colonic hyperplastic polyps do not predict proximal adenomas in asymptomatic average-risk subjects. / Rex, Douglas K.; Smith, Jennefer J.; Ulbright, Thomas M.; Lehman, Glen A.

In: Gastroenterology, Vol. 102, No. 1, 01.1992, p. 317-319.

Research output: Contribution to journalArticle

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