The prevalence of colorectal neoplasia in patients with gastric cancer

A korean association for the study of intestinal disease (KASID) study

Dong Il Park, Seung Ha Park, Tae Woo Yoo, Hyunsoo Kim, Suk Kyun Yang, Jeong Sik Byeon, Bong Min Koh, Jin Oh Kim, Ki Nam Shim, Yoon Tae Jeen, Bo In Lee, Kyu Yong Choi, Hang Lak Lee, Dong Soo Han, Ilhyun Baek, Cheol Hee Park, Seun Ja Park

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

GOALS: The goal of this study was to determine the prevalence of colorectal neoplasia, using colonoscopy surveillance, in a cohort of patients with gastric cancers. BACKGROUND: The association between gastric cancer and colorectal cancer has been conflicting. STUDY: A total of 543 patients (males, 362; females, 181) with gastric cancer were matched with 2 persons from the population without a diagnosis of gastric cancer as confirmed by endoscopy according to age (±2y), sex, date of colonoscopy examination (±2wk), and endoscopist. Main Outcome was the prevalence of colorectal neoplasia diagnosed by colonoscopy. RESULTS: A significantly higher colorectal cancer prevalence was found in the gastric cancer group, that is, 19 of 543 (3.5%) versus 14 of 1086 (1.3%; P<0.001). The odds of developing colorectal cancer were higher in the presence of gastric cancer (odds ratios, 3.46; 95% confidence interval: 1.51-7.91). Four of the 119 (3.4%) gastric cancer patients below 50 years of age had colorectal cancer in contrast with no cases in the matched controls. The prevalence of colorectal adenoma was higher in the gastric cancer group, with a prevalence of 215 in 543 (39.6%) versus 311 in 1086 (28.6%; P<0.001). The risk of adenoma was also greater among gastric cancer patients (odds ratios, 1.76; 95% confidence interval: 1.34-2.25). CONCLUSIONS: Our data reveal a higher prevalence and risk of colorectal cancer in patients diagnosed with gastric cancer, particularly in patients below 50 years of age. Additional studies are needed to explore the geographical differences in the association between gastric cancer and colon cancer.

Original languageEnglish
Pages (from-to)102-105
Number of pages4
JournalJournal of Clinical Gastroenterology
Volume44
Issue number2
DOIs
Publication statusPublished - 2010 Feb 1

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Intestinal Diseases
Stomach Neoplasms
Neoplasms
Colorectal Neoplasms
Colonoscopy
Adenoma
Colonic Neoplasms
Odds Ratio
Confidence Intervals
Endoscopy

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Park, Dong Il ; Park, Seung Ha ; Yoo, Tae Woo ; Kim, Hyunsoo ; Yang, Suk Kyun ; Byeon, Jeong Sik ; Koh, Bong Min ; Kim, Jin Oh ; Shim, Ki Nam ; Jeen, Yoon Tae ; Lee, Bo In ; Choi, Kyu Yong ; Lee, Hang Lak ; Han, Dong Soo ; Baek, Ilhyun ; Park, Cheol Hee ; Park, Seun Ja. / The prevalence of colorectal neoplasia in patients with gastric cancer : A korean association for the study of intestinal disease (KASID) study. In: Journal of Clinical Gastroenterology. 2010 ; Vol. 44, No. 2. pp. 102-105.
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title = "The prevalence of colorectal neoplasia in patients with gastric cancer: A korean association for the study of intestinal disease (KASID) study",
abstract = "GOALS: The goal of this study was to determine the prevalence of colorectal neoplasia, using colonoscopy surveillance, in a cohort of patients with gastric cancers. BACKGROUND: The association between gastric cancer and colorectal cancer has been conflicting. STUDY: A total of 543 patients (males, 362; females, 181) with gastric cancer were matched with 2 persons from the population without a diagnosis of gastric cancer as confirmed by endoscopy according to age (±2y), sex, date of colonoscopy examination (±2wk), and endoscopist. Main Outcome was the prevalence of colorectal neoplasia diagnosed by colonoscopy. RESULTS: A significantly higher colorectal cancer prevalence was found in the gastric cancer group, that is, 19 of 543 (3.5{\%}) versus 14 of 1086 (1.3{\%}; P<0.001). The odds of developing colorectal cancer were higher in the presence of gastric cancer (odds ratios, 3.46; 95{\%} confidence interval: 1.51-7.91). Four of the 119 (3.4{\%}) gastric cancer patients below 50 years of age had colorectal cancer in contrast with no cases in the matched controls. The prevalence of colorectal adenoma was higher in the gastric cancer group, with a prevalence of 215 in 543 (39.6{\%}) versus 311 in 1086 (28.6{\%}; P<0.001). The risk of adenoma was also greater among gastric cancer patients (odds ratios, 1.76; 95{\%} confidence interval: 1.34-2.25). CONCLUSIONS: Our data reveal a higher prevalence and risk of colorectal cancer in patients diagnosed with gastric cancer, particularly in patients below 50 years of age. Additional studies are needed to explore the geographical differences in the association between gastric cancer and colon cancer.",
author = "Park, {Dong Il} and Park, {Seung Ha} and Yoo, {Tae Woo} and Hyunsoo Kim and Yang, {Suk Kyun} and Byeon, {Jeong Sik} and Koh, {Bong Min} and Kim, {Jin Oh} and Shim, {Ki Nam} and Jeen, {Yoon Tae} and Lee, {Bo In} and Choi, {Kyu Yong} and Lee, {Hang Lak} and Han, {Dong Soo} and Ilhyun Baek and Park, {Cheol Hee} and Park, {Seun Ja}",
year = "2010",
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Park, DI, Park, SH, Yoo, TW, Kim, H, Yang, SK, Byeon, JS, Koh, BM, Kim, JO, Shim, KN, Jeen, YT, Lee, BI, Choi, KY, Lee, HL, Han, DS, Baek, I, Park, CH & Park, SJ 2010, 'The prevalence of colorectal neoplasia in patients with gastric cancer: A korean association for the study of intestinal disease (KASID) study', Journal of Clinical Gastroenterology, vol. 44, no. 2, pp. 102-105. https://doi.org/10.1097/MCG.0b013e3181a15849

The prevalence of colorectal neoplasia in patients with gastric cancer : A korean association for the study of intestinal disease (KASID) study. / Park, Dong Il; Park, Seung Ha; Yoo, Tae Woo; Kim, Hyunsoo; Yang, Suk Kyun; Byeon, Jeong Sik; Koh, Bong Min; Kim, Jin Oh; Shim, Ki Nam; Jeen, Yoon Tae; Lee, Bo In; Choi, Kyu Yong; Lee, Hang Lak; Han, Dong Soo; Baek, Ilhyun; Park, Cheol Hee; Park, Seun Ja.

In: Journal of Clinical Gastroenterology, Vol. 44, No. 2, 01.02.2010, p. 102-105.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The prevalence of colorectal neoplasia in patients with gastric cancer

T2 - A korean association for the study of intestinal disease (KASID) study

AU - Park, Dong Il

AU - Park, Seung Ha

AU - Yoo, Tae Woo

AU - Kim, Hyunsoo

AU - Yang, Suk Kyun

AU - Byeon, Jeong Sik

AU - Koh, Bong Min

AU - Kim, Jin Oh

AU - Shim, Ki Nam

AU - Jeen, Yoon Tae

AU - Lee, Bo In

AU - Choi, Kyu Yong

AU - Lee, Hang Lak

AU - Han, Dong Soo

AU - Baek, Ilhyun

AU - Park, Cheol Hee

AU - Park, Seun Ja

PY - 2010/2/1

Y1 - 2010/2/1

N2 - GOALS: The goal of this study was to determine the prevalence of colorectal neoplasia, using colonoscopy surveillance, in a cohort of patients with gastric cancers. BACKGROUND: The association between gastric cancer and colorectal cancer has been conflicting. STUDY: A total of 543 patients (males, 362; females, 181) with gastric cancer were matched with 2 persons from the population without a diagnosis of gastric cancer as confirmed by endoscopy according to age (±2y), sex, date of colonoscopy examination (±2wk), and endoscopist. Main Outcome was the prevalence of colorectal neoplasia diagnosed by colonoscopy. RESULTS: A significantly higher colorectal cancer prevalence was found in the gastric cancer group, that is, 19 of 543 (3.5%) versus 14 of 1086 (1.3%; P<0.001). The odds of developing colorectal cancer were higher in the presence of gastric cancer (odds ratios, 3.46; 95% confidence interval: 1.51-7.91). Four of the 119 (3.4%) gastric cancer patients below 50 years of age had colorectal cancer in contrast with no cases in the matched controls. The prevalence of colorectal adenoma was higher in the gastric cancer group, with a prevalence of 215 in 543 (39.6%) versus 311 in 1086 (28.6%; P<0.001). The risk of adenoma was also greater among gastric cancer patients (odds ratios, 1.76; 95% confidence interval: 1.34-2.25). CONCLUSIONS: Our data reveal a higher prevalence and risk of colorectal cancer in patients diagnosed with gastric cancer, particularly in patients below 50 years of age. Additional studies are needed to explore the geographical differences in the association between gastric cancer and colon cancer.

AB - GOALS: The goal of this study was to determine the prevalence of colorectal neoplasia, using colonoscopy surveillance, in a cohort of patients with gastric cancers. BACKGROUND: The association between gastric cancer and colorectal cancer has been conflicting. STUDY: A total of 543 patients (males, 362; females, 181) with gastric cancer were matched with 2 persons from the population without a diagnosis of gastric cancer as confirmed by endoscopy according to age (±2y), sex, date of colonoscopy examination (±2wk), and endoscopist. Main Outcome was the prevalence of colorectal neoplasia diagnosed by colonoscopy. RESULTS: A significantly higher colorectal cancer prevalence was found in the gastric cancer group, that is, 19 of 543 (3.5%) versus 14 of 1086 (1.3%; P<0.001). The odds of developing colorectal cancer were higher in the presence of gastric cancer (odds ratios, 3.46; 95% confidence interval: 1.51-7.91). Four of the 119 (3.4%) gastric cancer patients below 50 years of age had colorectal cancer in contrast with no cases in the matched controls. The prevalence of colorectal adenoma was higher in the gastric cancer group, with a prevalence of 215 in 543 (39.6%) versus 311 in 1086 (28.6%; P<0.001). The risk of adenoma was also greater among gastric cancer patients (odds ratios, 1.76; 95% confidence interval: 1.34-2.25). CONCLUSIONS: Our data reveal a higher prevalence and risk of colorectal cancer in patients diagnosed with gastric cancer, particularly in patients below 50 years of age. Additional studies are needed to explore the geographical differences in the association between gastric cancer and colon cancer.

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