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prevalence of colorectal neoplasms in young, average risk individuals: A turning tide between East and West

World Journal of Gastroenterology 2016年第32期22卷 7365-7372页

作者： Ari Leshno Menachem Moshkowitz Maayan David Lior Galazan alfred i neugut Nadir Arber Erwin Santo integrated Cancer Prevention Center Tel-Aviv Sourasky Medical Center Tel-Aviv University Department of Gastroenterology Tel-Aviv Sourasky Medical Center Affiliated to the Sackler Faculty of Medicine Tel-Aviv University Department of Epidemiology Mailman School of Public Health Columbia University Herbert irving Comprehensive Cancer Center Columbia University Department of Medicine College of Physicians and Surgeons Columbia University

AiM To determine the prevalence of colorectal neoplasia in average risk persons 40-59 years of age in israel and to compare the results with other populations. METHODS We reviewed the results of asymptomatic average-risk subjects, aged 40 to 59 years, undergoing their first screening colonoscopy between April 1994 and January 2014. The detection rates of adenoma, advanced adenoma(AA) and colorectal cancer(CRC) were determined in the 40's and 50's age groups by gender. The prevalence of lesions was compared between age groups. After meticulous review of the literature, these results were compared to published studies addressing the prevalence of colorectal neoplasia in similar patient groups, in a variety of geographical *** We included first screening colonoscopy results of 1750 individuals. The prevalence of adenomas, AA and CRC was 8.3%, 1.0% and 0.2% in the 40-49 age group and 13.7%, 2.4% and 0.2% in the 50-59 age group, respectively. Age-dependent differences in adenoma and AA rates were significant only among men(p iterature review disclosed 17 relevant studies. As expected, in both Asian and Western populations, the risks for overall adenoma and advanced adenoma was significantly higher in the 50's age group as compared to the 40's age group in a similar fashion. The result of the current study were similar to previous studies on Western populations. A substantially higher rate of adenoma, was observed in studies conducted among Asian populations in both age *** The higher rate of colorectal neoplasia in Asian populations requires further investigation and reconsideration as to the starting age of screening in that population.

关键词： Colonoscopy Adenoma Colorectal cancer Average risk Young Asian Western

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