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Intest Res > Volume 9(2); 2011 > Article
Intestinal Research 2011;9(2):112-117.
DOI: https://doi.org/10.5217/ir.2011.9.2.112    Published online August 30, 2011.
Prevalence and Risk Factors of Colorectal Neoplasms according to Coronary Artery Obstructive Disease
Ki Tae Suk, Hyun Soo Kim, Hyun Jun Min, Hong Jun Park, Hyo Keun Jeon, Moon Young Kim, Jae Woo Kim, Soon Koo Baik, Sang Ok Kwon
Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Yonsei University Wonju College of Medicine, Wonju, Korea
관상동맥폐색질환에 따른 대장 종양의 유병률과 위험인자
석기태, 김현수, 민현준, 박홍준, 전효근, 김문영, 김재우, 백순구, 권상옥
한림대학교 의과대학 내과학교실, 연세대학교 원주의과대학 내과학교실
Abstract
Background/Aims
Both colorectal neoplasm (CN) and coronary artery obstructive disease (CAOD) are prevalent and major leading causes of death in Korea. Although CN and CAOD share similar risk factors such as male gender, smoking, hyperlipidemia, diabetes mellitus, and obesity, few studies of both CN and CAOD have been reported. In this study, we evaluated clinical correlations between CN and CAOD. Methods: Between June 2003 and December 2007, 176 patients (Male: 101, average age: 62.1±9.7 yr) who underwent colonoscopy after or before coronary angiography were retrospectively enrolled. The colonoscopic findings (normal, adenoma, or cancer) of patients as well as clinical and laboratory data according to the extent of CAOD (normal, minimal CAOD, or CAOD) were compared. Results: CAOD negative, minimal CAOD, and CAOD patients totaled 36, 40, and 100, respectively. The presence of CN (adenoma and adenocarcinoma) in CAOD negative, minimal CAOD, and CAOD cases was 42%, 48%, and 63%, respectively, which was significantly different (P<0.05). In multivariate analysis, old age (≥60 yr; P=0.03, odds ratio 2.47) and the presence of CAOD (P=0.02, odds ratio 4.11) were associated with the presence of CN. Conclusions: The prevalence of CN increased in proportion to the severity of CAOD. Colorectal cancer screening by fecal occult blood tests or colonoscopy should be a priority in patients with CAOD, particularly the elderly. (Intest Res 2011;9:112-116)
Key Words: Colorectal Neoplasms, Colonoscopy, Coronary Artery Disease
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