Akhtar Abbasi J, Zhuo Jiaying
Division of Gastroenterology, Department of Internal Medicine. Charles R. Drew University of Medicine & Science, Los Angeles, CA 90059, USA.
J Natl Med Assoc. 2003 Aug;95(8):746-9.
To determine usefulness of skin tags as a predictor of colonic polyps, in patients of a minority population.
Inner-city community hospital serving predominantly African Americans and Hispanics.
Evaluation of 480 consecutive patients undergoing colonoscopy. The presence or absence of skin tags was noted, and their correlation with the colonic polyps determined.
Colonic polyps were detected in 92 patients (19%). None of these patients had skin tags, whereas skin tags were found in 87 patients (18%), and none of them had colonic polyps.
The mere presence of acrochordons (skin tags) should not be used as an indication for screening colonoscopy especially in African Americans and Hispanics.
确定在少数族裔人群中,皮肤赘生物作为结肠息肉预测指标的有用性。
主要为非裔美国人和西班牙裔服务的市中心社区医院。
对480例连续接受结肠镜检查的患者进行评估。记录皮肤赘生物的有无,并确定其与结肠息肉的相关性。
92例患者(19%)检测到结肠息肉。这些患者均无皮肤赘生物,而87例患者(18%)发现有皮肤赘生物,且他们均无结肠息肉。
仅存在皮赘(皮肤赘生物)不应作为筛查结肠镜检查的指征,尤其是在非裔美国人和西班牙裔人群中。