胃息肉与结肠肿瘤之间存在关联吗？

Is there an association between gastric polyps and colonic neoplasms?

作者信息

Shemesh E, Czerniak A, Pines A, Bat L

机构信息

Department of Gastroenterology, Chaim Sheba Medical Center, Sackler School of Medicine, Tel Aviv University, Israel.

出版信息

Digestion. 1989;42(4):212-6. doi: 10.1159/000199848.

DOI:10.1159/000199848

PMID:2806754

Abstract

The association between colonic neoplasms and gastric polyps (GP) was evaluated. Two hundred and sixty patients with known colonic neoplasms undergoing gastroduodenoscopy for abdominal symptoms, with or without anemia, were evaluated for the occurrence of synchronous GP. There were 100 patients with 1-4 colonic adenomas, 80 patients with multiple (5 or more) colonic adenomas and 80 patients with colorectal cancer. One hundred patients free from colonic neoplasms, investigated for abdominal pain or anemia, served as controls. The overall occurrence of GP in patients with colonic neoplasms was 18.8% compared to 1% in the control group. Hyperplastic GP were found in 4, 22.5, 18.7 and 1% of these patients, respectively, while gastric adenomas occurred in 2, 3.7, 3.5 and 0%, respectively. Patients with colorectal cancer or multiple colonic adenomas had significantly more GP than patients with 0-4 colonic adenomas. It is suggested that gastroduodenoscopic evaluation should be performed in patients with colorectal cancer or with 5 or more colonic adenomas.

摘要

评估了结肠肿瘤与胃息肉（GP）之间的关联。对260例已知患有结肠肿瘤且因腹部症状（有或无贫血）接受胃十二指肠镜检查的患者进行同步GP发生情况评估。其中100例患者患有1 - 4个结肠腺瘤，80例患者患有多个（5个或更多）结肠腺瘤，80例患者患有结直肠癌。100例无结肠肿瘤、因腹痛或贫血接受检查的患者作为对照。结肠肿瘤患者中GP的总体发生率为18.8%，而对照组为1%。这些患者中增生性GP的发生率分别为4%、22.5%、18.7%和1%，而胃腺瘤的发生率分别为2%、3.7%、3.5%和0%。患有结直肠癌或多个结肠腺瘤的患者比患有0 - 4个结肠腺瘤的患者有更多的GP。建议对患有结直肠癌或5个或更多结肠腺瘤的患者进行胃十二指肠镜评估。