Kuwano H, Nozoe T, Sumiyoshi K, Yasuda M, Watanabe M, Ohno S, Sugimachi K, Kawamoto K
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Eur J Surg. 1996 Oct;162(10):797-800.
To investigate the incidence of colorectal lesions in patients who present with oesophageal cancer.
Prospective open study.
University hospital, Japan.
135 of 218 patients who presented with squamous cell carcinoma of the oesophagus during the seven year period 1988-1994 were randomly allocated to have a barium enema examination.
Barium enema examinations, and if colorectal lesions were found, colonoscopy and biopsy.
Incidence of coexistent colorectal lesions.
No abnormal findings were found in 52 (39%), diverticula were present on 37 (27%), benign polypoid lesions in 51 (38%), and malignant lesions in 6 (4%). We examined the clinical and histopathological details of all patients to see if it was possible to distinguish the patients at high risk of developing oesophageal and colorectal cancer but could find no differences among the groups.
Asymptomatic colorectal lesions are relatively common in patients with squamous cell carcinoma of the oesophagus in Japan.
调查食管癌患者结直肠病变的发生率。
前瞻性开放性研究。
日本大学医院。
1988年至1994年期间218例食管鳞状细胞癌患者中的135例被随机分配接受钡剂灌肠检查。
钡剂灌肠检查，若发现结直肠病变，则进行结肠镜检查和活检。
并存结直肠病变的发生率。
52例（39%）未发现异常，37例（27%）存在憩室，51例（38%）存在良性息肉样病变，6例（4%）存在恶性病变。我们检查了所有患者的临床和组织病理学细节，以确定是否有可能区分出发生食管癌和结直肠癌高危患者，但未发现各组之间存在差异。
在日本，无症状结直肠病变在食管鳞状细胞癌患者中相对常见。
