Prevalence and risk of colorectal polyps among the Korean population under 50 years

Jeong, Se Hyeong; Lee, Jinho; Kim, Eunju; Hwang, Jun Seong; Liu, Jin; Choi, Joon Hyuk; Heo, Nae–Yun; Park, Jongha; Park, Seung Ha; Kim, Tae Oh; Park, Yongeun

doi:10.1097/md.0000000000029493

Cited by 2 publications

(2 citation statements)

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“…[32][33][34] The proportion of patients with polyps and diverticula increased with age, which suggested that age is a significant risk factor for both disorders. 35 Compared to our findings, other studies have shown that these lesions increase with age. 32,36 The chance for colorectal polyps was higher in obese people, so the chance of developing polyps increased with increasing BMI.…”

Section: Number Of Diverticulacontrasting

confidence: 91%

The Association between Anthropometric Indicators and Colorectal Polyps and Diverticulosis

Najafi Mobaraki,

Joukar,

Maroufizadeh

et al. 2024

Journal of Coloproctology

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Introduction Colonic polyps and diverticulosis are common colon findings on colonoscopy. One of the risk factors of colorectal polyps and diverticulosis is the anthropometric index. Therefore, we aimed to investigate the association between the anthropometric index and colorectal findings. Methods In this cross-sectional study, we included 536 patients referred to Razi Hospital, Rasht, Iran, in 2023 for colonoscopy evaluation. Demographical data, clinical characteristics, and colonoscopy findings were recorded for further analysis. All data were analyzed using SPSS.16 by considering a significant level < 0.05 Results The results showed that 35.4% of the patients had polyps, with the majority having a single polyp. The patient's mean age was 55.94 ± 13.33 years; most were females (54.1%). The most common type of polyp was pedunculated, and most were located in the sigmoid colon. The prevalence of diverticular was 11.4%, most of which were also located in the sigmoid colon. Obesity was significantly associated with an increased risk of polyps, while overweight individuals had a higher risk of diverticula (P < 0.05). Age, rural residence, and low physical activity level were identified as factors associated with an increased risk of polyps and diverticula. Conclusion The findings suggest that obesity and overweight are risk factors for polyps and diverticula, respectively. Further research is warranted to explore additional factors and develop preventive strategies for colorectal diseases. These results support the need for preventive strategies and screening programs to reduce the risk of future colorectal lesions.

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Section: Number Of Diverticulacontrasting

confidence: 91%

The Association between Anthropometric Indicators and Colorectal Polyps and Diverticulosis

Najafi Mobaraki,

Joukar,

Maroufizadeh

et al. 2024

Journal of Coloproctology

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“…CRC usually arises from adenomatous polyps through the adenoma-carcinoma sequence [ 6 ]. In Korea, the prevalence of colorectal adenomas was reportedly 3.2% in individuals aged 19-29 years, 13.8% in those 30-39 years, and 21.1% in those aged 40-49 years [ 7 ]. Risk factors for the development of colorectal neoplasia in individuals younger than 50 years included being male, being older than 45 years, and having a change in bowel habits [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics of symptomatic young patients with colonic adenomas

El Hayek

2024

aog

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Background The incidence of colonic adenomas and colorectal cancer has been on the rise among young patients. In this study, we aimed to describe the characteristics of young patients (<50 years) with adenomatous polyps and to characterize those polyps. We also aimed to determine appropriate surveillance intervals for young patients. Methods We performed a retrospective chart review of patients <50 years of age who had polypectomy of 1 or more adenomatous polyps on colonoscopy between 2008 and 2021. Patient demographics, colonoscopy indication and polyp characteristics were obtained from the chart. Timing and findings on surveillance colonoscopies were recorded. Results A total of 610 patients were included: mean age 42.9±5.9 years, 61% males, body mass index 27.5±4.7 kg/m 2 , and over 50% smokers. The most common indications were abdominal pain (23.3%), rectal bleeding (22.3%), and change in bowel habits (17.6%). Almost half of the patients who had adenomas (299) were younger than 45 years. Tubular adenoma was the most frequently encountered type of polyp (571; 93.6%). Mean polyp size was 1.1±0.9 cm. The most common location of adenomas was the sigmoid colon (41%). Of patients with adenomas, 156 (26%) had surveillance colonoscopy within 2.9±2.3 years; 74 patients (47.4%) were found to have new adenomas. Conclusions Patients aged <50 years with colonic adenomas were mostly males, overweight, and smokers. Further adenomas were found in 47% of surveillance colonoscopies, and most were encountered within 5 years. High rates of recurrent adenomas in people <50 years of age may warrant frequent surveillance.

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Prevalence and risk of colorectal polyps among the Korean population under 50 years

Cited by 2 publications

References 46 publications

The Association between Anthropometric Indicators and Colorectal Polyps and Diverticulosis

The Association between Anthropometric Indicators and Colorectal Polyps and Diverticulosis

Clinical characteristics of symptomatic young patients with colonic adenomas

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