S281 Adenoma Positivity Rate in a Young Urban Patient Population Undergoing Colonoscopy

Abstract

Introduction: There is a rise in colorectal cancer (CRC) in younger patients less than 45 years of age. However, there is limited data on the prevalence of colorectal neoplasia in patients younger than 45 years. Our study's objective was to evaluate the adenoma positivity rate (APR) for patients 40-49 years undergoing colonoscopy regardless of indication Methods: We retrospectively reviewed our endoscopy database for all patients ages 40-49 who underwent colonoscopy at our institution between January 2018 and December 2021. We analyzed patients' demographics, BMI, indication, findings, and bowel preparation. Colonoscopies were excluded if the bowel preparation was inadequate (n548), or the pathology revealed colonic adenocarcinoma (n52). Statistical analysis was performed utilizing Chi-square testing with significance set at a P , 0.05