Distal and Proximal Colon Adenomas
Authors: Walter Mark Hassig, Mostafa A. H. Ibrahim, Freda L. Arlow
Journal: Annals of Internal Medicine (1991)

Letters1 April 1991Distal and Proximal Colon AdenomasWalter Mark Hassig, MD, Mostafa A. H. Ibrahim, MD, Freda L. Arlow, MDWalter Mark Hassig, MDSearch for more papers by this author, Mostafa A. H. Ibrahim, MDSearch for more papers by this author, Freda L. Arlow, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-114-7-603 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors: In the report of their prospective study of whether distal colonic hyperplastic polyps are a marker for proximal adenomatous polyps in symptomatic patients, Provenzale and colleagues (1) generalized their findings to an asymptomatic population. In the reported study, more than 73% of the patients were referred for indications that are associated with a higher prevalence of polyps. To say that only "some of the patients" were symptomatic would be misleading.The 11% prevalence of a distal polyp found in this study is similar to that found in other studies of truly asymptomatic patients. We prospectively examined 409...References1. ProvenzaleGarrettCondonSandler DJSR. Risk for colon adenomas in patients with rectosigmoid hyperplastic polyps. Ann Intern Med. 1990;113:760-3. LinkGoogle Scholar2. IbrahimBatraSchumanViola MSBF. Fiberoptic sigmoidoscopy in screening pattern makers for colon cancer at their workplace. Am J Gastroenterol. 1984;79:262-4. MedlineGoogle Scholar3. AchkarCarey EW. Small polyps found during fiberoptic sigmoidoscopy in asymptomatic patients. Ann Intern Med. 1988;109:880-3. LinkGoogle Scholar4. BradyNordStraker PHR. Are hyperplastic rectosigmoid polyps associated with an increased risk of proximal colonic neoplasms? [Abstract]. Gastrointest Endosc. 1990;36:213. Google Scholar5. FoutchMaiPardyDisarioRuzkowski PHKJC. The index hyperplastic polyp is a reliable marker for synchronous neoplasia in the proximal colon [Abstract]. Gastrointest Endosc. 1990;36:212. Google Scholar1. ProvenzaleGarrettCondonSandler DJSR. Risk for colon adenomas in patients with rectosigmoid hyperplastic polyps. Ann Intern Med. 1990;113:760-3. LinkGoogle Scholar2. AchkarCarey EW. Small polyps found during fiberoptic sigmoidoscopy in asymptomatic patients. Ann Intern Med. 1988;109:880-3. LinkGoogle Scholar3. BlueSivakAchkar MME. Colonoscopy as treatment of all polyps found at screening flexible sigmoidoscopy [Abstract]. Gastrointest Endosc. 1988;34:193. Google Scholar4. StoltenbergKirtleyCulp PDK. Are diminutive colorectal polyps clinically significant? [Abstract]. Gastrointest Endosc. 1988;34:172. Google Scholar5. Eddy D. Screening for colorectal cancer. Ann Intern Med. 1990;113:373-84. LinkGoogle Scholar1. ProvenzaleGarrettCondonSandler DJSR. Risk for colon adenomas in patients with rectosigmoid hyperplastic polyps. Ann Intern Med. 1990;113:760-3. LinkGoogle Scholar1. ProvenzaleGarrettCondonSandler DJSR. Risk for colon adenomas in patients with rectosigmoid hyperplastic polyps. Ann Intern Med. 1990;113:760-3. LinkGoogle Scholar2. RexLehmanHawesUlbrightSmith DGRTJ. Screening colonoscopy in asymptomatic average-risk persons with negative fecal occult blood tests. Gastroenterology. 1991;100:64-7. CrossrefMedlineGoogle Scholar3. . Clinical competence in the use of flexible sigmoidoscopy for screening purposes. Ann Intern Med. 1987;107:589-91. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Henry Ford Hospital Detroit, MI 48202-2689 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 April 1991Volume 114, Issue 7Page: 603-604KeywordsAdenomasColonProspective studies Issue Published: 1 April 1991 PDF DownloadLoading ...