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1. Winn B, Tavares R, Matoso A, Noble L, Fanion J, Waldman SA, Resnick MB: Expression of the intestinal biomarkers Guanylyl cyclase C and CDX2 in poorly differentiated colorectal carcinomas. Hum Pathol; 2010 Jan;41(1):123-8
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  • The expression of Guanylyl cyclase C is preserved throughout the adenoma/carcinoma sequence in the colorectum.

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  • (PMID = 19800103.001).
  • [ISSN] 1532-8392
  • [Journal-full-title] Human pathology
  • [ISO-abbreviation] Hum. Pathol.
  • [Language] ENG
  • [Grant] United States / NCRR NIH HHS / RR / P20 RR017695; United States / NCRR NIH HHS / RR / RR017695-05; United States / NCRR NIH HHS / RR / P20 RR017695-05; United States / NCRR NIH HHS / RR / P20 RR17695
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; 0 / CDX2 protein, human; 0 / Homeodomain Proteins; 0 / Receptors, Peptide; EC 4.6.1.2 / Guanylate Cyclase; EC 4.6.1.2 / Receptors, Guanylate Cyclase-Coupled; EC 4.6.1.2 / enterotoxin receptor
  • [Other-IDs] NLM/ NIHMS135185; NLM/ PMC2789905
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2. Suraweera N, Latchford A, McCart A, Rogers P, Spain S, Sieber O, Phillips R, Tomlinson I, Silver A: Pregnancy does not influence colonic polyp multiplicity but may modulate upper gastrointestinal disease in patients with FAP. J Med Genet; 2007 Aug;44(8):541-4
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  • Familial adenomatous polyposis (FAP) patients carry a germline adenomatous polyposis coli (APC) mutation predisposing to multiple adenoma formation in the intestine.

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  • (PMID = 17496195.001).
  • [ISSN] 1468-6244
  • [Journal-full-title] Journal of medical genetics
  • [ISO-abbreviation] J. Med. Genet.
  • [Language] eng
  • [Publication-type] Letter
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC2597927
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3. Murakami Y, Uemura K, Hayashidani Y, Sudo T, Sueda T: Relapsing acute pancreatitis due to ampullary adenoma in a patient with familial adenomatous polyposis. J Gastroenterol; 2006 Aug;41(8):798-801
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  • [Title] Relapsing acute pancreatitis due to ampullary adenoma in a patient with familial adenomatous polyposis.
  • Evaluation using computed tomography, ultrasonography, and duodenoscopy revealed an ampullary adenoma, which was classified as Spigelman's stage III according to Spigelman's criteria.
  • [MeSH-major] Adenoma, Bile Duct / complications. Adenomatous Polyposis Coli / complications. Ampulla of Vater. Common Bile Duct Neoplasms / complications. Pancreatitis / etiology


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4. Nusko G, Hahn EG, Mansmann U: Risk of advanced metachronous colorectal adenoma during long-term follow-up. Int J Colorectal Dis; 2008 Nov;23(11):1065-71
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  • [Title] Risk of advanced metachronous colorectal adenoma during long-term follow-up.
  • BACKGROUND: According to the adenoma-carcinoma concept, all colorectal adenomas are to be removed and all patients have to undergo regular surveillance examinations.
  • Statistical analysis using chi (2)-testing of adenoma characteristics found in four subsequent recurrence periods and calculation of the relative risk (RR) for the development of metachronous adenomas of advanced pathology was performed.
  • [MeSH-major] Adenoma / etiology. Colonic Polyps / surgery. Colorectal Neoplasms / etiology. Neoplasms, Second Primary / etiology

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  • (PMID = 18597098.001).
  • [ISSN] 0179-1958
  • [Journal-full-title] International journal of colorectal disease
  • [ISO-abbreviation] Int J Colorectal Dis
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Germany
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5. Abir F, Alva S, Kaminski DL, Longo WE: The role of arachidonic acid regulatory enzymes in colorectal disease. Dis Colon Rectum; 2005 Jul;48(7):1471-83
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • PURPOSE: Nonsteroidal anti-inflammatory drugs have a wide ranging effect on diseases of the colon and rectum.
  • Interestingly, nonsteroidal anti-inflammatory drugs seem to play a beneficial role in colorectal cancer chemoprevention and adenoma regression, but may have a deleterious effect in inflammatory bowel disease.
  • [MeSH-major] Anti-Inflammatory Agents, Non-Steroidal / pharmacology. Arachidonic Acid / metabolism. Colonic Diseases / prevention & control. Cyclooxygenase Inhibitors / pharmacology. Prostaglandin-Endoperoxide Synthases / physiology. Rectal Diseases / prevention & control
  • [MeSH-minor] Adenoma / prevention & control. Adenomatous Polyposis Coli / prevention & control. Colorectal Neoplasms / prevention & control. Enterocolitis / parasitology. Humans. Inflammatory Bowel Diseases / prevention & control

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  • (PMID = 15868226.001).
  • [ISSN] 0012-3706
  • [Journal-full-title] Diseases of the colon and rectum
  • [ISO-abbreviation] Dis. Colon Rectum
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Anti-Inflammatory Agents, Non-Steroidal; 0 / Cyclooxygenase Inhibitors; 27YG812J1I / Arachidonic Acid; EC 1.14.99.1 / Prostaglandin-Endoperoxide Synthases
  • [Number-of-references] 133
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6. Belizon A, Balik E, Horst PK, Shantha Kumara HM, Nasar A, Whelan RL: Platelet-derived growth factor (subtype BB) is elevated in patients with colorectal carcinoma. Dis Colon Rectum; 2009 Jun;52(6):1166-71
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  • CONCLUSION: Platelet-derived growth factor-BB levels were greater in patients with colorectal cancer (vs. patients with adenoma) and rose with increasing disease severity.
  • [MeSH-major] Adenoma / blood. Colorectal Neoplasms / blood. Platelet-Derived Growth Factor / metabolism

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  • (PMID = 19581863.001).
  • [ISSN] 1530-0358
  • [Journal-full-title] Diseases of the colon and rectum
  • [ISO-abbreviation] Dis. Colon Rectum
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; 0 / Platelet-Derived Growth Factor; 0 / Proto-Oncogene Proteins c-sis; 0 / platelet-derived growth factor BB
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7. López-Villar I, Ayala R, Wesselink J, Morillas JD, López E, Marín JC, Díaz-Tasende J, González S, Robles L, Martínez-López J: Simplifying the detection of MUTYH mutations by high resolution melting analysis. BMC Cancer; 2010;10:408
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  • BACKGROUND: MUTYH-associated polyposis (MAP) is a disorder caused by bi-allelic germline MUTYH mutation, characterized by multiple colorectal adenomas.
  • [MeSH-major] Adenoma / genetics. Colorectal Neoplasms / genetics. DNA Glycosylases / genetics. Germ-Line Mutation / genetics

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  • (PMID = 20687945.001).
  • [ISSN] 1471-2407
  • [Journal-full-title] BMC cancer
  • [ISO-abbreviation] BMC Cancer
  • [Language] eng
  • [Publication-type] Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] 0 / DNA, Neoplasm; EC 3.2.2.- / DNA Glycosylases; EC 3.2.2.- / mutY adenine glycosylase
  • [Other-IDs] NLM/ PMC2924853
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8. Shaukat A, Parekh M, Lipscomb J, Ladabaum U: Can calcium chemoprevention of adenoma recurrence substitute or serve as an adjunct for colonoscopic surveillance? Int J Technol Assess Health Care; 2009 Apr;25(2):222-31
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Can calcium chemoprevention of adenoma recurrence substitute or serve as an adjunct for colonoscopic surveillance?
  • METHODS: We constructed a Markov model of post-polypectomy adenoma recurrence and colorectal cancer (CRC) development, calibrated to data from prospective chemoprevention trials of fiber, calcium, antioxidants, and aspirin.
  • (iii) surveillance colonoscopy from age 50-80 every 5 years, or 3 years for large adenoma;.
  • [MeSH-major] Adenoma / prevention & control. Calcium / economics. Colonic Polyps / prevention & control. Colonoscopy. Colorectal Neoplasms / prevention & control

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  • (PMID = 19331713.001).
  • [ISSN] 1471-6348
  • [Journal-full-title] International journal of technology assessment in health care
  • [ISO-abbreviation] Int J Technol Assess Health Care
  • [Language] eng
  • [Grant] United States / NCI NIH HHS / CA / R01 CA101849; United States / NCI NIH HHS / CA / R01 CA101849-01A1; United States / NCI NIH HHS / CA / R01 CA101849-01A1
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
  • [Publication-country] England
  • [Chemical-registry-number] SY7Q814VUP / Calcium
  • [Other-IDs] NLM/ NIHMS209119; NLM/ PMC2972652
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9. Beggs AD, Hodgson SV: The genomics of colorectal cancer: state of the art. Curr Genomics; 2008 Mar;9(1):1-10
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  • The concept of the adenoma-carcinoma sequence, as first espoused by Morson et al. whereby the development of colorectal cancer is dependent on a stepwise progression from adenomatous polyp to carcinoma is well documented.

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  • (PMID = 19424478.001).
  • [ISSN] 1389-2029
  • [Journal-full-title] Current genomics
  • [ISO-abbreviation] Curr. Genomics
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
  • [Other-IDs] NLM/ PMC2674304
  • [Keywords] NOTNLM ; Colorectal / cancer / epigenomics. / genomics
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10. Groff RJ, Nash R, Ahnen DJ: Significance of serrated polyps of the colon. Curr Gastroenterol Rep; 2008 Oct;10(5):490-8
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  • The fundamental view that colon adenocarcinomas arise only from conventional adenomas has been challenged by the now recognized hyperplastic polyp-serrated adenoma-adenocarcinoma pathway.
  • This article describes the history of the serrated adenoma (both the traditional serrated adenoma and the sessile serrated adenoma) as well as the histology and endoscopic appearance of these lesions in comparison with hyperplastic polyps and mixed polyps.

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  • (PMID = 18799125.001).
  • [ISSN] 1534-312X
  • [Journal-full-title] Current gastroenterology reports
  • [ISO-abbreviation] Curr Gastroenterol Rep
  • [Language] ENG
  • [Grant] United States / NCI NIH HHS / CA / CA068099-09S1; United States / NCI NIH HHS / CA / R01 CA068099-09S1
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 44
  • [Other-IDs] NLM/ NIHMS210910; NLM/ PMC3437745
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11. Cho NL, Redston M, Zauber AG, Carothers AM, Hornick J, Wilton A, Sontag S, Nishioka N, Giardiello FM, Saltzman JR, Gostout C, Eagle CJ, Hawk ET, Bertagnolli MM: Aberrant crypt foci in the adenoma prevention with celecoxib trial. Cancer Prev Res (Phila); 2008 Jun;1(1):21-31
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  • [Title] Aberrant crypt foci in the adenoma prevention with celecoxib trial.
  • The natural history of these lesions and their role in the adenoma-carcinoma sequence are unknown.
  • We studied ACF in a subset of patients randomized to placebo (n = 17), celecoxib (200 mg twice daily; n = 15), or celecoxib (400 mg twice daily; n = 13) in the Adenoma Prevention with Celecoxib (APC) trial.
  • Magnification chromoendoscopy was done to identify, count, and biopsy ACF within the rectum at baseline and after 8 to 12 months of treatment.
  • Only baseline SMAD4 expression in ACF correlated with posttreatment adenoma recurrence (independent of treatment arm; P = 0.01).
  • [MeSH-major] Adenoma / prevention & control. Intestinal Mucosa / pathology. Intestinal Neoplasms / prevention & control. Precancerous Conditions / pathology. Pyrazoles / therapeutic use. Sulfonamides / therapeutic use

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  • [CommentIn] Cancer Prev Res (Phila). 2008 Jun;1(1):4-8 [19138929.001]
  • (PMID = 19138933.001).
  • [ISSN] 1940-6215
  • [Journal-full-title] Cancer prevention research (Philadelphia, Pa.)
  • [ISO-abbreviation] Cancer Prev Res (Phila)
  • [Language] eng
  • [Publication-type] Journal Article; Randomized Controlled Trial
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antineoplastic Agents; 0 / Biomarkers; 0 / Cyclooxygenase Inhibitors; 0 / Placebos; 0 / Pyrazoles; 0 / Sulfonamides; JCX84Q7J1L / Celecoxib
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12. Armah HB, Krasinskas AM, Parwani AV: Tubular adenoma with high-grade dysplasia in the ileal segment 34 years after augmentation ileocystoplasty: report of a first case. Diagn Pathol; 2007;2:29
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  • [Title] Tubular adenoma with high-grade dysplasia in the ileal segment 34 years after augmentation ileocystoplasty: report of a first case.
  • We present the case of a 39-year-old male with a tubular adenoma with high-grade dysplasia in the ileal segment 34 years after augmentation ileocystoplasty to enlarge a post-chemoradiation-induced shrunken bladder.
  • Histologic examination revealed a tubular adenoma with high-grade dysplasia.
  • There are only two previous reports of tubulovillous adenoma in ileal segment after ileocystoplasty, both without high-grade dysplasia.

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  • (PMID = 17697327.001).
  • [ISSN] 1746-1596
  • [Journal-full-title] Diagnostic pathology
  • [ISO-abbreviation] Diagn Pathol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC1995190
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13. Anderson JC, Stein B, Kahi CJ, Rajapakse R, Walker G, Alpern Z: Association of smoking and flat adenomas: results from an asymptomatic population screened with a high-definition colonoscope. Gastrointest Endosc; 2010 Jun;71(7):1234-40
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  • We observed that smoking was associated with having a flat adenoma of any size (adjusted odds ratio [OR], 2.53; 95% CI, 1.60-4.00), having only flat adenomas that were > or = 6 mm in diameter (adjusted OR, 3.84; 95% CI, 2.02-7.32), as well as flat advanced adenomas (adjusted OR, 2.81; 95% CI, 1.08-7.30).

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  • [Copyright] Copyright 2010 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.
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  • (PMID = 20417931.001).
  • [ISSN] 1097-6779
  • [Journal-full-title] Gastrointestinal endoscopy
  • [ISO-abbreviation] Gastrointest. Endosc.
  • [Language] ENG
  • [Grant] United States / NCRR NIH HHS / RR / M01 RR010710; United States / NCRR NIH HHS / RR / RR010710-09; United States / NCRR NIH HHS / RR / M01 RR010710-09; United States / NCRR NIH HHS / RR / MO1RR10710
  • [Publication-type] Comparative Study; Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS200247; NLM/ PMC2897970
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14. Hazra A, Selhub J, Chao WH, Ueland PM, Hunter DJ, Baron JA: Uracil misincorporation into DNA and folic acid supplementation. Am J Clin Nutr; 2010 Jan;91(1):160-5
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  • DESIGN: We analyzed UrMis concentrations in rectal mucosa (n = 92) and white blood cells (WBCs; n = 60) among individuals randomly assigned to receive supplementation with 1 mg folate/d or placebo, who were then evaluated for colorectal adenoma recurrence.
  • The median UrMis concentration in rectal mucosa and WBCs among individuals treated with folate was not significantly lower than that in those who received placebo (Wilcoxon's P = 0.17).
  • UrMis concentrations in both rectal mucosa and WBCs did not correlate significantly with folate measured in plasma and red blood cells.
  • UrMis in rectal mucosa was marginally associated with an increased risk of adenoma recurrence (odds ratio per SD: 1.43; 95% CI: 0.91, 2.25).
  • CONCLUSIONS: UrMis measurements in WBCs are not a robust surrogate for UrMis measurements in the rectal mucosa (Spearman correlation coefficient = 0.23, P = 0.08).
  • Furthermore, folate supplementation in an already replete population (half treated with folic acid supplements and all exposed to folic acid fortification of the food supply) was not significantly associated with reduced UrMis in rectal mucosa cells or WBCs.
  • [MeSH-major] Adenoma / pathology. Colorectal Neoplasms / pathology. DNA / biosynthesis. Dietary Supplements. Folic Acid / administration & dosage. Folic Acid / metabolism. Neoplasm Recurrence, Local / epidemiology. Uracil / metabolism

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  • (PMID = 19923375.001).
  • [ISSN] 1938-3207
  • [Journal-full-title] The American journal of clinical nutrition
  • [ISO-abbreviation] Am. J. Clin. Nutr.
  • [Language] eng
  • [Databank-accession-numbers] ClinicalTrials.gov/ NCT00272324
  • [Grant] United States / NCI NIH HHS / CA / R01 CA059005; United States / NCI NIH HHS / CA / T-32 CA 09001-30; United States / NCI NIH HHS / CA / U54 CA100971
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Placebos; 56HH86ZVCT / Uracil; 9007-49-2 / DNA; 935E97BOY8 / Folic Acid; R16CO5Y76E / Aspirin
  • [Other-IDs] NLM/ PMC2793107
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15. Kwon JH, Choi MG, Lee SW, Shu XX, Bae SH, Choi JY, Yoon SK, Cho YK, Park JM, Lee IS, Kim SW, Chung IS: Trends of Gastrointestinal Diseases at a Single Institution in Korea over the Past Two Decades. Gut Liver; 2009 Dec;3(4):252-8
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  • However, by 2006, gastric cancer, colon cancer, and colon adenoma or polyps had become the most prevalent diseases.
  • Furthermore, rates of detection and endoscopic treatment of early gastric cancer and adenoma of the stomach and colon have increased noticeably.

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  • (PMID = 20431757.001).
  • [ISSN] 2005-1212
  • [Journal-full-title] Gut and liver
  • [ISO-abbreviation] Gut Liver
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC2852723
  • [Keywords] NOTNLM ; Epidemiology / Gastrointestinal diseases / Korea / Trends
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16. Salemis NS, Nisotakis K, Nazos K, Stavrinou P, Tsohataridis E: Perforated appendix and periappendicular abscess within an inguinal hernia. Hernia; 2006 Dec;10(6):528-30
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  • Histology revealed the presence of a villous adenoma near the base of the appendix.

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  • (PMID = 16932844.001).
  • [ISSN] 1265-4906
  • [Journal-full-title] Hernia : the journal of hernias and abdominal wall surgery
  • [ISO-abbreviation] Hernia
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] France
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17. Morois S, Mesrine S, Josset M, Clavel-Chapelon F, Boutron-Ruault MC: Anthropometric factors in adulthood and risk of colorectal adenomas: The French E3N-EPIC prospective cohort. Am J Epidemiol; 2010 Nov 15;172(10):1166-80
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  • Anthropometric factors have been associated with colorectal cancer and adenomas but with conflicting results in women or regarding adenoma characteristics.
  • The authors aimed to explore associations between anthropometric factors (height, weight, body mass index, waist and hip circumferences, and weight changes) and adenoma risk.
  • They analyzed the 17,391 women of the French Etude épidémiologique des femmes de la Mutuelle Générale de l'Education Nationale (E3N)-European Prospective Investigation into Cancer and Nutrition (EPIC) cohort who underwent a colonoscopy during follow-up (1993-2002), including 1,408 who developed a first colorectal adenoma.
  • In Cox multivariate proportional hazard regression models, obesity was associated with an increased colorectal adenoma risk (hazard ratio = 1.53, 95% confidence interval: 1.21, 1.94).
  • This association was restricted to left colon adenomas (P(homogeneity) = 0.05 and 0.01 for colon vs. rectum and right vs. left colon, respectively), with a dose-effect relation observed from 22 kg/m².
  • A high waist circumference was also associated with left colon adenoma risk (hazard ratio = 1.81, 95% confidence interval: 1.36, 2.41).
  • Mean weight gain over 0.5 kg/year was associated with a 23% increased colorectal adenoma risk.

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  • (PMID = 20858743.001).
  • [ISSN] 1476-6256
  • [Journal-full-title] American journal of epidemiology
  • [ISO-abbreviation] Am. J. Epidemiol.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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18. Tytherleigh MG, Warren BF, Mortensen NJ: Management of early rectal cancer. Br J Surg; 2008 Apr;95(4):409-23
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  • [Title] Management of early rectal cancer.
  • BACKGROUND: Early rectal cancer (ERC) is adenocarcinoma that has invaded into, but not extended beyond, the submucosa of the rectum (that is a T1 tumour).
  • RESULTS AND CONCLUSION: ERC presents as a focus of malignancy within an adenoma, as a polyp, or as a small ulcerating adenocarcinoma.
  • [MeSH-major] Adenocarcinoma / surgery. Rectal Neoplasms / surgery

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  • [Copyright] 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
  • [CommentIn] Br J Surg. 2008 Sep;95(9):1189-90; author reply 1190 [18690612.001]
  • (PMID = 18314929.001).
  • [ISSN] 1365-2168
  • [Journal-full-title] The British journal of surgery
  • [ISO-abbreviation] Br J Surg
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] England
  • [Number-of-references] 124
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19. Cimitan A, Burza A, Basile U, Saputo S, Mingazzini P, Stipa F: [Local excision of giant rectal polypoid neoplasms]. Chir Ital; 2008 May-Jun;60(3):345-53
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  • [Title] [Local excision of giant rectal polypoid neoplasms].
  • [Transliterated title] Escissione locale delle neoplasie polipoidi giganti del retto.
  • Local excision is the best therapeutic option for giant adenomas of the rectum.
  • Parks technique for lower rectal lesions and the T.E.M. technique for lesions localised in the middle and upper rectum offer exceptionally good exposure, allowing radical excision in the case of early low-risk T1 adenocarcinomas (well or moderately differentiated [G1/2] without lymphovascular invasion [L0]).
  • From July 1987 to March 2006, 224 patients were treated by local excision for rectal lesions in our department.
  • In 3 patients with a preoperative diagnosis of severe dysplasia (Tis) final pathology showed adenoma and for this reason they were included in our study group.
  • In 26 patients (51%) the diagnosis was adenoma.
  • Giant sessile polypoid lesions localized in the middle and upper rectum are best treated with T.E.M., while Parks technique is a good option in lower rectal tumours.
  • [MeSH-major] Rectal Neoplasms / surgery

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  • (PMID = 18709772.001).
  • [ISSN] 0009-4773
  • [Journal-full-title] Chirurgia italiana
  • [ISO-abbreviation] Chir Ital
  • [Language] ita
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Italy
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20. Nieuwenhuis DH, Draaisma WA, Verberne GH, van Overbeeke AJ, Consten EC: Transanal endoscopic operation for rectal lesions using two-dimensional visualization and standard endoscopic instruments: a prospective cohort study and comparison with the literature. Surg Endosc; 2009 Jan;23(1):80-6
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  • [Title] Transanal endoscopic operation for rectal lesions using two-dimensional visualization and standard endoscopic instruments: a prospective cohort study and comparison with the literature.
  • BACKGROUND: The transanal endoscopic operation (TEO) has proved to be an effective alternative to conventional surgery for the treatment of rectal lesions.
  • METHODS: All consecutive patients with benign or malignant pT1 or pT2 rectal lesions undergoing TEO were prospectively followed.
  • RESULTS: Between 2004 and 2006, 31 patients with a median age of 75 years (range, 33-87 years) underwent 31 TEOs for a total of 36 rectal lesions (29 tubulovillous adenomas and 7 adenocarcinomas).
  • The locations of the lesions were as follows: 18 on the dorsal, 5 on the ventral, and 5 on the lateral rectal wall.
  • CONCLUSION: The study findings showed that for rectal tumors located up to 15 cm from the anal verge with a maximal diameter of 5 cm, TEO using standard laparoscopic instruments with a 2D view is feasible and provides results comparable with those associated with a 3D view and dedicated instruments.
  • [MeSH-major] Adenocarcinoma / surgery. Adenoma, Villous / surgery. Endoscopes. Endoscopy. Rectal Neoplasms / surgery. Surgery, Computer-Assisted / instrumentation

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  • (PMID = 18443874.001).
  • [ISSN] 1432-2218
  • [Journal-full-title] Surgical endoscopy
  • [ISO-abbreviation] Surg Endosc
  • [Language] eng
  • [Publication-type] Controlled Clinical Trial; Journal Article
  • [Publication-country] Germany
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21. Mila R, Grille S, Laurini M, Lapiedra D, Bagattini JC: [McKittrick- Wheelock syndrome: report of one case]. Rev Med Chil; 2008 Jul;136(7):900-4
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  • [Transliterated title] Síndrome de McKittrick-Wheelock: Una causa infrecuente de shock hipovolémico.
  • On rectal palpation a large tumor located 5 cm above the anus was palpated.
  • Colonoscopy confirmed the presence of a villous adenoma that was excised surgically.
  • In this patient, the fluid and electrolyte hypersecretion of the rectal villous adenoma provoked a depletion syndrome with serious hydroelectrolytic alterations, acute renal failure and hypovolemic shock.
  • [MeSH-major] Adenoma, Villous / complications. Colonic Neoplasms / complications. Water-Electrolyte Imbalance / etiology
  • [MeSH-minor] Diarrhea / etiology. Female. Humans. Middle Aged. Rectum / surgery. Syndrome

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  • (PMID = 18949168.001).
  • [ISSN] 0034-9887
  • [Journal-full-title] Revista médica de Chile
  • [ISO-abbreviation] Rev Med Chil
  • [Language] spa
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Chile
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22. Greco SA, Chia J, Inglis KJ, Cozzi SJ, Ramsnes I, Buttenshaw RL, Spring KJ, Boyle GM, Worthley DL, Leggett BA, Whitehall VL: Thrombospondin-4 is a putative tumour-suppressor gene in colorectal cancer that exhibits age-related methylation. BMC Cancer; 2010;10:494
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  • [MeSH-major] Adenoma / genetics. Colorectal Neoplasms / genetics. DNA Methylation. Gene Expression Regulation, Neoplastic. Genes, Tumor Suppressor. Thrombospondins / genetics
  • [MeSH-minor] Age Factors. Cohort Studies. Colon / metabolism. Colon / pathology. Colony-Forming Units Assay. CpG Islands. DNA / genetics. Humans. Immunoenzyme Techniques. Middle Aged. Phenotype. Polymerase Chain Reaction. Prognosis. Promoter Regions, Genetic / genetics. Rectum / metabolism. Rectum / pathology

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  • (PMID = 20846368.001).
  • [ISSN] 1471-2407
  • [Journal-full-title] BMC cancer
  • [ISO-abbreviation] BMC Cancer
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Thrombospondins; 0 / thrombospondin 4; 9007-49-2 / DNA
  • [Other-IDs] NLM/ PMC2946314
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23. Sidelnikov E, Bostick RM, Flanders WD, Long Q, Cohen VL, Dash C, Seabrook ME, Fedirko V: MutL-homolog 1 expression and risk of incident, sporadic colorectal adenoma: search for prospective biomarkers of risk for colorectal cancer. Cancer Epidemiol Biomarkers Prev; 2009 May;18(5):1599-609
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  • [Title] MutL-homolog 1 expression and risk of incident, sporadic colorectal adenoma: search for prospective biomarkers of risk for colorectal cancer.
  • To characterize the expression of the mismatch repair gene MutL-homolog 1 (MLH1) in normal colorectal crypts in humans, and assess parameters of its expression as a potential biomarker of risk for colorectal neoplasms, we conducted a pilot, colonoscopy-based case-control study (51 cases, 154 controls) of incident, sporadic colorectal adenoma.
  • Biopsies of normal-appearing rectal, sigmoid, and ascending colon mucosa were procured, immunohistochemically processed for MLH1 protein, and analyzed using custom quantitative image analysis procedures.
  • MLH1 expression in the ascending colon was, on average, 49% proportionally lower in cases than controls (P = 0.03), but there was little evidence for case-control differences in the rectum and sigmoid colon.
  • There was little indication of similar differences in the rectum.
  • These preliminary data suggest that lower MLH1 expression in the normal colonic mucosa, at least in the ascending colon, may be associated with increased risk of incident, sporadic colorectal adenoma, as well as with modifiable risk factors for colorectal neoplasms, thus supporting further investigation of MLH1 expression as a potential "treatable" biomarker of risk for colorectal neoplasms.
  • [MeSH-major] Adaptor Proteins, Signal Transducing / genetics. Adenoma / genetics. Colorectal Neoplasms / genetics. Nuclear Proteins / genetics

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  • (PMID = 19423536.001).
  • [ISSN] 1055-9965
  • [Journal-full-title] Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
  • [ISO-abbreviation] Cancer Epidemiol. Biomarkers Prev.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Adaptor Proteins, Signal Transducing; 0 / Biomarkers, Tumor; 0 / MLH1 protein, human; 0 / Nuclear Proteins
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24. Jasiński A, Szyca R, Tomaszewski S, Leksowski K: [Long-term results of rectal tumors treatment by transanal endoscopic microsurgery (TEM)]. Pol Merkur Lekarski; 2007 May;22(131):379-80
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  • [Title] [Long-term results of rectal tumors treatment by transanal endoscopic microsurgery (TEM)].
  • Transanal endoscopic microsurgery (TEM) is a minimally invasive technique for excision of selected benign and malignant rectal neoplasmas.
  • The aim of this study was to assess the long-term results after benign and malignant rectal lesions excision using TEM.
  • Two patients have had stricture of the rectum.
  • CONCLUSION: TEM is a safe, effective treatment for selected cases of benign lesions and some cases of early stage rectal cancer.
  • [MeSH-major] Adenoma / surgery. Anal Canal / surgery. Endoscopy, Gastrointestinal. Liver Neoplasms / secondary. Microsurgery. Rectal Neoplasms / surgery. Rectum / surgery

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  • (PMID = 17679373.001).
  • [ISSN] 1426-9686
  • [Journal-full-title] Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
  • [ISO-abbreviation] Pol. Merkur. Lekarski
  • [Language] pol
  • [Publication-type] English Abstract; Evaluation Studies; Journal Article
  • [Publication-country] Poland
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25. Lin GL, Meng WC, Lau PY, Qiu HZ, Yip AW: Local resection for early rectal tumours: Comparative study of transanal endoscopic microsurgery (TEM) versus posterior trans-sphincteric approach (Mason's operation). Asian J Surg; 2006 Oct;29(4):227-32
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  • [Title] Local resection for early rectal tumours: Comparative study of transanal endoscopic microsurgery (TEM) versus posterior trans-sphincteric approach (Mason's operation).
  • OBJECTIVE: To compare local resection of early rectal tumours by transanal endoscopic microsurgery (TEM) and the conventional posterior trans-sphincteric approach (Mason's operation).
  • METHODS: The study group comprised 31 consecutive patients with early rectal tumours (18 villous adenomas, 13 adenocarcinomas) who underwent TEM in Kwong Wah Hospital, Hong Kong.
  • The control group consisted of 51 patients with early rectal tumours (27 villous adenomas, 24 adenocarcinomas) who underwent Mason's operation in Peking Union Medical College Hospital, Beijing.
  • CONCLUSION: TEM is as effective as the conventional posterior trans-sphincteric approach (Mason's operation) for local curative resection of early rectal tumours.

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  • (PMID = 17098653.001).
  • [ISSN] 1015-9584
  • [Journal-full-title] Asian journal of surgery
  • [ISO-abbreviation] Asian J Surg
  • [Language] ENG
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] China
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26. Antillon MR, Bartalos CR, Miller ML, Diaz-Arias AA, Ibdah JA, Marshall JB: En bloc endoscopic submucosal dissection of a 14-cm laterally spreading adenoma of the rectum with involvement to the anal canal: expanding the frontiers of endoscopic surgery (with video). Gastrointest Endosc; 2008 Feb;67(2):332-7
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  • [Title] En bloc endoscopic submucosal dissection of a 14-cm laterally spreading adenoma of the rectum with involvement to the anal canal: expanding the frontiers of endoscopic surgery (with video).
  • OBJECTIVE: To show the feasibility of ESD to remove en bloc, very large LSTs of the rectum, even when there is involvement to the dentate line.
  • PATIENTS: A 53-year-old patient, with a 14-cm tubulovillous adenoma of the rectum, which, at its maximal extent, involved two thirds of the circumference of the rectum.
  • CONCLUSIONS: This case demonstrated the feasibility of using ESD to remove large laterally spreading rectal tumors, including when there was involvement to the dentate line (and the dissection line must include squamous mucosa of the anal canal).
  • [MeSH-major] Adenoma / surgery. Anal Canal / pathology. Electrocoagulation / methods. Rectal Neoplasms / surgery. Thoracoscopy / methods

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  • (PMID = 18226698.001).
  • [ISSN] 0016-5107
  • [Journal-full-title] Gastrointestinal endoscopy
  • [ISO-abbreviation] Gastrointest. Endosc.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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27. He JJ: [Meta analysis of 2025 cases with multiple primary colorectal carcinoma]. Zhonghua Wei Chang Wai Ke Za Zhi; 2006 May;9(3):225-9
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  • 30.9% of the lesions were located in the rectum, 19.9% in the sigmoid, 9.0% in the descending colon, 5.2% the in splenic flexure, 9.1% in the transverse colon, 6.1% in the hepatic flexure, 11.8% in the ascending colon,and 8.1% in the caecum.
  • 37.6% of the cases were complicated with extra- intestinal lesions,and 43.7% adenoma or polyps.
  • Histological type was the same in 60.6% of the cases,and adenocarcinoma accounted for 89.2% and cancerization of adenoma 8.4%.

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  • (PMID = 16721683.001).
  • [ISSN] 1671-0274
  • [Journal-full-title] Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery
  • [ISO-abbreviation] Zhonghua Wei Chang Wai Ke Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article; Meta-Analysis
  • [Publication-country] China
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28. Inoue T, Murano M, Murano N, Kuramoto T, Kawakami K, Abe Y, Morita E, Toshina K, Hoshiro H, Egashira Y, Umegaki E, Higuchi K: Comparative study of conventional colonoscopy and pan-colonic narrow-band imaging system in the detection of neoplastic colonic polyps: a randomized, controlled trial. J Gastroenterol; 2008;43(1):45-50
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • However, no randomized, controlled trials have evaluated the efficacy of a pan-colonic NBI system in adenoma detection.
  • We conducted a randomized, controlled trial to determine the efficacy of the pancolonic NBI system in adenoma detection.
  • The proportions of patients with at least one adenoma and those with multiple adenomas were not significantly different between groups.
  • The pan-colonic NBI system allowed detection of more diminutive adenomas in the distal colon than did conventional colonoscopy (P < 0.01), and more patients in the NBI group had at least one diminutive adenoma than in the control group (P < 0.05).

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  • [CommentIn] J Gastroenterol. 2008;43(10):809; author reply 809-10 [18958552.001]
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  • (PMID = 18297435.001).
  • [ISSN] 0944-1174
  • [Journal-full-title] Journal of gastroenterology
  • [ISO-abbreviation] J. Gastroenterol.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Randomized Controlled Trial
  • [Publication-country] Japan
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29. East JE, Suzuki N, Stavrinidis M, Guenther T, Thomas HJ, Saunders BP: Narrow band imaging for colonoscopic surveillance in hereditary non-polyposis colorectal cancer. Gut; 2008 Jan;57(1):65-70
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  • RESULTS: At least one adenoma in the proximal colon was detected during the initial white light pass in 17/62 (27%).
  • 26/62 (42%) patients had at least one adenoma detected after both white light and NBI; absolute difference 15% (95% CI 4-25%), p = 0.004 versus white light alone.
  • Including white light examination of the sigmoid and rectum, overall 28/62 (45%) patients had at least one adenoma detected.
  • CONCLUSIONS: Use of NBI in the proximal colon for patients undergoing HNPCC surveillance appears to improve adenoma detection, particularly those with a flat morphology.
  • [MeSH-major] Adenoma / diagnosis. Colonoscopy / methods. Colorectal Neoplasms, Hereditary Nonpolyposis / diagnosis


30. Burghardt J, Buess G: Transanal endoscopic microsurgery (TEM): a new technique and development during a time period of 20 years. Surg Technol Int; 2005;14:131-7
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  • The first indication for use of this new technique was excision of rectal adenomas.
  • With the development of endorectal ultrasound for staging, and because many adenomatous polyps contained early rectal cancer, the question arose as to how to deal with these patients after successful local excision.
  • Studies showed that the indication for use of the TEM-technique was extended to early, good differentiated rectal cancer-so-called, low-risk rectal cancer.
  • Many studies showed that the TEM-technique is the optimal operation to avoid complications for patients with rectal polyps and low-risk pT1 tumours of the rectum.
  • Currently, the TEM-technique is the only endoscopic technique that uses a natural opening to reach the target organ, and is a valuable surgical technique with a low complication rate for patients with adenomatous rectal tumours and early rectal cancer.
  • [MeSH-major] Adenoma / surgery. Colonoscopy / methods. Microsurgery / methods. Neoplasm Recurrence, Local / prevention & control. Rectal Neoplasms / surgery

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  • (PMID = 16525965.001).
  • [ISSN] 1090-3941
  • [Journal-full-title] Surgical technology international
  • [ISO-abbreviation] Surg Technol Int
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 37
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31. Millan MS, Gross P, Manilich E, Church JM: Adenoma detection rate: the real indicator of quality in colonoscopy. Dis Colon Rectum; 2008 Aug;51(8):1217-20
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  • [Title] Adenoma detection rate: the real indicator of quality in colonoscopy.
  • Adenoma detection rate is rarely reported, although it seems to depend on the time taken for withdrawal.
  • We have reviewed the adenoma detection rates of six colorectal surgeons to provide insight into the range of adenoma detection rates and the factors that influence them.
  • Colonoscopy completion rates, adenoma detection rates, and times of insertion and withdrawal were noted and stratified by the six staff colonoscopists.
  • Adenoma detection rates were tabulated for the four common indications for colonoscopy.
  • With the exclusion of one outlier staff, regression of withdrawal time against adenoma detection rate produced an r(2) of 0.975 (P = 0.0016).
  • CONCLUSIONS: Adenoma detection rate is independent of completion rate as a colonoscopy quality indicator.
  • There is a wide range of adenoma detection rates among experienced colorectal surgeons.
  • Colonoscopists need to be aware of their adenoma detection rate.
  • [MeSH-major] Adenoma / diagnosis. Colonoscopy / standards. Colorectal Neoplasms / diagnosis. Quality Indicators, Health Care


32. Hermsen PE, Ayodeji ID, Hop WH, Tetteroo GW, de Graaf EJ: Harmonic long shears further reduce operation time in transanal endoscopic microsurgery. Surg Endosc; 2009 Sep;23(9):2124-30
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  • [MeSH-minor] Adenoma / surgery. Adult. Aged. Aged, 80 and over. Anal Canal. Blood Loss, Surgical. Carcinoma / surgery. Electrocoagulation. Equipment Design. Female. Humans. Intraoperative Period. Male. Middle Aged. Prospective Studies

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  • (PMID = 19067055.001).
  • [ISSN] 1432-2218
  • [Journal-full-title] Surgical endoscopy
  • [ISO-abbreviation] Surg Endosc
  • [Language] eng
  • [Publication-type] Comparative Study; Controlled Clinical Trial; Journal Article
  • [Publication-country] Germany
  • [Other-IDs] NLM/ PMC2730445
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33. Andersen V, Agerstjerne L, Jensen D, Østergaard M, Saebø M, Hamfjord J, Kure E, Vogel U: The multidrug resistance 1 (MDR1) gene polymorphism G-rs3789243-A is not associated with disease susceptibility in Norwegian patients with colorectal adenoma and colorectal cancer; a case control study. BMC Med Genet; 2009 Feb 27;10:18
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  • [Title] The multidrug resistance 1 (MDR1) gene polymorphism G-rs3789243-A is not associated with disease susceptibility in Norwegian patients with colorectal adenoma and colorectal cancer; a case control study.
  • The aim of this study was to investigate if this MDR1 polymorphism was associated with risk of colorectal adenoma (CA) and CRC in the Norwegian population.
  • [MeSH-major] Adenoma / genetics. Colorectal Neoplasms / genetics. Genetic Predisposition to Disease. P-Glycoprotein / genetics

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  • (PMID = 19250544.001).
  • [ISSN] 1471-2350
  • [Journal-full-title] BMC medical genetics
  • [ISO-abbreviation] BMC Med. Genet.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] 0 / ABCB1 protein, human; 0 / P-Glycoprotein; 0 / P-Glycoproteins
  • [Other-IDs] NLM/ PMC2662819
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34. Menges M, Fischinger J, Gärtner B, Georg T, Woerdehoff D, Maier M, Harloff M, Stegmaier C, Raedle J, Zeitz M: Screening colonoscopy in 40- to 50-year-old first-degree relatives of patients with colorectal cancer is efficient: a controlled multicentre study. Int J Colorectal Dis; 2006 May;21(4):301-7
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  • The adenoma prevalence in relatives of CRC patients 50-60 years of age is 17-34%; data on younger individuals are scarce.
  • Our aim was to prospectively define the adenoma prevalence in 40- to 50-year-old first-degree relatives of CRC patients compared to controls.

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  • (PMID = 16163544.001).
  • [ISSN] 0179-1958
  • [Journal-full-title] International journal of colorectal disease
  • [ISO-abbreviation] Int J Colorectal Dis
  • [Language] eng
  • [Publication-type] Journal Article; Multicenter Study
  • [Publication-country] Germany
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35. Stelzner F: [Autoregulatory growth control of adenomatous polyps and carcinogenesis in the colorectal region. Basics of tumor surgery Part I]. Chirurg; 2006 Nov;77(11):1048-55
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  • Autoregulatory growth control of adenomatous polyps in the colon and rectum is an important factor in the success of sphincter-sparing surgical resections.
  • However, convincing evidence on a molecular level that this so-called adenoma-carcinoma sequence indeed occurs in vivo is lacking.
  • The most prominent homing area for colorectal cancer is the rectum.
  • If the rectum is resected, metachronous cancer occurs only very rarely.
  • The most distal quarter of the rectum is cloacal in origin and a pivotal structure for anorectal continence.
  • [MeSH-minor] Adenomatous Polyposis Coli / genetics. Adenomatous Polyposis Coli / pathology. Adenomatous Polyposis Coli / surgery. Bone Marrow Cells / pathology. Cell Transformation, Neoplastic / genetics. Cell Transformation, Neoplastic / pathology. Chromosome Aberrations. Colon / pathology. Colon / surgery. Gene Expression Regulation, Neoplastic / physiology. Humans. Neoplasm Staging. Prognosis. Rectum / pathology. Rectum / surgery

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  • [CommentIn] Chirurg. 2006 Nov;77(11):1061-2 [17066270.001]
  • (PMID = 17068665.001).
  • [ISSN] 0009-4722
  • [Journal-full-title] Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen
  • [ISO-abbreviation] Chirurg
  • [Language] ger
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Germany
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36. Yalcinkaya U, Ozturk E, Ozgur T, Yerci O, Yilmazlar T: P53 expression in synchronous colorectal cancer. Saudi Med J; 2008 Jun;29(6):826-31
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  • OBJECTIVE: We reviewed cases of primary colorectal adenocarcinoma to document synchronous colon and rectum adenocarcinoma (SCRC).
  • Tumor site, depth of invasion, coexistence of adenoma, distance between these multiple primary tumors, degree of p53 expression, and p53 expression pattern indicating polyclonal or monoclonal origins were noted in order to establish a possible effect on prognosis.
  • RESULTS: There were 28 cases with SCRC of colon and rectum.
  • CONCLUSION: Synchronous colon and rectum adenocarcinoma is not rare.
  • [MeSH-major] Adenocarcinoma / chemistry. Colonic Neoplasms / chemistry. Neoplasms, Multiple Primary / chemistry. Rectal Neoplasms / chemistry. Tumor Suppressor Protein p53 / analysis

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  • (PMID = 18521459.001).
  • [ISSN] 0379-5284
  • [Journal-full-title] Saudi medical journal
  • [ISO-abbreviation] Saudi Med J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Saudi Arabia
  • [Chemical-registry-number] 0 / Tumor Suppressor Protein p53
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37. Jang KS, Song YS, Jang SH, Min KW, Na W, Jang SM, Jun YJ, Lee KH, Choi D, Paik SS: Clinicopathological significance of nuclear PTEN expression in colorectal adenocarcinoma. Histopathology; 2010 Jan;56(2):229-39
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  • Loss of PTEN expression was related to defective mismatch repair protein expression and colonic localization rather than rectal localization.
  • CONCLUSIONS: Nuclear PTEN expression gradually decrease during the normal-adenoma-adenocarcinoma-metastasis sequence, which suggests an important role for PTEN in carcinogenesis.
  • [MeSH-major] Adenocarcinoma / metabolism. Adenomatous Polyps / metabolism. Cell Nucleus / metabolism. Colon / metabolism. Colorectal Neoplasms / metabolism. Intestinal Mucosa / metabolism. Lymph Nodes / metabolism. PTEN Phosphohydrolase / metabolism. Rectum / metabolism

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  • (PMID = 20102402.001).
  • [ISSN] 1365-2559
  • [Journal-full-title] Histopathology
  • [ISO-abbreviation] Histopathology
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Antibodies, Monoclonal; 0 / Biomarkers, Tumor; EC 3.1.3.67 / PTEN Phosphohydrolase
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38. Hsiung PL, Hardy J, Friedland S, Soetikno R, Du CB, Wu AP, Sahbaie P, Crawford JM, Lowe AW, Contag CH, Wang TD: Detection of colonic dysplasia in vivo using a targeted heptapeptide and confocal microendoscopy. Nat Med; 2008 Apr;14(4):454-8
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  • [Title] Detection of colonic dysplasia in vivo using a targeted heptapeptide and confocal microendoscopy.
  • A combination of targeted probes and new imaging technologies provides a powerful set of tools with the potential to improve the early detection of cancer.
  • To develop a probe for detecting colon cancer, we screened phage display peptide libraries against fresh human colonic adenomas for high-affinity ligands with preferential binding to premalignant tissue.
  • We identified a specific heptapeptide sequence, VRPMPLQ, which we synthesized, conjugated with fluorescein and tested in patients undergoing colonoscopy.
  • We imaged topically administered peptide using a fluorescence confocal microendoscope delivered through the instrument channel of a standard colonoscope.
  • In vivo images were acquired at 12 frames per second with 50-microm working distance and 2.5-microm (transverse) and 20-microm (axial) resolution.
  • The fluorescein-conjugated peptide bound more strongly to dysplastic colonocytes than to adjacent normal cells with 81% sensitivity and 82% specificity.
  • This methodology represents a promising diagnostic imaging approach for the early detection of colorectal cancer and potentially of other epithelial malignancies.

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  • (PMID = 18345013.001).
  • [ISSN] 1546-170X
  • [Journal-full-title] Nature medicine
  • [ISO-abbreviation] Nat. Med.
  • [Language] ENG
  • [Grant] United States / NIDDK NIH HHS / DK / P30 DK56339; United States / NIDDK NIH HHS / DK / K08 DK067618; United States / NIDDK NIH HHS / DK / K08 DK067618-06; United States / NCI NIH HHS / CA / U54 CA105296; United States / NCI NIH HHS / CA / U54 CA136429; United States / NIDDK NIH HHS / DK / R03 DK075603-03; United States / NIDDK NIH HHS / DK / P30 DK056339; United States / NCI NIH HHS / CA / U54 CA136429-01; United States / NIDDK NIH HHS / DK / R03 DK075603
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; 0 / Fluorescent Dyes; 0 / Oligopeptides; 0 / Peptide Library; TPY09G7XIR / Fluorescein
  • [Other-IDs] NLM/ NIHMS366716; NLM/ PMC3324975
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39. Theodoropoulos G, Panoussopoulos D, Papaconstantinou I, Gazouli M, Perdiki M, Bramis J, Lazaris ACh: Assessment of JC polyoma virus in colon neoplasms. Dis Colon Rectum; 2005 Jan;48(1):86-91
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  • [MeSH-major] Adenocarcinoma / virology. Adenoma / virology. Colonic Neoplasms / virology. JC Virus / pathogenicity. Tumor Virus Infections / complications

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  • (PMID = 15690663.001).
  • [ISSN] 0012-3706
  • [Journal-full-title] Diseases of the colon and rectum
  • [ISO-abbreviation] Dis. Colon Rectum
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / DNA, Viral
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40. Bruce WR, Cirocco M, Giacca A, Kim YI, Marcon N, Minkin S: A pilot randomised controlled trial to reduce colorectal cancer risk markers associated with B-vitamin deficiency, insulin resistance and colonic inflammation. Br J Cancer; 2005 Sep 19;93(6):639-46
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [MeSH-minor] Adenoma / complications. Adult. Aged. Aged, 80 and over. Blood Glucose / metabolism. C-Reactive Protein / metabolism. Calcium Carbonate / administration & dosage. Dietary Supplements. Female. Fish Oils / administration & dosage. Folic Acid / administration & dosage. Humans. Male. Middle Aged. Pilot Projects. Risk Factors. Thiamine / metabolism. Treatment Outcome. Vitamin B 12 Deficiency / complications. Vitamin B 12 Deficiency / therapy

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  • (PMID = 16136044.001).
  • [ISSN] 0007-0920
  • [Journal-full-title] British journal of cancer
  • [ISO-abbreviation] Br. J. Cancer
  • [Language] eng
  • [Publication-type] Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Biomarkers; 0 / Blood Glucose; 0 / Fish Oils; 9007-41-4 / C-Reactive Protein; 935E97BOY8 / Folic Acid; H0G9379FGK / Calcium Carbonate; X66NSO3N35 / Thiamine
  • [Other-IDs] NLM/ PMC2361622
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41. Bedoui R, Najah H, Ben AJ, Bouasker I, Hani MA, Nouira R, Zoghlami A, Najah N: [Local transanal excision of large lower rectal villous adenoma]. Tunis Med; 2009 May;87(5):363-4
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  • [Title] [Local transanal excision of large lower rectal villous adenoma].
  • [Transliterated title] Excision locale trans-anale d'un volumineux adénome villeux du bas rectum.
  • [MeSH-major] Adenoma, Villous / surgery. Rectal Neoplasms / surgery

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  • (PMID = 19927774.001).
  • [ISSN] 0041-4131
  • [Journal-full-title] La Tunisie médicale
  • [ISO-abbreviation] Tunis Med
  • [Language] fre
  • [Publication-type] Case Reports; Letter
  • [Publication-country] Tunisia
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42. Lai HC, Chan CY, Peng CY, Chen CB, Huang WH: Pyogenic liver abscess associated with large colonic tubulovillous adenoma. World J Gastroenterol; 2006 Feb 14;12(6):990-2
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  • [Title] Pyogenic liver abscess associated with large colonic tubulovillous adenoma.
  • Rarely, liver abscess has been reported as the presenting manifestation of colonic tubulovillous adenoma.
  • Colonoscopy revealed large polypoid tumors with pathological findings of tubulovillous adenoma in both cases.
  • [MeSH-major] Adenoma / pathology. Adenoma / radiography. Colonic Neoplasms / pathology. Colonic Neoplasms / radiography. Liver Abscess, Pyogenic / pathology. Liver Abscess, Pyogenic / radiography

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  • (PMID = 16521236.001).
  • [ISSN] 1007-9327
  • [Journal-full-title] World journal of gastroenterology
  • [ISO-abbreviation] World J. Gastroenterol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] China
  • [Other-IDs] NLM/ PMC4066173
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43. van Esch AA, Drenth JP, te Morsche RH, Jansen JB, Nagengast FM: Recurrent idiopathic pancreatitis in familial adenomatous polyposis: report of a case-series and review of the literature. Fam Cancer; 2007;6(3):275-80
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  • Two patients experienced pancreatitis after endoscopic treatment of ampullary adenoma.


44. Mroczko B, Groblewska M, Okulczyk B, Kedra B, Szmitkowski M: The diagnostic value of matrix metalloproteinase 9 (MMP-9) and tissue inhibitor of matrix metalloproteinases 1 (TIMP-1) determination in the sera of colorectal adenoma and cancer patients. Int J Colorectal Dis; 2010 Oct;25(10):1177-84
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  • [Title] The diagnostic value of matrix metalloproteinase 9 (MMP-9) and tissue inhibitor of matrix metalloproteinases 1 (TIMP-1) determination in the sera of colorectal adenoma and cancer patients.
  • The aim of the present study was to compare the clinical significance of serum MMP-9 with TIMP-1 in the diagnosis of CRC patients and in the differentiation between colorectal adenoma (CA) and cancer.
  • [MeSH-minor] Adenoma / diagnosis. Adult. Aged. Aged, 80 and over. Antigens, Tumor-Associated, Carbohydrate / analysis. Carcinoembryonic Antigen / analysis. Case-Control Studies. Diagnosis, Differential. Female. Humans. Male. Matrix Metalloproteinase 9 / blood. Middle Aged. Prognosis. Tissue Inhibitor of Metalloproteinase-1 / blood

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  • (PMID = 20556397.001).
  • [ISSN] 1432-1262
  • [Journal-full-title] International journal of colorectal disease
  • [ISO-abbreviation] Int J Colorectal Dis
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Antigens, Tumor-Associated, Carbohydrate; 0 / Carcinoembryonic Antigen; 0 / Tissue Inhibitor of Metalloproteinase-1; EC 3.4.24.35 / Matrix Metalloproteinase 9
  • [Other-IDs] NLM/ PMC2928442
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45. Gonzalez AB, Stafford I, Mancuso P, Carney S: Delivery of a polyp. Obstet Gynecol; 2008 Aug;112(2 Pt 2):488-90
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  • CASES: Three women in their 30s passed or prolapsed adenomatous tissue per rectum during the second stage of labor.
  • [MeSH-minor] Adenoma / pathology. Adult. Colon / pathology. Colonic Neoplasms / pathology. Female. Humans. Pregnancy. Pregnancy Complications, Neoplastic / diagnosis

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  • (PMID = 18669775.001).
  • [ISSN] 0029-7844
  • [Journal-full-title] Obstetrics and gynecology
  • [ISO-abbreviation] Obstet Gynecol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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46. Schottenfeld D, Beebe-Dimmer JL, Vigneau FD: The epidemiology and pathogenesis of neoplasia in the small intestine. Ann Epidemiol; 2009 Jan;19(1):58-69
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  • [Title] The epidemiology and pathogenesis of neoplasia in the small intestine.
  • PURPOSE: The mucosa of the small intestine encompasses about 90% of the luminal surface area of the digestive system, but only 2% of the total annual gastrointestinal cancer incidence in the United States.
  • METHODS: The remarkable contrast in age-standardized cancer incidence between the small and large intestine has been reviewed with respect to the cell type patterns, demographic features, and molecular characteristics of neoplasms.
  • RESULTS: Particularly noteworthy is the predominance of adenocarcinoma in the colon, which exceeds 98% of the total incidence by cell type, in contrast to that of 30% to 40% in the small intestine, resulting in an age-standardized ratio of rates exceeding 50-fold.
  • The prevalence of adenomas and carcinomas is most prominent in the duodenum and proximal jejunum.
  • The positive correlation in global incidence rates of small and large intestinal neoplasms and the reciprocal increases in risk of second primary adenocarcinomas suggest that there are common environmental risk factors.
  • The pathophysiology of Crohn inflammatory bowel disease and the elevated risk of adenocarcinoma demonstrate the significance of the impaired integrity of the mucosal barrier and of aberrant immune responses to luminal indigenous and potentially pathogenic microorganisms.
  • CONCLUSION: In advancing a putative mechanism for the contrasting mucosal susceptibilities of the small and large intestine, substantial differences are underscored in the diverse taxonomy, concentration and metabolic activity of anaerobic organisms, rate of intestinal transit, changing pH, and the enterohepatic recycling and metabolism of bile acids.
  • Experimental and epidemiologic studies are cited that suggest that the changing microecology, particularly in the colon, is associated with enhanced metabolic activation of ingested and endogenously formed procarcinogenic substrates.

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  • (PMID = 19064190.001).
  • [ISSN] 1873-2585
  • [Journal-full-title] Annals of epidemiology
  • [ISO-abbreviation] Ann Epidemiol
  • [Language] ENG
  • [Grant] United States / NCI NIH HHS / CA / K07 CA127214; United States / NCI NIH HHS / CA / N01PC35145; United States / NCI NIH HHS / CA / 1K07CA127214-01A1
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Review
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Cytokines
  • [Number-of-references] 151
  • [Other-IDs] NLM/ NIHMS521424; NLM/ PMC3792582
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47. Balentine CJ, Robinson CN, Marshall CR, Wilks J, Buitrago W, Haderxhanaj K, Sansgiry S, Petersen NJ, Bansal V, Albo D, Berger DH: Waist circumference predicts increased complications in rectal cancer surgery. J Gastrointest Surg; 2010 Nov;14(11):1669-79
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  • [Title] Waist circumference predicts increased complications in rectal cancer surgery.
  • METHODS: Retrospective review of an institutional cancer database identified consecutive cases of men undergoing elective rectal resections.
  • RESULTS: From 2002 to 2009, 152 patients with mean age 65.2 ± 0.75 years and body mass index 28.0 ± 0.43 kg/m(2) underwent elective resection of rectal adenoma or carcinoma.
  • [MeSH-major] Postoperative Complications. Rectal Neoplasms / surgery. Waist Circumference

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  • (PMID = 20835770.001).
  • [ISSN] 1873-4626
  • [Journal-full-title] Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
  • [ISO-abbreviation] J. Gastrointest. Surg.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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48. Barry EL, Baron JA, Grau MV, Wallace K, Haile RW: K-ras mutations in incident sporadic colorectal adenomas. Cancer; 2006 Mar 1;106(5):1036-40
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  • These mutations were more common in larger adenomas (risk ratio [RR], 12.7 for tumors that measured > 0.5 cm vs. < or = 0.5 cm; 95% CI, 2.7-59.7), in adenomas with more advanced histology (RR, 20.6 for tubulovillous/villous vs. tubular; 95% CI, 4.4-96.0), and in adenomas that were located in the rectum compared with the colon (RR, 8.4; 95% CI, 2.3-30.5).
  • The results provided evidence for a very low rate of K-ras mutation among these small, early adenomas and strong support for a role of K-ras mutations in adenoma progression.

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  • (PMID = 16456810.001).
  • [ISSN] 0008-543X
  • [Journal-full-title] Cancer
  • [ISO-abbreviation] Cancer
  • [Language] ENG
  • [Grant] United States / NCI NIH HHS / CA / U01 CA046927; United States / NCI NIH HHS / CA / CA-046927
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
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49. Zhang W, Bauer M, Croner RS, Pelz JO, Lodygin D, Hermeking H, Stürzl M, Hohenberger W, Matzel KE: DNA stool test for colorectal cancer: hypermethylation of the secreted frizzled-related protein-1 gene. Dis Colon Rectum; 2007 Oct;50(10):1618-26; discussion 1626-7
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  • METHODS: In stool samples from 36 patients with colorectal neoplasia (7 adenoma, 29 colorectal cancer) and 17 healthy control subjects, isolated DNA was treated with sodium bisulfite and analyzed by methylation-specific polymerase chain reaction with primers specific for methylated or unmethylated promoter sequences of the secreted frizzled-related protein-1 gene.
  • RESULTS: Hypermethylation of the secreted frizzled-related protein-1 promoter was present in the stool DNA of patients with adenoma and colorectal cancer.
  • Adenoma and early tumor Stage I (International Union Against Cancer) displayed both unmethylated and methylated secreted frizzled-related protein-1 promoter sequences, whereas advanced tumor stages showed only methylated secreted frizzled-related protein-1 (P = 0.05).
  • [MeSH-major] Adenoma / metabolism. Carcinoma / metabolism. Colorectal Neoplasms / metabolism. DNA Methylation. Feces. Intercellular Signaling Peptides and Proteins / metabolism. Membrane Proteins / metabolism


50. Qiu HZ, Lin GL, Zhou JL, Xiao Y, Wu B: [Transanal endoscopic microsurgery for the treatment of localized rectal neoplasms]. Zhonghua Wai Ke Za Zhi; 2009 Jul 1;47(13):981-3
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  • [Title] [Transanal endoscopic microsurgery for the treatment of localized rectal neoplasms].
  • OBJECTIVE: To investigate the therapeutic effect of transanal endoscopic microsurgery (TEM) for localized rectal neoplasms.
  • METHODS: Seventy-five patients with localized rectal neoplasms were treated by using TEM between April 2006 and December 2008.
  • RESULTS: The mean diameter of the rectal lesions was (1.6 +/- 0.8) cm (range, 0.5-5.0 cm).
  • Locations of the lesions at the rectal wall: 25 located at the anterior wall, 24 at the posterior wall, 14 at the left wall and 12 at the right wall.
  • The postoperative pathological examination identified 28 cases of rectal adenoma, 25 rectal adenocarcinoma or carcinomatous changes of adenoma (14 cases with phase Tis tumor, 5 cases T1 and 6 cases T2), 7 rectal carcinoid and 15 cases of inflammatory polyps or others.
  • CONCLUSION: Being a kind of minimally invasive surgery, TEM shows advantages of decreased blood loss, better therapeutic effect and faster recovery, and it is a better choice of procedure for local excision for rectal neoplasms.
  • [MeSH-major] Proctoscopy / methods. Rectal Neoplasms / surgery

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  • (PMID = 19957806.001).
  • [ISSN] 0529-5815
  • [Journal-full-title] Zhonghua wai ke za zhi [Chinese journal of surgery]
  • [ISO-abbreviation] Zhonghua Wai Ke Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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51. Murature Stordiau GE, Suárez Alecha J, Zazpe Ripa C, Lera Tricas JM: [Acute renal failure and profund hypokalemia caused by a villous adenoma in the rectum: McKittrick - Wheelock syndrome]. Rev Esp Enferm Dig; 2009 Jan;101(1):78-9
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  • [Title] [Acute renal failure and profund hypokalemia caused by a villous adenoma in the rectum: McKittrick - Wheelock syndrome].
  • [Transliterated title] Insuficiencia renal aguda e hipopotasemia severa secundario a pólipo velloso rectal: síndrome de McKittrick-Wheelock.
  • [MeSH-major] Acute Kidney Injury / etiology. Adenoma, Villous / complications. Hypokalemia / etiology. Rectal Neoplasms / complications

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  • (PMID = 19335041.001).
  • [ISSN] 1130-0108
  • [Journal-full-title] Revista española de enfermedades digestivas : organo oficial de la Sociedad Española de Patología Digestiva
  • [ISO-abbreviation] Rev Esp Enferm Dig
  • [Language] spa
  • [Publication-type] Case Reports; Letter
  • [Publication-country] Spain
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52. Goetzl MA, Outman JE, Griebling TL, Holzbeierlein JM, Weigel JW, Thrasher JB: Digital fecal occult blood testing in the ambulatory urology clinic. J Am Coll Surg; 2008 Jan;206(1):144-7
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  • The test was performed only on patients when a rectal examination was indicated as part of their urologic evaluation.
  • Two patients had benign lower gastrointestinal sources of bleeding, including one with hyperplastic polyps and one with a tubular adenoma.
  • CONCLUSIONS: Addition of FOBT to routine digital rectal examination performed in the ambulatory urology clinic is an inexpensive and simple test that can detect otherwise asymptomatic underlying gastrointestinal pathology.
  • [MeSH-major] Colorectal Neoplasms / diagnosis. Digital Rectal Examination / methods. Outpatient Clinics, Hospital. Urology Department, Hospital
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Female. Follow-Up Studies. Humans. Male. Middle Aged. Occult Blood. Physical Examination. Prospective Studies. Rectum. Sensitivity and Specificity

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  • (PMID = 18155580.001).
  • [ISSN] 1879-1190
  • [Journal-full-title] Journal of the American College of Surgeons
  • [ISO-abbreviation] J. Am. Coll. Surg.
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] United States
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53. Turovskaya O, Foell D, Sinha P, Vogl T, Newlin R, Nayak J, Nguyen M, Olsson A, Nawroth PP, Bierhaus A, Varki N, Kronenberg M, Freeze HH, Srikrishna G: RAGE, carboxylated glycans and S100A8/A9 play essential roles in colitis-associated carcinogenesis. Carcinogenesis; 2008 Oct;29(10):2035-43
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  • In human colon tumor tissues and in a mouse model of CAC, we found that myeloid progenitors expressing S100A8 and S100A9 infiltrate regions of dysplasia and adenoma. mAbGB3.1 administration markedly reduces chronic inflammation and tumorigenesis in the mouse model of CAC and RAGE-deficient mice are resistant to the onset of CAC.

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  • (PMID = 18689872.001).
  • [ISSN] 1460-2180
  • [Journal-full-title] Carcinogenesis
  • [ISO-abbreviation] Carcinogenesis
  • [Language] ENG
  • [Grant] United States / NCI NIH HHS / CA / R01-CA92608
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Advanced Glycosylation End Product-Specific Receptor; 0 / Antigens, CD11b; 0 / Calgranulin A; 0 / Calgranulin B; 0 / ITGAM protein, human; 0 / NF-kappa B; 0 / Polysaccharides; 0 / Receptors, Immunologic
  • [Other-IDs] NLM/ PMC2556970
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54. Kanczuga-Koda L, Sulkowski S, Koda M, Sulkowska M: Alterations in connexin26 expression during colorectal carcinogenesis. Oncology; 2005;68(2-3):217-22
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  • METHODS: Tissue samples (152 from colorectal cancer and 75 from adenoma) were investigated by immunohistochemistry, using the antibody for Cx26.
  • Moreover, Cx26 was assessed in normal epithelium of the colon and rectum, adjacent to colorectal cancer.

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  • [Copyright] Copyright (c) 2005 S. Karger AG, Basel.
  • (PMID = 16015037.001).
  • [ISSN] 0030-2414
  • [Journal-full-title] Oncology
  • [ISO-abbreviation] Oncology
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Switzerland
  • [Chemical-registry-number] 0 / Connexins; 127120-53-0 / connexin 26
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55. Betambeau N, Simson JN: Staged anterior resection and TEM to preserve rectal function in synchronous malignant and benign rectal lesions. Colorectal Dis; 2007 Jun;9(5):469-71
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  • [Title] Staged anterior resection and TEM to preserve rectal function in synchronous malignant and benign rectal lesions.
  • BACKGROUND: Traditionally patients with a high rectosigmoid carcinoma and a synchronous large distal rectal adenoma would be treated by low anterior resection with associated loss of rectal function.
  • METHOD: Four patients with a carcinoma of the upper rectum or distal sigmoid colon and a synchronous distal rectal adenoma were treated by high anterior resection followed by staged Transanal Endoscopic Microsurgery (TEM) thus conserving the distal rectum.
  • Preoperative and postoperative rectal function was assessed using the St. Mark's incontinence score.
  • Rectal function was unchanged in three patients with a minor increase in the score in one.
  • CONCLUSION: Staged high anterior resection and 'rEM offers effective treatment of synchronous rectosigmoid carcinoma and distal rectal adenoma with preservation of rectal function.
  • [MeSH-major] Adenoma / surgery. Carcinoma / surgery. Endoscopy / methods. Neoplasms, Multiple Primary / surgery. Rectal Neoplasms / surgery

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  • (PMID = 17504346.001).
  • [ISSN] 1462-8910
  • [Journal-full-title] Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
  • [ISO-abbreviation] Colorectal Dis
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
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56. Yantiss RK, Oh KY, Chen YT, Redston M, Odze RD: Filiform serrated adenomas: a clinicopathologic and immunophenotypic study of 18 cases. Am J Surg Pathol; 2007 Aug;31(8):1238-45
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  • In this study, we describe a previously uncharacterized type of adenomatous polyp of the colorectum that shows prominent, thin, elongated projections of neoplastic epithelium with a serrated contour, which we have termed "filiform serrated adenoma" (SA).
  • All 18 filiform SAs were located in the left colon, including 15 (83%) that occurred in the rectum, compared with 43% of the control group (P=0.03).
  • We conclude that filiform SA potentially represents an unusual variant of SA with a predilection for the left colon, particularly the rectum.

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  • (PMID = 17667549.001).
  • [ISSN] 0147-5185
  • [Journal-full-title] The American journal of surgical pathology
  • [ISO-abbreviation] Am. J. Surg. Pathol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; 0 / DNA, Neoplasm; 0 / Genetic Markers; EC 2.7.11.1 / BRAF protein, human; EC 2.7.11.1 / Proto-Oncogene Proteins B-raf
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57. Qiu HZ, Lin GL, Xiao Y, Wu B: The use of posterior trans-sphincteric approach in surgery of the rectum: a Chinese 16-year experience. World J Surg; 2008 Aug;32(8):1776-82
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  • [Title] The use of posterior trans-sphincteric approach in surgery of the rectum: a Chinese 16-year experience.
  • BACKGROUND: The posterior trans-sphincteric approach to treat different lesions of the rectum has been known since the last century.
  • The purpose of this study is to reevaluate the role of this conventional approach to surgery of the rectum from the authors' 16 years experience.
  • METHODS: Data were collected retrospectively from clinical records of 102 patients with mid- to low-lying rectal neoplastic disease treated by a single surgeon using a posterior trans-sphincteric approach to the rectum at Peking Union Medical College Hospital, China, between August 1990 and August 2006.
  • Indications for surgery were rectal villous adenoma in 36, early rectal carcinoma in 43, advanced rectal carcinoma in 10, and rectal submucosal neoplastic disease in 13.
  • All 102 rectal neoplastic diseases achieved complete excision (partial rectectomy in 96, segmental rectectomy in 6), and the resection margins were all clear.
  • CONCLUSION: The posterior trans-sphincteric approach is suitable for mid- to low-lying rectal lesions amenable to treatment using local therapy.
  • [MeSH-major] Digestive System Surgical Procedures / methods. Rectal Neoplasms / surgery

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  • (PMID = 18560934.001).
  • [ISSN] 0364-2313
  • [Journal-full-title] World journal of surgery
  • [ISO-abbreviation] World J Surg
  • [Language] eng
  • [Publication-type] Journal Article
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58. Kato S, Fu KI, Sano Y, Fujii T, Saito Y, Matsuda T, Koba I, Yoshida S, Fujimori T: Magnifying colonoscopy as a non-biopsy technique for differential diagnosis of non-neoplastic and neoplastic lesions. World J Gastroenterol; 2006 Mar 7;12(9):1416-20
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  • [MeSH-minor] Adenoma / diagnosis. Adenoma / pathology. Adult. Aged. Diagnosis, Differential. Female. Hamartoma / diagnosis. Hamartoma / pathology. Humans. Hyperplasia / diagnosis. Male. Middle Aged. Prospective Studies. Sensitivity and Specificity

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  • (PMID = 16552812.001).
  • [ISSN] 1007-9327
  • [Journal-full-title] World journal of gastroenterology
  • [ISO-abbreviation] World J. Gastroenterol.
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] China
  • [Other-IDs] NLM/ PMC4124321
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59. Colvin M, Delis A, Bracamonte E, Villar H, Leon LR Jr: Infiltrating adenocarcinoma arising in a villous adenoma of the anal canal. World J Gastroenterol; 2009 Jul 28;15(28):3560-4
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  • [Title] Infiltrating adenocarcinoma arising in a villous adenoma of the anal canal.
  • We describe an infiltrating, well-differentiated adenocarcinoma arising in a villous adenoma from the distal anal canal, in an otherwise healthy patient at low risk for gastrointestinal malignancy.
  • This is the case of an octogenarian man with a several year history of hemorrhoids and intermittent rectal bleeding, more recently complaining of continuous hematochezia.
  • Microscopic evaluation revealed an infiltrating well-differentiated adenocarcinoma, arising from a villous adenoma.
  • Our report is the first describing the possible malignant degeneration of a villous adenoma in the anal canal.
  • [MeSH-major] Adenocarcinoma / pathology. Adenoma, Villous / pathology. Anal Canal / pathology

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  • (PMID = 19630115.001).
  • [ISSN] 2219-2840
  • [Journal-full-title] World journal of gastroenterology
  • [ISO-abbreviation] World J. Gastroenterol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] China
  • [Other-IDs] NLM/ PMC2715986
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60. Edwards CM, Chapman SJ: Biomechanical modelling of colorectal crypt budding and fission. Bull Math Biol; 2007 Aug;69(6):1927-42
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [MeSH-major] Colon / anatomy & histology. Colon / physiology. Models, Biological. Rectum / anatomy & histology. Rectum / physiology
  • [MeSH-minor] Adenoma / etiology. Adenoma / pathology. Adenoma / physiopathology. Biomechanical Phenomena. Carcinoma / etiology. Carcinoma / pathology. Carcinoma / physiopathology. Colorectal Neoplasms / etiology. Colorectal Neoplasms / pathology. Colorectal Neoplasms / physiopathology. Elasticity. Humans. Intestinal Polyps / etiology. Intestinal Polyps / pathology. Intestinal Polyps / physiopathology. Mathematics. Mutation. Wnt Proteins / genetics

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  • (PMID = 17443390.001).
  • [ISSN] 0092-8240
  • [Journal-full-title] Bulletin of mathematical biology
  • [ISO-abbreviation] Bull. Math. Biol.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Wnt Proteins
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61. Ramos O Jr, Boguszewski CL, Teixeira S, De Bem R, Parolim B, Prolla JC: Performance of computed tomographic colonography for the screening of colorectal polyp in acromegalic patients: a prospective study. Arq Gastroenterol; 2009 Apr-Jun;46(2):90-6
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  • Computed tomographic colonography, also known as virtual colonoscopy, is an innovative and secure technology which is revolutionizing the diagnosis of colon and rectum neoplasias.
  • The histological analysis of resected lesions revealed 12 tubular adenomas, 6 hyperplastic polyps and 1 colonic tubulo-villous adenoma with an adenocarcinoma focus.

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  • [CommentIn] Arq Gastroenterol. 2009 Apr-Jun;46(2):85-6 [19578605.001]
  • (PMID = 19578607.001).
  • [ISSN] 1678-4219
  • [Journal-full-title] Arquivos de gastroenterologia
  • [ISO-abbreviation] Arq Gastroenterol
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Brazil
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62. Friederich P, van Heumen BW, Nagtegaal ID, Berkhout M, van Krieken JH, Peters WH, Nagengast FM: Increased epithelial cell proliferation in the ileal pouch mucosa of patients with familial adenomatous polyposis. Virchows Arch; 2007 Sep;451(3):659-67
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  • [MeSH-minor] Adenoma / pathology. Adolescent. Adult. Aged. Antibodies, Monoclonal. Apoptosis. Carcinoma / pathology. Colorectal Neoplasms / pathology. Colorectal Neoplasms / prevention & control. Female. Humans. Ileum / pathology. Immunohistochemistry. Intestinal Mucosa / pathology. Male. Middle Aged. Proctocolectomy, Restorative

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  • (PMID = 17611772.001).
  • [ISSN] 0945-6317
  • [Journal-full-title] Virchows Archiv : an international journal of pathology
  • [ISO-abbreviation] Virchows Arch.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Antibodies, Monoclonal
  • [Other-IDs] NLM/ PMC2039779
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63. Grau MV, Sandler RS, McKeown-Eyssen G, Bresalier RS, Haile RW, Barry EL, Ahnen DJ, Gui J, Summers RW, Baron JA: Nonsteroidal anti-inflammatory drug use after 3 years of aspirin use and colorectal adenoma risk: observational follow-up of a randomized study. J Natl Cancer Inst; 2009 Feb 18;101(4):267-76
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  • [Title] Nonsteroidal anti-inflammatory drug use after 3 years of aspirin use and colorectal adenoma risk: observational follow-up of a randomized study.
  • The risk of any adenoma among frequent NSAID users was 26.8% vs 39.9% among placebo subjects who later used NSAIDs sporadically (adjusted relative risk = 0.62, 95% confidence interval [CI] = 0.39 to 0.98; P(trend) with NSAID use frequency = .03).
  • [MeSH-major] Adenoma / prevention & control. Anti-Inflammatory Agents, Non-Steroidal / administration & dosage. Anticarcinogenic Agents / administration & dosage. Aspirin / administration & dosage. Colorectal Neoplasms / prevention & control

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  • (PMID = 19211442.001).
  • [ISSN] 1460-2105
  • [Journal-full-title] Journal of the National Cancer Institute
  • [ISO-abbreviation] J. Natl. Cancer Inst.
  • [Language] eng
  • [Grant] United States / NCI NIH HHS / CA / CA 098286; United States / NCI NIH HHS / CA / P30 CA023108; United States / NCI NIH HHS / CA / CA 046927; United States / NCI NIH HHS / CA / U01 CA046927; United States / NCI NIH HHS / CA / R01 CA059005
  • [Publication-type] Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Anti-Inflammatory Agents, Non-Steroidal; 0 / Anticarcinogenic Agents; R16CO5Y76E / Aspirin
  • [Other-IDs] NLM/ PMC2644329
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64. Schulz AC, Bojarski C, Buhr HJ, Kroesen AJ: Occurrence of adenomas in the pouch and small intestine of FAP patients after proctocolectomy with ileoanal pouch construction. Int J Colorectal Dis; 2008 Apr;23(4):437-41
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [MeSH-major] Adenoma / epidemiology. Adenomatous Polyposis Coli / surgery. Colonic Pouches / adverse effects. Intestine, Small / pathology. Proctocolectomy, Restorative / adverse effects

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  • (PMID = 18193239.001).
  • [ISSN] 0179-1958
  • [Journal-full-title] International journal of colorectal disease
  • [ISO-abbreviation] Int J Colorectal Dis
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] Germany
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65. Loffeld SM, Loffeld RJ: Colorectal cancer and adenomas are rare in individuals of Turkish descent living in the Zaanstreek region in the Netherlands. J Cancer Res Clin Oncol; 2010 Sep;136(9):1439-43
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  • Screening and detection of its precursor lesion, the adenoma could prevent development of colorectal cancer.
  • AIM: To evaluate the prevalence of colorectal cancer and adenoma in patients living in the Zaanstreek region, the Netherlands, and correlate these findings with ethnicity.
  • MATERIALS AND METHODS: All patients undergoing endoscopy of the colon and rectum during a period of 16 consecutive years in whom colorectal cancer and/or a polyp were diagnosed, were included in this study.
  • CONCLUSION: Colorectal cancer and colonic adenoma are rare in patients of Turkish descent living in the Zaanstreek region, the Netherlands.
  • [MeSH-major] Adenoma / epidemiology. Colorectal Neoplasms / epidemiology

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  • (PMID = 20140623.001).
  • [ISSN] 1432-1335
  • [Journal-full-title] Journal of cancer research and clinical oncology
  • [ISO-abbreviation] J. Cancer Res. Clin. Oncol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
  • [Other-IDs] NLM/ PMC2908754
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66. Sidelnikov E, Bostick RM, Flanders WD, Long Q, Seabrook ME: Colorectal mucosal expression of MSH2 as a potential biomarker of risk for colorectal neoplasms. Cancer Epidemiol Biomarkers Prev; 2009 Nov;18(11):2965-73
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  • To characterize the expression of the mismatch repair gene MSH2 in normal colorectal crypts in humans and assess parameters of its expression as a potential modifiable biomarker of risk for colorectal neoplasms, we conducted a pilot, colonoscopy-based case-control study (51 cases and 154 controls) of incident, sporadic colorectal adenoma.
  • Biopsies of normal-appearing rectal, sigmoid, and ascending colon mucosa were procured, immunohistochemically processed for MSH2 protein, and analyzed using custom quantitative image analysis procedures.
  • MSH2 expression in adenoma cases was lower than in controls by 49% (P = 0.01) and 23% (P = 0.06) in the ascending colon and rectum, respectively, but not in the sigmoid colon.
  • MSH2 expression in the rectum was 39% (P = 0.04) higher in subjects who regularly took a nonsteroidal anti-inflammatory drug than in those who did not, and it tended to be lower in those with adenomas in the right colon and those who had an adenoma with more advanced characteristics.
  • These preliminary data suggest that lower MSH2 expression in the normal colonic mucosa, at least in the ascending colon and rectum, may be associated with increased risk of incident, sporadic colorectal adenoma as well as with modifiable risk factors for colorectal neoplasms, thus supporting further investigation of MSH2 expression as a potential modifiable biomarker of risk for colorectal neoplasms.
  • [MeSH-major] Adenoma / metabolism. Biomarkers, Tumor / metabolism. Colorectal Neoplasms / metabolism. MutS Homolog 2 Protein / metabolism
  • [MeSH-minor] Adult. Aged. Case-Control Studies. Colon / metabolism. Colon / pathology. Female. Humans. Male. Middle Aged. Neoplasm Staging. Pilot Projects. Prognosis. Rectum / metabolism. Rectum / pathology. Risk Factors

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  • (PMID = 19861524.001).
  • [ISSN] 1538-7755
  • [Journal-full-title] Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
  • [ISO-abbreviation] Cancer Epidemiol. Biomarkers Prev.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; EC 3.6.1.3 / MSH2 protein, human; EC 3.6.1.3 / MutS Homolog 2 Protein
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67. Sequist TD, Zaslavsky AM, Marshall R, Fletcher RH, Ayanian JZ: Patient and physician reminders to promote colorectal cancer screening: a randomized controlled trial. Arch Intern Med; 2009 Feb 23;169(4):364-71
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [MeSH-minor] Adenoma / diagnosis. Adenoma / prevention & control. Adult. Aged. Aged, 80 and over. Colonoscopy. Early Detection of Cancer. Female. Humans. Internet. Male. Middle Aged. Occult Blood. Office Visits / statistics & numerical data. Pamphlets. Patient Education as Topic / methods. Postal Service. Sigmoidoscopy

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  • (PMID = 19237720.001).
  • [ISSN] 1538-3679
  • [Journal-full-title] Archives of internal medicine
  • [ISO-abbreviation] Arch. Intern. Med.
  • [Language] eng
  • [Databank-accession-numbers] ClinicalTrials.gov/ NCT00355004
  • [Grant] United States / NCI NIH HHS / CA / R01 CA112367; United States / NCI NIH HHS / CA / R01 CA112367-04; United States / NCI NIH HHS / CA / R01 CA 112367
  • [Publication-type] Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS73290; NLM/ PMC2683730
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68. Wang W, Zhou ZW, Wan DS, Lu ZH, Chen G, Pan ZZ, Li LR, Wu XJ, Ding PR: [Clinical analyses of 70 cases of multiple primary colorectal carcinoma]. Ai Zheng; 2008 May;27(5):505-9
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  • Thirty-three patients had colorectal carcinoma accompanying with adenoma and multiple polyps.
  • The patients accompanying with adenoma and multiple polyps should be followed up intensively.
  • [MeSH-major] Carcinoma, Ductal / surgery. Colectomy / methods. Colonic Neoplasms / surgery. Neoplasms, Multiple Primary / surgery. Rectal Neoplasms / surgery
  • [MeSH-minor] Adenocarcinoma, Mucinous / diagnosis. Adenocarcinoma, Mucinous / pathology. Adenocarcinoma, Mucinous / surgery. Adenocarcinoma, Papillary / diagnosis. Adenocarcinoma, Papillary / pathology. Adenocarcinoma, Papillary / surgery. Adult. Aged. Female. Follow-Up Studies. Humans. Male. Middle Aged. Neoplasm Staging. Rectum / surgery. Retrospective Studies. Survival Rate

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  • (PMID = 18479600.001).
  • [Journal-full-title] Ai zheng = Aizheng = Chinese journal of cancer
  • [ISO-abbreviation] Ai Zheng
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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69. Jung B, Lannerstad O, Påhlman L, Arodell M, Unosson M, Nilsson E: Preoperative mechanical preparation of the colon: the patient's experience. BMC Surg; 2007;7:5
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  • METHODS: As part of a large multicenter trial, 105 patients planned for elective colon surgery for cancer, adenoma, or diverticulitis in three hospitals were asked to complete a questionnaire regarding perceived health including experience with bowel preparation.
  • [MeSH-major] Adenoma / surgery. Colonic Neoplasms / surgery. Diverticulitis, Colonic / diagnosis. Diverticulitis, Colonic / surgery. Enema. Patient Satisfaction. Preoperative Care. Therapeutic Irrigation

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  • (PMID = 17480223.001).
  • [ISSN] 1471-2482
  • [Journal-full-title] BMC surgery
  • [ISO-abbreviation] BMC Surg
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC1884131
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70. Schneider M, Scholtka B, Gottschalk U, Faiss S, Schatz D, Berghof-Jäger K, Steinberg P: Detection of up to 65% of Precancerous Lesions of the Human Colon and Rectum by Mutation Analysis of APC, K-Ras, B-Raf and CTNNB1. Cancers (Basel); 2010;3(1):91-105
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  • [Title] Detection of up to 65% of Precancerous Lesions of the Human Colon and Rectum by Mutation Analysis of APC, K-Ras, B-Raf and CTNNB1.
  • In the present study a recently conceived 4-gene marker panel covering the Wnt and Ras-Raf-MEK-MAPK signaling pathways was used to analyze 20 colorectal serrated lesions and 41 colorectal adenoma samples and to determine the percentage of each of the above-mentioned potentially precancerous lesions carrying at least one of the four above-mentioned genes in a mutated form.
  • Based on its excellent performance in detecting mutations in sporadic preneoplastic (in this study) and neoplastic lesions (in a previous study) of the human colon and rectum, this primer combination might also be suited to efficiently and non-invasively detect genetic alterations in stool DNA of patients with early colorectal cancer.

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  • (PMID = 24212608.001).
  • [ISSN] 2072-6694
  • [Journal-full-title] Cancers
  • [ISO-abbreviation] Cancers (Basel)
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Switzerland
  • [Other-IDs] NLM/ PMC3756351
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71. Huang WY, Chatterjee N, Chanock S, Dean M, Yeager M, Schoen RE, Hou LF, Berndt SI, Yadavalli S, Johnson CC, Hayes RB: Microsomal epoxide hydrolase polymorphisms and risk for advanced colorectal adenoma. Cancer Epidemiol Biomarkers Prev; 2005 Jan;14(1):152-7
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  • [Title] Microsomal epoxide hydrolase polymorphisms and risk for advanced colorectal adenoma.
  • Cigarette smoking is a risk factor for colorectal adenoma, a precursor of colorectal cancer.
  • Among participants randomized to the screening arm of the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial, we evaluated risks for advanced adenoma in relation to cigarette use and these two EPHX1 variants.
  • We compared 772 cases with advanced adenoma (adenoma >/=1 cm or containing high-grade dysplasia or villous, including tubulovillous, elements) of the distal colon (left-sided, descending colon and sigmoid or rectum) to 777 gender- and age-matched controls who were screen-negative for left-sided adenoma.
  • Compared to those with homozygous genotypes predicting low EPHX1 activity, advanced adenoma risks tended to be elevated for carriers of (113)TyrTyr [odds ratios (OR), 1.5; 95% confidence intervals (CI), 1.0-2.2] and (139)ArgArg (OR, 1.4; 95% CI, 0.8-2.5) and for subjects who carried a greater number of the alleles ((113)Tyr or (139)Arg) associated with high predicted enzymatic activity (P(trend) = 0.03).
  • In conclusion, EPHX1 variants at codon 113 and 139 associated with high predicted enzymatic activity appear to increase risk for colorectal adenoma, particularly among recent and current smokers.
  • [MeSH-major] Adenoma / genetics. Colorectal Neoplasms / genetics. Epoxide Hydrolases / genetics. Polymorphism, Genetic. Smoking / adverse effects

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  • (PMID = 15668489.001).
  • [ISSN] 1055-9965
  • [Journal-full-title] Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
  • [ISO-abbreviation] Cancer Epidemiol. Biomarkers Prev.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] EC 3.3.2.- / Epoxide Hydrolases
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72. Khder SA, Trifan A, Danciu M, Stanciu C: [Colorectal polyps: clinical, endoscopic, and histopathologic features]. Rev Med Chir Soc Med Nat Iasi; 2008 Jan-Mar;112(1):59-65
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  • Three-quarters of polyps were distal (rectum, sigmoid, and descendent colon) in location, and most of them (75.8%) had a size less than 10 mm.
  • Most of polyps were identified in patients older than 50 years, predominantly men, located in distal colon, had a tubular adenoma histological structure, and frequently associated with hemorrhoids and diverticular disease.
  • [MeSH-major] Colon / pathology. Colonic Polyps / diagnosis. Colonoscopy. Colorectal Neoplasms / diagnosis. Intestinal Polyps / diagnosis. Rectum / pathology
  • [MeSH-minor] Adenoma / diagnosis. Adult. Aged. Aged, 80 and over. Diagnosis, Differential. Female. Humans. Male. Middle Aged. Prevalence. Retrospective Studies. Romania / epidemiology. Treatment Outcome

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  • (PMID = 18677904.001).
  • [ISSN] 0048-7848
  • [Journal-full-title] Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i
  • [ISO-abbreviation] Rev Med Chir Soc Med Nat Iasi
  • [Language] rum
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Romania
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73. Rüschoff J, Heinmöller E, Hartmann A, Büttner R, Rau T: [Differential diagnostics of hereditary colorectal cancer syndromes. The role of pathology]. Pathologe; 2010 Oct;31(6):412-22
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [MeSH-minor] Adenoma / genetics. Adenoma / pathology. Colorectal Neoplasms, Hereditary Nonpolyposis / genetics. Colorectal Neoplasms, Hereditary Nonpolyposis / pathology. DNA Mismatch Repair / genetics. Diagnosis, Differential. Humans. Immunohistochemistry / methods. Microsatellite Instability. Mutation. Syndrome


74. Katsinelos P, Basdanis G, Chatzimavroudis G, Karagiannoulou G, Katsinelos T, Paroutoglou G, Papaziogas B, Paraskevas G: Pancreatitis complicating mucin-hypersecreting common bile duct adenoma. World J Gastroenterol; 2006 Aug 14;12(30):4927-9
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  • [Title] Pancreatitis complicating mucin-hypersecreting common bile duct adenoma.
  • He underwent a modified Whipple operation and histological examination of the surgical specimen showed villous adenoma with rich secretion of mucus.
  • [MeSH-major] Adenoma, Bile Duct / complications. Bile Duct Neoplasms / complications. Bile Ducts, Intrahepatic / pathology. Mucins / secretion. Pancreatitis / etiology

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  • (PMID = 16937485.001).
  • [ISSN] 1007-9327
  • [Journal-full-title] World journal of gastroenterology
  • [ISO-abbreviation] World J. Gastroenterol.
  • [Language] eng
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75. Hou L, Chatterjee N, Huang WY, Baccarelli A, Yadavalli S, Yeager M, Bresalier RS, Chanock SJ, Caporaso NE, Ji BT, Weissfeld JL, Hayes RB: CYP1A1 Val462 and NQO1 Ser187 polymorphisms, cigarette use, and risk for colorectal adenoma. Carcinogenesis; 2005 Jun;26(6):1122-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] CYP1A1 Val462 and NQO1 Ser187 polymorphisms, cigarette use, and risk for colorectal adenoma.
  • Cigarette use is a risk factor for colorectal adenoma, a known precursor of colorectal cancer.
  • We investigated the association of cigarette smoking with risk for advanced colorectal adenoma in relation to the CYP1A1 Val(462) and NQO1 Ser(187) polymorphic variants.
  • Subjects were 725 non-Hispanic Caucasian cases with advanced colorectal adenoma of the distal colon (descending colon, sigmoid and rectum) and 729 gender- and ethnicity-matched controls, randomly selected from participants in the prostate, lung, colorectal and ovarian cancer screening trial.
  • Subjects carrying either CYP1A1 Val(462) or NQO1 Ser(187) alleles were weakly associated with risk of colorectal adenoma; however, subjects carrying both CYP1A1 Val(462) and NQO1 Ser(187) alleles showed increased risks (OR = 2.2, 95% CI = 1.1-4.5), particularly among recent (including current) (OR = 17.4, 95% CI = 3.8-79.8, P for interaction = 0.02) and heavy cigarette smokers (>20 cigarettes/day) (OR = 21.1, 95% CI = 3.9-114.4, P for interaction = 0.03) compared with non-smokers who did not carry either of these variants.
  • In analysis of adenoma subtypes, the combined gene variants were most strongly associated with the presence of multiple adenoma (P = 0.002).
  • In summary, joint carriage of CYP1A1 Val(462) and NQO1 Ser(187) alleles, particularly in smokers, was related to colorectal adenoma risk, with a propensity for formation of multiple lesions.
  • [MeSH-major] Adenoma / genetics. Colorectal Neoplasms / genetics. Cytochrome P-450 CYP1A1 / genetics. NAD(P)H Dehydrogenase (Quinone) / genetics. Polymorphism, Genetic. Smoking / adverse effects

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  • (PMID = 15731166.001).
  • [ISSN] 0143-3334
  • [Journal-full-title] Carcinogenesis
  • [ISO-abbreviation] Carcinogenesis
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] EC 1.14.14.1 / Cytochrome P-450 CYP1A1; EC 1.6.5.2 / NAD(P)H Dehydrogenase (Quinone); EC 1.6.5.2 / NQO1 protein, human
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76. Byun TJ, Han DS, Ahn SB, Cho HS, Eun CS, Jeon YC, Sohn JH, Oh YH: Pseudoinvasion in an adenomatous polyp of the colon mimicking invasive colon cancer. Gut Liver; 2009 Jun;3(2):130-3
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  • This makes it difficult for endoscopists to differentiate pseudoinvasion in an adenoma from an invasive carcinoma by conventional endoscopy; instead, endoscopic ultrasonography can provide useful information for differentiating these conditions.

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  • (PMID = 20431736.001).
  • [ISSN] 2005-1212
  • [Journal-full-title] Gut and liver
  • [ISO-abbreviation] Gut Liver
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC2852693
  • [Keywords] NOTNLM ; Adenomatous polyps / EUS / Malignant polyp / Pseudoinvasion
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77. Hakeem A, Badrinath K: "Scoping-around" a sigmoidorectal intussusception: a pitfall of flexible sigmoidoscopy. BMJ Case Rep; 2009;2009
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  • A 66-year-old woman presented with 3-month history of progressive constipation and occasional bright red per-rectal bleeding.
  • An urgent flexible sigmoidoscopy (FS) showed an abnormal lesion within the anal canal and biopsy showed tubulovillous adenoma with low-grade dysplasia.
  • A large soft tissue lump with "currant jelly" mucus discharge was noted on per-rectal examination.

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  • [ISSN] 1757-790X
  • [Journal-full-title] BMJ case reports
  • [ISO-abbreviation] BMJ Case Rep
  • [Language] eng
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