Korean J Gastrointest Endosc > Volume 41(5); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(5): 266-272.
무증상 평균 위험도 한국인에서의 선별 대장내시경 결과 분석: 지역사회 2차 의료기관 경험
김종규ㆍ최용성ㆍ서정필ㆍ이인택*ㆍ육의곤*ㆍ이두석*
대항병원 소화기내과, *외과
Results of Screening Colonoscopy in Asymptomatic Average-risk Koreans at a Community-based Secondary Hospital
Jong Kyu Kim, M.D., Yong Sung Choi, M.D., Jung Pil Suh, M.D., In Taek Lee, M.D.*, Eui Gon Youk, M.D.* and Doo Seok Lee, M.D.*
Departments of Gastroenterology and *Surgery, Daehang Hospital, Seoul, Korea
Abstract

Background/Aims:
Colonoscopy has emerged as the dominant colorectal cancer screening strategy, yet the data on the results of performing screening colonoscopy in asymptomatic average risk Koreans is limited. The aim of this study is to determine the results of screening colonoscopy at a community-based single center in Korea.
Methods:
A total of 13,743 individuals (5,935 males and 7,808 females, age: 50.6±11.8 years) who underwent screening colonoscopy at a community based hospital from April 2006 to March 2008 were analyzed.
Results:
Of the 13,743 subjects, neoplasia, advanced neoplasia and early colon cancer were detected in 3,270 subjects (23.8%), 315 subjects (2.3%) and 60 subjects (0.5%), respectively. The prevalence of neoplasia and advanced neoplasia increased with age (p<0.001), and this was higher among males as compared to that of females (p<0.001). Of the 3,666 subjects with neoplasia, 1,440 subjects (38.3%) had multiple neoplasia. Old age and male gender were associated with multiple neoplasia.
Conclusions:
The overall prevalence of colorectal neoplasia in asymptomatic average-risk Koreans at a community based hospital is comparable with that in a health care setting or university hospitals. Old age and male gender are associated with a higher risk of colorectal neoplasia and having multiple neoplasia. (Korean J Gastrointest Endosc 2010;41:266-272)
Key Words: Screening, Colonoscopy, Asymptomatic
주요어: 무증상, 선별검사, 대장내시경
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