Gallbladder Polyps Are Associated with Proximal Colon Polyps

Background. The association between gallbladder (GB) disease and colorectal precancerous lesions remains elusive. This study sought to explore the association between GB disease and colorectal neoplasms at different locations. Methods. Patients who received general health checkup from January to Dec...

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Main Authors: Kuan-Chieh Lee, Wen-Juei Jeng, Chen-Ming Hsu, Chia-Jung Kuo, Ming-Yao Su, Cheng-Tang Chiu
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2019/9832482
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author Kuan-Chieh Lee
Wen-Juei Jeng
Chen-Ming Hsu
Chia-Jung Kuo
Ming-Yao Su
Cheng-Tang Chiu
author_facet Kuan-Chieh Lee
Wen-Juei Jeng
Chen-Ming Hsu
Chia-Jung Kuo
Ming-Yao Su
Cheng-Tang Chiu
author_sort Kuan-Chieh Lee
collection DOAJ
description Background. The association between gallbladder (GB) disease and colorectal precancerous lesions remains elusive. This study sought to explore the association between GB disease and colorectal neoplasms at different locations. Methods. Patients who received general health checkup from January to December 2008 were included and subgrouped into three groups by polyp location: proximal, distal, and whole colon. GB disease and other known risk factors for colon cancer were compared and analyzed. Different types of polyps at different locations were further investigated. Results. Of a total of 3136 patients (1776 men and 1360 women; mean age, 49.3 years) who had colon polyps, 212 (6.8%) had GB stone and 512 (16.3%) had GB polyps. Patients in the proximal colon polyp group had higher rates of GB polyps and stones. GB polyps were independently associated with proximal colon polyps, including both hyperplastic polyps (odds ratio, 1.523; P=0.034) and adenomatous polyps (odds ratio, 1.351; P=0.048). No relationship between GB polyps and distal or any colon polyps was observed. Irrespective of the polyp location (i.e., proximal, distal, or any part of the colon), GB stone did not show any association with colon polyp. Conclusions. We suggested that GB polyps are associated with proximal colon polyps. Colonoscopy may be a more effective strategy for screening proximal precancerous lesions among patients with GB polyps. The association between GB disease and colon polyps demands further prospective investigation.
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spelling doaj-art-a0d62c49bbc84ed7b731aaa15de29cb72025-08-20T03:38:08ZengWileyGastroenterology Research and Practice1687-61211687-630X2019-01-01201910.1155/2019/98324829832482Gallbladder Polyps Are Associated with Proximal Colon PolypsKuan-Chieh Lee0Wen-Juei Jeng1Chen-Ming Hsu2Chia-Jung Kuo3Ming-Yao Su4Cheng-Tang Chiu5Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanLiver Research Center, Division of Gastroenterology, Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Gastroenterology and Hepatology, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanDepartment of Gastroenterology and Hepatology, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanDepartment of Gastroenterology and Hepatology, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanDepartment of Gastroenterology and Hepatology, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanBackground. The association between gallbladder (GB) disease and colorectal precancerous lesions remains elusive. This study sought to explore the association between GB disease and colorectal neoplasms at different locations. Methods. Patients who received general health checkup from January to December 2008 were included and subgrouped into three groups by polyp location: proximal, distal, and whole colon. GB disease and other known risk factors for colon cancer were compared and analyzed. Different types of polyps at different locations were further investigated. Results. Of a total of 3136 patients (1776 men and 1360 women; mean age, 49.3 years) who had colon polyps, 212 (6.8%) had GB stone and 512 (16.3%) had GB polyps. Patients in the proximal colon polyp group had higher rates of GB polyps and stones. GB polyps were independently associated with proximal colon polyps, including both hyperplastic polyps (odds ratio, 1.523; P=0.034) and adenomatous polyps (odds ratio, 1.351; P=0.048). No relationship between GB polyps and distal or any colon polyps was observed. Irrespective of the polyp location (i.e., proximal, distal, or any part of the colon), GB stone did not show any association with colon polyp. Conclusions. We suggested that GB polyps are associated with proximal colon polyps. Colonoscopy may be a more effective strategy for screening proximal precancerous lesions among patients with GB polyps. The association between GB disease and colon polyps demands further prospective investigation.http://dx.doi.org/10.1155/2019/9832482
spellingShingle Kuan-Chieh Lee
Wen-Juei Jeng
Chen-Ming Hsu
Chia-Jung Kuo
Ming-Yao Su
Cheng-Tang Chiu
Gallbladder Polyps Are Associated with Proximal Colon Polyps
Gastroenterology Research and Practice
title Gallbladder Polyps Are Associated with Proximal Colon Polyps
title_full Gallbladder Polyps Are Associated with Proximal Colon Polyps
title_fullStr Gallbladder Polyps Are Associated with Proximal Colon Polyps
title_full_unstemmed Gallbladder Polyps Are Associated with Proximal Colon Polyps
title_short Gallbladder Polyps Are Associated with Proximal Colon Polyps
title_sort gallbladder polyps are associated with proximal colon polyps
url http://dx.doi.org/10.1155/2019/9832482
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