Clinical significance of colonoscopy in patients with upper gastrointestinal polyps and neoplasms: a meta-analysis
Some authors have studied the relationship between the presence of polyps, adenomas and cancers of upper gastrointestinal tract (stomach and duodenum) and risk of colorectal polyps and neoplasms; however, the results are controversial, which may be due to study sample size, populations, design, clin...
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| description | Some authors have studied the relationship between the presence of polyps, adenomas and cancers of upper gastrointestinal tract (stomach and duodenum) and risk of colorectal polyps and neoplasms; however, the results are controversial, which may be due to study sample size, populations, design, clinical features, and so on. No meta-analysis, which can be generalized to a larger population and could provide a quantitative pooled risk estimate of the relationship, of this issue existed so far.
We performed a meta-analysis to evaluate risk of colorectal polyps or neoplasms in patients with polyps, adenomas or cancers in upper gastrointestinal tract comparing with controls. A search was conducted through PubMed, EMBASE, reference lists of potentially relevant papers, and practice guidelines up to 27 November 2013 without languages restriction. Odd ratios (ORs) were pooled using random-effects models.
The search yielded 3 prospective and 21 retrospective case-control studies (n = 37152 participants). The principal findings included: (1) OR for colorectal polyps was 1.15 (95% CI, 1.04-1.26) in the gastric polyps group comparing with control groups; (2) Patients with gastric polyps and neoplasms have higher risk (OR, 1.31 [95% CI, 1.06-1.62], and 1.72 [95% CI, 1.42-2.09], respectively) of colorectal neoplasms comparing with their controls; and (3) Positive association was found between the presence of colorectal neoplasms and sporadic duodenal neoplasms (OR, 2.59; 95% CI, 1.64-4.11).
Findings from present meta-analysis of 24 case-control studies suggest that the prevalence of colorectal polyps was higher in patients with gastric polyps than in those without gastric polyps, and the risk of colorectal neoplasms increases significantly in patients with gastric polyps, neoplasms, and duodenal neoplasms. Therefore, screening colonoscopy should be considered for patients with upper gastrointestinal polyps and neoplasms. |
| doi_str_mv | 10.1371/journal.pone.0091810 |
| format | Article |
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We performed a meta-analysis to evaluate risk of colorectal polyps or neoplasms in patients with polyps, adenomas or cancers in upper gastrointestinal tract comparing with controls. A search was conducted through PubMed, EMBASE, reference lists of potentially relevant papers, and practice guidelines up to 27 November 2013 without languages restriction. Odd ratios (ORs) were pooled using random-effects models.
The search yielded 3 prospective and 21 retrospective case-control studies (n = 37152 participants). The principal findings included: (1) OR for colorectal polyps was 1.15 (95% CI, 1.04-1.26) in the gastric polyps group comparing with control groups; (2) Patients with gastric polyps and neoplasms have higher risk (OR, 1.31 [95% CI, 1.06-1.62], and 1.72 [95% CI, 1.42-2.09], respectively) of colorectal neoplasms comparing with their controls; and (3) Positive association was found between the presence of colorectal neoplasms and sporadic duodenal neoplasms (OR, 2.59; 95% CI, 1.64-4.11).
Findings from present meta-analysis of 24 case-control studies suggest that the prevalence of colorectal polyps was higher in patients with gastric polyps than in those without gastric polyps, and the risk of colorectal neoplasms increases significantly in patients with gastric polyps, neoplasms, and duodenal neoplasms. Therefore, screening colonoscopy should be considered for patients with upper gastrointestinal polyps and neoplasms.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0091810</identifier><identifier>PMID: 24637723</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Age Factors ; Aged ; Biology and Life Sciences ; Cancer research ; Care and treatment ; Case-Control Studies ; Clinical significance ; Colon ; Colonic Polyps - complications ; Colonic Polyps - diagnosis ; Colonoscopy ; Colorectal cancer ; Colorectal Neoplasms - complications ; Colorectal Neoplasms - diagnosis ; Duodenum ; Endoscopy ; Gastric cancer ; Gastroenterology ; Gastrointestinal Neoplasms - complications ; Gastrointestinal surgery ; Gastrointestinal system ; Gastrointestinal tract ; Hospitals ; Humans ; Hypotheses ; Lists ; Medicine and Health Sciences ; Meta-analysis ; Middle Aged ; Neoplasms ; Odds Ratio ; Patients ; Physical Sciences ; Polyps ; Polyps - complications ; Population studies ; Quality ; Research and Analysis Methods ; Risk ; Risk analysis ; Stomach ; Stomach cancer ; Studies ; Tumors ; Upper Gastrointestinal Tract - pathology</subject><ispartof>PloS one, 2014-03, Vol.9 (3), p.e91810-e91810</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Wu et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Wu et al 2014 Wu et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-453af0b9ce6605219bb6f5723c79cb1e55e2ed7eb02441030a02b48a2f7a0c9e3</citedby><cites>FETCH-LOGICAL-c692t-453af0b9ce6605219bb6f5723c79cb1e55e2ed7eb02441030a02b48a2f7a0c9e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3956699/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3956699/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24637723$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Green, John</contributor><creatorcontrib>Wu, Zhen-Jie</creatorcontrib><creatorcontrib>Lin, Yuan</creatorcontrib><creatorcontrib>Xiao, Jun</creatorcontrib><creatorcontrib>Wu, Liu-Cheng</creatorcontrib><creatorcontrib>Liu, Jun-Gang</creatorcontrib><title>Clinical significance of colonoscopy in patients with upper gastrointestinal polyps and neoplasms: a meta-analysis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Some authors have studied the relationship between the presence of polyps, adenomas and cancers of upper gastrointestinal tract (stomach and duodenum) and risk of colorectal polyps and neoplasms; however, the results are controversial, which may be due to study sample size, populations, design, clinical features, and so on. No meta-analysis, which can be generalized to a larger population and could provide a quantitative pooled risk estimate of the relationship, of this issue existed so far.
We performed a meta-analysis to evaluate risk of colorectal polyps or neoplasms in patients with polyps, adenomas or cancers in upper gastrointestinal tract comparing with controls. A search was conducted through PubMed, EMBASE, reference lists of potentially relevant papers, and practice guidelines up to 27 November 2013 without languages restriction. Odd ratios (ORs) were pooled using random-effects models.
The search yielded 3 prospective and 21 retrospective case-control studies (n = 37152 participants). The principal findings included: (1) OR for colorectal polyps was 1.15 (95% CI, 1.04-1.26) in the gastric polyps group comparing with control groups; (2) Patients with gastric polyps and neoplasms have higher risk (OR, 1.31 [95% CI, 1.06-1.62], and 1.72 [95% CI, 1.42-2.09], respectively) of colorectal neoplasms comparing with their controls; and (3) Positive association was found between the presence of colorectal neoplasms and sporadic duodenal neoplasms (OR, 2.59; 95% CI, 1.64-4.11).
Findings from present meta-analysis of 24 case-control studies suggest that the prevalence of colorectal polyps was higher in patients with gastric polyps than in those without gastric polyps, and the risk of colorectal neoplasms increases significantly in patients with gastric polyps, neoplasms, and duodenal neoplasms. Therefore, screening colonoscopy should be considered for patients with upper gastrointestinal polyps and neoplasms.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Biology and Life Sciences</subject><subject>Cancer research</subject><subject>Care and treatment</subject><subject>Case-Control Studies</subject><subject>Clinical significance</subject><subject>Colon</subject><subject>Colonic Polyps - complications</subject><subject>Colonic Polyps - diagnosis</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - complications</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Duodenum</subject><subject>Endoscopy</subject><subject>Gastric cancer</subject><subject>Gastroenterology</subject><subject>Gastrointestinal Neoplasms - complications</subject><subject>Gastrointestinal surgery</subject><subject>Gastrointestinal system</subject><subject>Gastrointestinal tract</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Lists</subject><subject>Medicine and Health Sciences</subject><subject>Meta-analysis</subject><subject>Middle Aged</subject><subject>Neoplasms</subject><subject>Odds Ratio</subject><subject>Patients</subject><subject>Physical Sciences</subject><subject>Polyps</subject><subject>Polyps - complications</subject><subject>Population studies</subject><subject>Quality</subject><subject>Research and Analysis Methods</subject><subject>Risk</subject><subject>Risk analysis</subject><subject>Stomach</subject><subject>Stomach cancer</subject><subject>Studies</subject><subject>Tumors</subject><subject>Upper Gastrointestinal Tract - pathology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12LEzEUhgdR3HX1H4gGBNGL1nzMZCZeCEvxo7Cw4NdtOJNJ2pQ0GScZtf_e1HaXjuyF5CIhec57Tt7kFMVTgueE1eTNJoyDBzfvg9dzjAVpCL5XnBPB6IxTzO6frM-KRzFuMK5Yw_nD4oyWnNU1ZefFsHDWWwUORbvy1uSlVxoFg1RwwYeoQr9D1qMektU-RfTLpjUa-14PaAUxDcH6pGOyuRbUB7frIwLfIa9D7yBu41sEaKsTzCATu2jj4-KBARf1k-N8UXz78P7r4tPs6vrjcnF5NVNc0DQrKwYGt0JpznFFiWhbbqpctKqFaomuKk11V-sW07IkmGHAtC0boKYGrIRmF8Xzg27vQpRHu6IkFW5wI8oGZ2J5ILoAG9kPdgvDTgaw8u9GGFYShmSV05KzquoMJ9oYXFIQ0NQGypZqTFjT0i5rvTtmG9ut7lT2agA3EZ2eeLuWq_BTMlFxLkQWeHUUGMKPMTsqtzYq7RxkK8dD3Tw_migz-uIf9O7bHakV5AtYb0LOq_ai8rKsm5rnP7On5ndQeXR6a1X-W8bm_UnA60lAZpL-nVYwxiiXXz7_P3v9fcq-PGHXGlxax-DGZIOPU7A8gGoIMQ7a3JpMsNy3xo0bct8a8tgaOezZ6QPdBt30AvsDmxgK7w</recordid><startdate>20140317</startdate><enddate>20140317</enddate><creator>Wu, Zhen-Jie</creator><creator>Lin, Yuan</creator><creator>Xiao, Jun</creator><creator>Wu, Liu-Cheng</creator><creator>Liu, Jun-Gang</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20140317</creationdate><title>Clinical significance of colonoscopy in patients with upper gastrointestinal polyps and neoplasms: a meta-analysis</title><author>Wu, Zhen-Jie ; Lin, Yuan ; Xiao, Jun ; Wu, Liu-Cheng ; Liu, Jun-Gang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-453af0b9ce6605219bb6f5723c79cb1e55e2ed7eb02441030a02b48a2f7a0c9e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Biology and Life Sciences</topic><topic>Cancer research</topic><topic>Care and treatment</topic><topic>Case-Control Studies</topic><topic>Clinical significance</topic><topic>Colon</topic><topic>Colonic Polyps - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Zhen-Jie</au><au>Lin, Yuan</au><au>Xiao, Jun</au><au>Wu, Liu-Cheng</au><au>Liu, Jun-Gang</au><au>Green, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical significance of colonoscopy in patients with upper gastrointestinal polyps and neoplasms: a meta-analysis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-03-17</date><risdate>2014</risdate><volume>9</volume><issue>3</issue><spage>e91810</spage><epage>e91810</epage><pages>e91810-e91810</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Some authors have studied the relationship between the presence of polyps, adenomas and cancers of upper gastrointestinal tract (stomach and duodenum) and risk of colorectal polyps and neoplasms; however, the results are controversial, which may be due to study sample size, populations, design, clinical features, and so on. No meta-analysis, which can be generalized to a larger population and could provide a quantitative pooled risk estimate of the relationship, of this issue existed so far.
We performed a meta-analysis to evaluate risk of colorectal polyps or neoplasms in patients with polyps, adenomas or cancers in upper gastrointestinal tract comparing with controls. A search was conducted through PubMed, EMBASE, reference lists of potentially relevant papers, and practice guidelines up to 27 November 2013 without languages restriction. Odd ratios (ORs) were pooled using random-effects models.
The search yielded 3 prospective and 21 retrospective case-control studies (n = 37152 participants). The principal findings included: (1) OR for colorectal polyps was 1.15 (95% CI, 1.04-1.26) in the gastric polyps group comparing with control groups; (2) Patients with gastric polyps and neoplasms have higher risk (OR, 1.31 [95% CI, 1.06-1.62], and 1.72 [95% CI, 1.42-2.09], respectively) of colorectal neoplasms comparing with their controls; and (3) Positive association was found between the presence of colorectal neoplasms and sporadic duodenal neoplasms (OR, 2.59; 95% CI, 1.64-4.11).
Findings from present meta-analysis of 24 case-control studies suggest that the prevalence of colorectal polyps was higher in patients with gastric polyps than in those without gastric polyps, and the risk of colorectal neoplasms increases significantly in patients with gastric polyps, neoplasms, and duodenal neoplasms. Therefore, screening colonoscopy should be considered for patients with upper gastrointestinal polyps and neoplasms.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24637723</pmid><doi>10.1371/journal.pone.0091810</doi><tpages>e91810</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2014-03, Vol.9 (3), p.e91810-e91810 |
| issn | 1932-6203 1932-6203 |
| language | eng |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Age Factors Aged Biology and Life Sciences Cancer research Care and treatment Case-Control Studies Clinical significance Colon Colonic Polyps - complications Colonic Polyps - diagnosis Colonoscopy Colorectal cancer Colorectal Neoplasms - complications Colorectal Neoplasms - diagnosis Duodenum Endoscopy Gastric cancer Gastroenterology Gastrointestinal Neoplasms - complications Gastrointestinal surgery Gastrointestinal system Gastrointestinal tract Hospitals Humans Hypotheses Lists Medicine and Health Sciences Meta-analysis Middle Aged Neoplasms Odds Ratio Patients Physical Sciences Polyps Polyps - complications Population studies Quality Research and Analysis Methods Risk Risk analysis Stomach Stomach cancer Studies Tumors Upper Gastrointestinal Tract - pathology |
| title | Clinical significance of colonoscopy in patients with upper gastrointestinal polyps and neoplasms: a meta-analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T12%3A31%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clinical%20significance%20of%20colonoscopy%20in%20patients%20with%20upper%20gastrointestinal%20polyps%20and%20neoplasms:%20a%20meta-analysis&rft.jtitle=PloS%20one&rft.au=Wu,%20Zhen-Jie&rft.date=2014-03-17&rft.volume=9&rft.issue=3&rft.spage=e91810&rft.epage=e91810&rft.pages=e91810-e91810&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0091810&rft_dat=%3Cgale_plos_%3EA478760910%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1508089480&rft_id=info:pmid/24637723&rft_galeid=A478760910&rft_doaj_id=oai_doaj_org_article_6355df61eff042a9a87fa4b2e0138b2d&rfr_iscdi=true |