This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (18)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Kumar S. Dasmahapatra, MD; Kevin Lopyan, MD

Arch Surg. 1989;124(1):63-66.

Abstract
• The role of colonoscopy in patients with colorectal neoplasia is not well established. The results of colonoscopy, from 1982 through 1987, in 42 patients with cancers who underwent preoperative colonoscopy (group 1), 64 patients with benign polyps (group 2), and 51 patients who were examined only postoperatively (group 3) were reviewed. These results indicated that(1) approximately one third of all findings would have been missed if endoscopy had been performed to only 60 cm; (2) there was a high incidence of synchronous lesions (33.3% in group 1 and 34.4% in group 2); (3) 57% of patients with synchronous cancer and 63.6% of patients with synchronous polyps developed metachronous lesions, compared with 10.7% and 11.9% of patients with a single lesion; (4) there was a higher incidence of metachronous lesions seen in group 3, compared with group 1; and (5) the median interval for noting metachronous lesions in patients who underwent colonoscopy preoperatively was approximately 18 months. These findings endorsed preoperative colonoscopy and aggressive follow-up in patients with colorectal tumors.

(Arch Surg 1989;124:63-66)

Author Affiliations
From The Division of Surgical Oncology, University of Medicine and Dentistry of New Jersey–New Jersey Medical School, Newark, and East Orange (NJ) Veterans Administration Medical Center.

Footnotes
Accepted for publication July 15, 1988.

Read before the Annual Meeting of the Society of Surgical Oncology, New Orleans, May 24, 1988.

Reprint requests to Surgical Service (112), Veterans Administration Medical Center, East Orange, NJ 07019 (Dr Dasmahapatra).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Automated Carbon Dioxide Insufflation for CT Colonography: Effectiveness of Colonic Distention in Cancer Patients with Severe Luminal Narrowing
Kim et al.
Am. J. Roentgenol. 2008;190:698-706.
ABSTRACT | FULL TEXT  

Occlusive Colon Carcinoma: Virtual Colonoscopy in the Preoperative Evaluation of the Proximal Colon
Fenlon et al.
Radiology 1999;210:423-428.
ABSTRACT | FULL TEXT