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Korean Journal of Clinical Oncology > Volume 6(2); 2010 > Article
REVIEW
Korean J Clin Oncol. 2010;6(2): 20-25.         doi: https://doi.org/10.14216/kjco.10014
Analysis of Colon and Rectal Diseases in Gastric Cancer Patients
So Ryung Gu1, Seong Ku Kang1, Dong Gue Shin1, Sang Soo Park1, Jin Yoon1, Kyung Bok Lee1, Byung Ook You1, Il Myung Kim2
1Department of Surgery, Seoul Medical Center
2Department of Surgery, Dongnam Institute of Radiological and Medical Sciences
위암환자에서 대장과 직장의 질환에 대한 분석
구소령1, 강성구1, 신동규1, 박상수1, 윤진1, 이경복1, 유병욱1, 김일명2
1서울의료원 외과
2동남권원자력의학원 외과
Corresponding Author: Seong Ku Kang ,Tel: +82-2-3430-0578, Fax: +82-2-3430-0482, Email: ksk6723@seoulmc.or.kr
Received: November 20, 2010;  Accepted: December 23, 2010.
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ABSTRACT
Background and Objectives : Stomach cancer is the most common, showing the highest prevalence in Korea. In stomach cancer patients, the coincidence of colorectal diseases is reported in an increasing frequency compared to normal people. In this study, the incidence and characteristics of colon diseases in patients who had been diagnosed and treated with stomach cancer were analized. Subjects and Methods : From September 2000 to October 2007, 244 patients who had been diagnosed with stomach cancer and received operation were subjected. 104 patients of those had colon evaluation before or after the operation and they are studies further. We investigated retrospectively the pattern of the occurrence of colon neoplasia and non-neoplasia and their histopathological characteristics. Results : The mean age of the 244 patients was 62.6 (34~90), and the ratio of males to females was 2.6:1. Of the 104 patients with colorectal examinations, lesions were observed in 44 (42.3%), of which 28 (63.6%) were polyp, 2 (4.5%) were ulcerative colitis, 9 (20.5%) were colon cancer, and others were 5 (11.4%). The cases of adenocarcinoma were classified with sex and their characteristics. Conclusions : The incidence of colon neoplasia and non-neoplasia is high in stomach cancer patients. Accordingly, patients who are diagnosed with stomach cancer should be strongly advised to do colonoscopic examination or 3- dimensional CT colonography, before and after the operation. It should be examined actively for early detection of colon cancer.
Keywords: gastric cancer | colorectal diseases | polyps | 3-dimensional CT colonography
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