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[Myocardial infarction and rectocolonic polyps].

J C Audigier, C Barthélémy, J P Etaix

    Gastroenterologie Clinique Et Biologique
    |August 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

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    Patients with myocardial infarction and controls show similar polyp prevalence in the rectum and sigmoid colon. Flexible rectosigmoidoscopy acceptability was poor in myocardial infarction patients, suggesting no routine polyp screening is needed for this group.

    Area of Science:

    • Gastroenterology
    • Cardiology
    • Preventive Medicine

    Context:

    • Investigating the link between myocardial infarction (MI) and colorectal polyps.
    • Assessing polyp prevalence in asymptomatic individuals over 35.
    • Evaluating patient acceptance of flexible rectosigmoidoscopy.

    Purpose:

    • To determine if patients with recent myocardial infarction have a higher prevalence of rectal and sigmoid polyps compared to controls.
    • To assess the acceptability and tolerance of flexible rectosigmoidoscopy in MI patients versus controls.

    Summary:

    • A flexible proctosigmoidoscopy study compared 103 patients with recent myocardial infarction (MI) to 200 asymptomatic controls (age >35).
    • Adenomatous polyp prevalence was similar (19.6% in MI patients vs. 16.2% in controls), with no statistically significant difference.

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  • Acceptability of the procedure was significantly lower in MI patients (26.4% refusal) compared to controls (1.0% refusal).

    • Impact:

    • Findings suggest that routine polyp screening via flexible rectosigmoidoscopy is not indicated for patients with myocardial infarction.
    • Highlights potential challenges in patient adherence to gastrointestinal screening procedures post-MI.
    • Contributes to understanding the relationship between cardiovascular health and gastrointestinal pathology.