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患有结肠腺瘤的症状年轻患者的临床特征
Mario El Hayek1, Fadi F Francis2,3, Fadi H Mourad2
1Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon (Mario El Hayek).
Annals of gastroenterology
|May 23, 2024
概括
50岁以下患有结肠腺瘤的年轻患者通常是男性,超重和吸烟者. 近一半的人在五年内经历了复发性腺瘤,这表明可能需要频繁监测.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 预防医学 预防医学
背景情况:
- 在50岁以下的患者中,结肠直肠癌和腺瘤的发病率正在增加.
- 这种人口组为查和管理带来了独特的挑战.
- 了解年轻人群中的息肉特征至关重要.
研究的目的:
- 为了描述被诊断为腺瘤多的年轻患者 (<50岁).
- 描述这些腺瘤多的特征.
- 为这组患者建立适当的监测间隔.
主要方法:
- 对50岁以下为腺瘤多瘤进行多角切除术的患者 (2008-2021) 的回顾性图表审查.
- 收集的数据包括患者人口统计,结肠镜指示,多体特征和监测结果.
- 对监测结肠镜检查时间和结果的分析.
主要成果:
- 包括610名患者:平均年龄为42.9岁,男性61%,超重 (BMI 27.5),吸烟者>50%.
- 常见的症状:腹部疼痛 (23.3%),直肠出血 (22.3%).
- 管状腺瘤 (93.6%) 是最常见的,平均尺寸为1.1厘米,通常在西格结肠 (41%). 在2.9年内,47.4%的监测结肠镜检查中发现了复发性腺瘤.
结论:
- 患有结肠腺瘤的年轻患者 (<50岁) 通常是男性,超重和吸烟者.
- 在大约3年的监测间隔内观察到高复发率 (47.4%).
- 对于被诊断患有结肠腺瘤的年轻人来说,可能需要经常监测.
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