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KMID : 0978920090100020000
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Korean Journal of Clinical Geriatrics
2009 Volume.10 No. 2 p.0 ~ p.0
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The Polyps of the Attributes and the Rate of Colon Polypectomy, in the Elderly Over the Age of 65
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Han Gi-Won
Yoo Byung-Wook
Cho Yong-Jin
Oh Jung-Eun
Hong Sung-Ho
Cho Choo-Yon
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Abstract
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Background: Prevalence and mortality rates of colon cancer and adenomatous polyps is increased in the elderly. Although removal of colon polyps is known to decrease the mortality rate of colon cancer, various reasons prevent its widespread practice. This paper studies the characteristics of colon polyps and rate of polypectomy in the elderly.
Methods: 202 asymptomatic patients over 65 who underwent colonoscopy at a University hospital health examination center from January, 2003 to December, 2007 were selected, excluding those with colon cancer, incomplete colonoscopy, and history of colon polyps. Various clinical characteristics and serum chemistry levels were analyzed for association to colon polyps and the number, location,histology of polyps, whether colonoscopy was performed and the interval until treatment was measured.
Results: Colon polyps showed a prevalence rate of 65.8% and 75.2% were multiple. Polyps in the descending colon were more common (42.9%) and 79.2% were neoplastic. The polyp group had no significant differences compared to the controls but the prevalence increased as more diagnotic criteria for metabolic syndrome was fulfilled. Colon polypectomy was done in 54.1% and the average interval was 244 days, with over 6 months being the most common (36.1%).
Conslusion: In the elderly, colon polypectomy in 54.1% of the cases is not high enough compared to the prevalence and mortality rate of colon cancer. Also, interval to polypectomy was over 6 months in 36.1% of the cases, bidding for more aggressive treatment.
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KEYWORD
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Colon polyps, Colon polypectomy, Colon cancer
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