The Clinical Significance of Colon Polyp Pathology in Nonalcoholic Fatty Liver Disease (NAFLD) and Its Impact on Screening Colonoscopy in Daily Practice
Joint Authors
Lesmana, Cosmas Rinaldi A.
Pakasi, Levina S.
Sudoyo, Aru W.
Krisnuhoni, Ening
Lesmana, Laurentius A.
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-12-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Aim.
Nonalcoholic fatty liver disease (NAFLD) has been known as a risk for the presence of colon polyp and CRC development.
This study was aimed to find out the clinical significance of colon polyps’ pathology among NAFLD patients.
Method.
A retrospective database study was done in patients who underwent elective colonoscopy within one-year period in a referral private hospital, Jakarta.
Subjects were adult patients who also had documented abdominal ultrasound (US).
The association between NAFLD and colonic polyp was analyzed using Chi-square test with odds ratio (OR) and its corresponding 95% confidence interval (CI).
Results.
A total of 138 adult patients were enrolled; 68 (51.1%) were men.
Patients’ mean age was 56.8 ± 15.3 years old.
Colon polyps were found in 49 (35.5%) cases; the most common histopathology was adenoma (42.9%).
NAFLD was found in 68 (49.3%) of patients.
Colon polyps were found to be more among patients with NAFLD than in those without NAFLD (44.1% vs.
27.1%; OR: 2.119; 95% CI: 1.040–4.318).
Colon polyps were found in 30 (44.1%) NAFLD patients, where 18 (26.5%) patients had adenomatous polyp, and from this subset of patients with adenomatous polyp, 6 (8.8%) patients had mild dysplasia, 8 (11.8%) had moderate dysplasia, 1 (1.5%) had severe dysplasia, and 3 (4.4%) had adenocarcinoma.
Conclusions.
NAFLD is associated with increased risk of any colon polyp, regardless of the histopathological type, compared with patients without NAFLD.
This finding implies the necessity to perform screening colonoscopy in patients with NAFLD in the future.
American Psychological Association (APA)
Lesmana, Cosmas Rinaldi A.& Pakasi, Levina S.& Sudoyo, Aru W.& Krisnuhoni, Ening& Lesmana, Laurentius A.. 2020. The Clinical Significance of Colon Polyp Pathology in Nonalcoholic Fatty Liver Disease (NAFLD) and Its Impact on Screening Colonoscopy in Daily Practice. Canadian Journal of Gastroenterology and Hepatology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1139027
Modern Language Association (MLA)
Lesmana, Cosmas Rinaldi A.…[et al.]. The Clinical Significance of Colon Polyp Pathology in Nonalcoholic Fatty Liver Disease (NAFLD) and Its Impact on Screening Colonoscopy in Daily Practice. Canadian Journal of Gastroenterology and Hepatology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1139027
American Medical Association (AMA)
Lesmana, Cosmas Rinaldi A.& Pakasi, Levina S.& Sudoyo, Aru W.& Krisnuhoni, Ening& Lesmana, Laurentius A.. The Clinical Significance of Colon Polyp Pathology in Nonalcoholic Fatty Liver Disease (NAFLD) and Its Impact on Screening Colonoscopy in Daily Practice. Canadian Journal of Gastroenterology and Hepatology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1139027
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139027