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

Diseases
Medicine

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