Colonoscopic screening shows increased early incidence and progression of adenomas in cystic fibrosis.

ABSTRACT:

Background

Colorectal cancer is an emerging problem in cystic fibrosis (CF). The goal of this study was to evaluate adenoma detection by systematic colonoscopic screening and surveillance.

Methods

We analyzed prospectively collected results of colonoscopies initiated at age 40years from 88 CF patients at a single Cystic Fibrosis Center. We also reviewed results of diagnostic colonoscopies from 27 patients aged 30-39years performed during the same time period at the Center.

Results

The incidence of polyp detection increased markedly after age 40 in CF patients. Greater than 50% were found to have adenomatous polyps; approximately 25% had advanced adenomas as defined by size and/or histopathology; 3% were found to have colon cancer. Multivariate analysis demonstrated sp

SUBMITTER: Niccum DE 

PROVIDER: S-EPMC5920645 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature