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  • 1. Aims and Scope

    Gut and Liver is an international journal of gastroenterology, focusing on the gastrointestinal tract, liver, biliary tree, pancreas, motility, and neurogastroenterology. Gut atnd Liver delivers up-to-date, authoritative papers on both clinical and research-based topics in gastroenterology. The Journal publishes original articles, case reports, brief communications, letters to the editor and invited review articles in the field of gastroenterology. The Journal is operated by internationally renowned editorial boards and designed to provide a global opportunity to promote academic developments in the field of gastroenterology and hepatology. +MORE

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    Editor-in-Chief
    Yong Chan Lee Professor of Medicine
    Director, Gastrointestinal Research Laboratory
    Veterans Affairs Medical Center, Univ. California San Francisco
    San Francisco, USA

    Deputy Editor

    Deputy Editor
    Jong Pil Im Seoul National University College of Medicine, Seoul, Korea
    Robert S. Bresalier University of Texas M. D. Anderson Cancer Center, Houston, USA
    Steven H. Itzkowitz Mount Sinai Medical Center, NY, USA
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    All papers submitted to Gut and Liver are reviewed by the editorial team before being sent out for an external peer review to rule out papers that have low priority, insufficient originality, scientific flaws, or the absence of a message of importance to the readers of the Journal. A decision about these papers will usually be made within two or three weeks.
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Original Article

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Colorectal Neoplasm in Asymptomatic Average-risk Koreans: The KASID Prospective Multicenter Colonoscopy Survey

Hye-Won Park*, Jeong-Sik Byeon*, Suk-Kyun Yang*, Hyun Soo Kim, Won Ho Kim, Tae Il Kim, Dong Il Park§, Young-Ho Kim§, Hyo Jong Kim, Moon Sung Lee, Il-Kwon Chung, Sung-Ae Jung#, Yoon Tae Jeen**, Jai Hyun Choi**, Hwang Choi††, Kyu Yong Choi††, Dong Soo Han‡‡, and Jae Suk Song§§

Department of Internal Medicine, *Asan Medical Center, University of Ulsan College of Medicine, Seoul, Yonsei University Wonju College of Medicine, Wonju, Yonsei University College of Medicine, Seoul, §Sungkyunkwan University College of Medicine, Seoul, Kyunghee University College of Medicine, Seoul, Soonchunhyang University College of Medicine, Bucheon and Cheonan, #Ewha Woman's University College of Medicine, Seoul, **Korea University College of Medicine, Seoul and Ansan, ††The Catholic University College of Medicine, Incheon, ‡‡Hanyang University College of Medicine, Guri, and §§Department of Preventive Medicine, Kwandong University College of Medicine, Gangneung, Korea

Correspondence to: Jeong-Sik Byeon

Gut Liver 2009;3(1):35-40. https://doi.org/10.5009/gnl.2009.3.1.35

Published online November 30, -0001, Published date March 30, 2009

Copyright © Gut and Liver.

Abstract

Background/Aims: The incidence of colorectal cancer is increasing in Korea, but the epidemiology of colorectal neoplasm is not clearly defined. We aimed to elucidate the prevalence of colorectal neoplasm in average-risk Koreans and explore the underlying risk factors. Methods: A large-scale, multicenter, prospective study was conducted. Of the 19,460 subjects who underwent colonoscopy at 11 university hospitals, we analyzed 3,951 consecutive asymptomatic adults with no risk factors for colorectal cancer. Results: The subjects were aged 52.1±11.6 years (mean±SD) and 60.1% of them were men. The prevalences of colorectal neoplasm and advanced neoplasm were 33.3% and 2.2%, respectively. The prevalence of a neoplasm increased with age (trend: p<0.001) and was higher in males (p<0.001). The prevalence of a proximal neoplasm was higher in subjects with a distal neoplasm than in those without a distal neoplasm (11.9% vs. 5.4%, p<0.001). However, 150 (52.1%) of the 288 subjects with a proximal neoplasm had no distal neoplasm. Conclusions: The overall prevalence of colorectal neoplasm in asymptomatic average-risk Koreans is comparable with that in Western countries. Being male and older are associated with a higher risk of colorectal neoplasm. Over half of proximal neoplasms are not associated with any distal sentinel lesions. (Gut and Liver 2009;3:35-40)

Keywords: Prevalence, Colonoscopy, Colorectal neoplasms, Korea, Mass screening


Article

Original Article

Gut and Liver 2009; 3(1): 35-40

Published online March 30, 2009 https://doi.org/10.5009/gnl.2009.3.1.35

Copyright © Gut and Liver.

Colorectal Neoplasm in Asymptomatic Average-risk Koreans: The KASID Prospective Multicenter Colonoscopy Survey

Hye-Won Park*, Jeong-Sik Byeon*, Suk-Kyun Yang*, Hyun Soo Kim, Won Ho Kim, Tae Il Kim, Dong Il Park§, Young-Ho Kim§, Hyo Jong Kim, Moon Sung Lee, Il-Kwon Chung, Sung-Ae Jung#, Yoon Tae Jeen**, Jai Hyun Choi**, Hwang Choi††, Kyu Yong Choi††, Dong Soo Han‡‡, and Jae Suk Song§§

Department of Internal Medicine, *Asan Medical Center, University of Ulsan College of Medicine, Seoul, Yonsei University Wonju College of Medicine, Wonju, Yonsei University College of Medicine, Seoul, §Sungkyunkwan University College of Medicine, Seoul, Kyunghee University College of Medicine, Seoul, Soonchunhyang University College of Medicine, Bucheon and Cheonan, #Ewha Woman's University College of Medicine, Seoul, **Korea University College of Medicine, Seoul and Ansan, ††The Catholic University College of Medicine, Incheon, ‡‡Hanyang University College of Medicine, Guri, and §§Department of Preventive Medicine, Kwandong University College of Medicine, Gangneung, Korea

Correspondence to:Jeong-Sik Byeon

Abstract

Background/Aims: The incidence of colorectal cancer is increasing in Korea, but the epidemiology of colorectal neoplasm is not clearly defined. We aimed to elucidate the prevalence of colorectal neoplasm in average-risk Koreans and explore the underlying risk factors. Methods: A large-scale, multicenter, prospective study was conducted. Of the 19,460 subjects who underwent colonoscopy at 11 university hospitals, we analyzed 3,951 consecutive asymptomatic adults with no risk factors for colorectal cancer. Results: The subjects were aged 52.1±11.6 years (mean±SD) and 60.1% of them were men. The prevalences of colorectal neoplasm and advanced neoplasm were 33.3% and 2.2%, respectively. The prevalence of a neoplasm increased with age (trend: p<0.001) and was higher in males (p<0.001). The prevalence of a proximal neoplasm was higher in subjects with a distal neoplasm than in those without a distal neoplasm (11.9% vs. 5.4%, p<0.001). However, 150 (52.1%) of the 288 subjects with a proximal neoplasm had no distal neoplasm. Conclusions: The overall prevalence of colorectal neoplasm in asymptomatic average-risk Koreans is comparable with that in Western countries. Being male and older are associated with a higher risk of colorectal neoplasm. Over half of proximal neoplasms are not associated with any distal sentinel lesions. (Gut and Liver 2009;3:35-40)

Keywords: Prevalence, Colonoscopy, Colorectal neoplasms, Korea, Mass screening

Gut and Liver

Vol.17 No.5
September, 2023

pISSN 1976-2283
eISSN 2005-1212

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