We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Characteristics of Colon Neoplasm in Pyogenic Liver Abscess.
- Authors
Young-Wook Cho; In Seok Lee; Young Hoon Choi; Han Hee Lee; Bo-in Lee; Young-seok Cho; Myung-gyu Choi
- Abstract
Background/Aims Many previous studies suggest that the pyogenic liver access is related to colon neoplasm, especially colon cancer. In this study, we analyzed clinical feature and risk factors between polyp group and non-polyp group, and characteristics of the colon polyps. Methods We reviewed patients diagnosed liver abscess with image study from January 1, 2009 to December 31, 2018. Among them, patients who performed colonoscopic exam were chosen as a research group. We have regrouped into groups with and without colon polyp, and analyzed each clinical features and risk factors. Statistical analysis was performed using logistic regression analysis. Results Of the 79 patients who performed the colonoscopic exam with liver abscess, 40 patients were classified as polyp group and 39 patients as non-polyp group. Hospitalization period was 20.1 days for polyps group and 21.6 days for non-polyp group. Risk factor analysis showed 15 of 40 (22.5%) patients with diabetes mellitus in polyp group, six of 39 (15.4%) in non-polyp group, nine of 40 (22.5%) patients with hepatobiliary diseases in polyp group and 12 of 39 (30.8%) in non-polyp group. Patients with long-term use of proton pump inhibitor were five of 40 (12.5%) in polyp group, five of 39 (12.8%) in non-polyp group. Categorized by the classification, Ip were eight of 40 (20%), Ips were four of 40 (10%), Is were 17 (42.5%) and IIa were four out of 40 (10%). Categorized by pathology, adenoma, low grade dysplasia were 15 of 40 (15%), adenoma, high grade dysplasia were four of 40 (10%), carcinoma were five of 40 (12.5%), hyperplastic polyp were six of 40 (15%). Conclusions No clinical and statistical significant differences were observed between two groups. However, significant number of polyps was observed in Is. In addition, adenoma, low grade dysplasia was found to be the most frequent, suggesting that even the lower grade neoplasms could develop into liver abscess.
- Subjects
COLON cancer; PYOGENIC liver abscess; LIVER abscesses; LIVER cancer; COLON polyps; LOGISTIC regression analysis; PROTON pump inhibitors
- Publication
Gut & Liver, 2019, Vol 13, Issue 6(suppl. 1), p178
- ISSN
1976-2283
- Publication type
Article