Diabetes association of polyps and colon cancer

• Authors: Tomasz Miłek , Karol Forysiński , Piotr Myrcha , Piotr Ciostek

Abstracts

EN

Aim: The aim of the study was to retrospectively assess the relationship between the occurrence of polyps and colon cancer in patients with type 2 diabetes. Methods: In 2014–2015, 976 colonoscopies were performed in patients. We compared the number of polyps with high-grade dysplasia and colorectal cancers in patients with and without diabetes. In addition, in the diabetic group we documented the relationship between HbA1C and the occurrence of polyps with high-grade dysplasia, and colon cancer. The data were statistically analyzed. Results: 1. Patients with diabetes show a higher incidence of polyps with high-grade dysplasia/carcinoma – 32/91 (35.16%) in comparison to patients without diabetes – 136/885 (15.37%), P < 0.001; 2. Patients with diabetes show a higher incience of polyps with cancer – 9/91 (9.89%) as compared to patients without diabetes – 18/885 (2.03%), P < 0.001. 3) Colorectal cancer occurred significantly more often in uncontrolled diabetes (P = 0.022). Conclusion: The conducted study shows a significant association between type 2 diabetes and the incidence of colorectal adenomas. These findings may lead to a conclusion that diabetic patients are at a higher risk of developing colorectal cancer, thus are in higher need for controlled colonoscopy. Therefore, it may be worth considering a scheme for screening patients in the above-mentioned group with colonoscopy.

Keywords

EN

colorectal cancer; colorectal polyps; diabetes mellitus

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2019
• Volume: 91(4)
• Pages: 9-12

Dates

published

2019-06-28

Contributors

author

Tomasz Miłek

author

Karol Forysiński

author

Piotr Myrcha

author

Piotr Ciostek

Identifiers

DOI

10.5604/01.3001.0013.2588