Colonoscopy screening for individuals aged 40-49 years with a family history of stomach cancer in Korea.
BACKGROUND
For asymptomatic individuals aged 40-49 years, screening for colorectal cancer is recommended only if individuals are at an increased risk. A family history of colon cancer (FHCRC) is considered to increase risk, however, whether family history of stomach cancer (FHSC) increases the risk of adenoma is not well known. We aimed to see whether FHSC increases the risk in asymptomatic individuals aged 40-49 years in Korea.


METHODS
Among asymptomatic individual aged 40-49 years who underwent colonoscopy screening, risk of adenoma was assessed according to FHCRC or FHSC.


RESULTS
Of 3,160 individuals, male comprised 1,602 individuals (50.7%). FHCRC and FHSC was noticed in 163 (5.2%) and 227 (7.0%) individuals, respectively. Prevalence of adenoma was 31.9 %, 28.8%, and 22.3% for individuals with FHCRC, individuals with FHSC, and individuals without family history of cancer, respectively. FHSC was an independent risk factor for adenoma (odds ratio, 1.38; 95% confidence interval, 1.02-1.87, P = 0.039) in asymptomatic individuals aged 40-49 years. Compared with individuals with FHCRC, individuals with FHSC showed no difference in risk for adenoma (P = 0.347).


CONCLUSIONS
As with individuals with FHCRC, individuals with FHSC might need to be considered as an individual with increased risk for adenoma. Therefore, earlier screening might be needed for asymptomatic individuals aged 40-49 years with FHSC in Korea.
Choi
Yong Sung
YS
Department of Gastroenterology, Daehang Hospital, Seoul, South Korea. yschoi71@dreamwiz.com
Suh
Jung Pil
JP
Lee
Doo Seok
DS
Youk
Eui Gon
EG
Lee
In Taek
IT
Lee
Suk Hee
SH
Kim
Do Sun
DS
Lee
Doo Han
DH
D000236:Adenoma / Q000453:epidemiology*; D000328:Adult; D003110:Colonic Neoplasms / Q000453:epidemiology*; D003113:Colonoscopy / Q000706:statistics & numerical data*; D005192:Family Health; D005260:Female; D006801:Humans; D007723:Korea / Q000453:epidemiology; D008297:Male; D008403:Mass Screening / Q000379:methods* / Q000706:statistics & numerical data; D008875:Middle Aged; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000453:epidemiology*