1Department of Surgery, Seoul Medical Center 2Department of Surgery, Dongnam Institute of Radiological and Medical Sciences
Corresponding Author:
Seong Ku Kang ,Tel: +82-2-3430-0578, Fax: +82-2-3430-0482, Email: ksk6723@seoulmc.or.kr
Received: November 20, 2010; Accepted: December 23, 2010.
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ABSTRACT
Background and Objectives : Stomach cancer is the most common, showing the highest prevalence in Korea. In
stomach cancer patients, the coincidence of colorectal diseases is reported in an increasing frequency compared to
normal people. In this study, the incidence and characteristics of colon diseases in patients who had been
diagnosed and treated with stomach cancer were analized.
Subjects and Methods : From September 2000 to October 2007, 244 patients who had been diagnosed with
stomach cancer and received operation were subjected. 104 patients of those had colon evaluation before or after
the operation and they are studies further. We investigated retrospectively the pattern of the occurrence of colon
neoplasia and non-neoplasia and their histopathological characteristics.
Results : The mean age of the 244 patients was 62.6 (34~90), and the ratio of males to females was 2.6:1. Of the 104
patients with colorectal examinations, lesions were observed in 44 (42.3%), of which 28 (63.6%) were polyp, 2
(4.5%) were ulcerative colitis, 9 (20.5%) were colon cancer, and others were 5 (11.4%). The cases of
adenocarcinoma were classified with sex and their characteristics.
Conclusions : The incidence of colon neoplasia and non-neoplasia is high in stomach cancer patients. Accordingly,
patients who are diagnosed with stomach cancer should be strongly advised to do colonoscopic examination or 3-
dimensional CT colonography, before and after the operation. It should be examined actively for early detection of
colon cancer.
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