지방간은 초음파검사에 의해 진단되는 임상적으로 흔한 간질환이다. 본 연구에서는 지방간과 대장암의 전구병변인 대장용종과의 연관성을 분석하여 지방간에 대한 보다 포괄적인 접근방법을 제시하고자 한다. 2012년부터 2013년 1년 동안 청주소재 소화기내과전문센터에서 복부초음파와 대장내시경검사를 동시에 시행한 만성간질환이나 대장질환이 없는 성인 348명을 대상으로 하였다. 지방간과 대장용종의 Chi-Square test에서 지방간이 있는 사람이 지방간이 없는 사람보다 유의미하게 용종이 많이 발생하였다(p<.001). 각 요인별 상관관계를 보았을 때 지방간과 대장용종간의 상관관계가 가장 높았다(p<.001). 다중회귀분석에서는 지방간(OR 3.80; 95% CI 1.93.-7.50), 공복 시 혈당(OR 2.51; 95% CI 1.12-5.62), 나이(OR 2.12; 95% CI 1.27-3.54) 이 대장용종의 발생에 유의미하게 작용하였다. 이상의 연구결과에서 초음파검사로 진단된 지방간이 대장용종의 발생에 있어 유의미한 영향력을 나타내어 지방간으로 진단되었을 때에는 대장내시경검사를 좀 더 적극적으로 고려해보는 것이 좋을 것이다.
지방간은 초음파검사에 의해 진단되는 임상적으로 흔한 간질환이다. 본 연구에서는 지방간과 대장암의 전구병변인 대장용종과의 연관성을 분석하여 지방간에 대한 보다 포괄적인 접근방법을 제시하고자 한다. 2012년부터 2013년 1년 동안 청주소재 소화기내과전문센터에서 복부초음파와 대장내시경검사를 동시에 시행한 만성간질환이나 대장질환이 없는 성인 348명을 대상으로 하였다. 지방간과 대장용종의 Chi-Square test에서 지방간이 있는 사람이 지방간이 없는 사람보다 유의미하게 용종이 많이 발생하였다(p<.001). 각 요인별 상관관계를 보았을 때 지방간과 대장용종간의 상관관계가 가장 높았다(p<.001). 다중회귀분석에서는 지방간(OR 3.80; 95% CI 1.93.-7.50), 공복 시 혈당(OR 2.51; 95% CI 1.12-5.62), 나이(OR 2.12; 95% CI 1.27-3.54) 이 대장용종의 발생에 유의미하게 작용하였다. 이상의 연구결과에서 초음파검사로 진단된 지방간이 대장용종의 발생에 있어 유의미한 영향력을 나타내어 지방간으로 진단되었을 때에는 대장내시경검사를 좀 더 적극적으로 고려해보는 것이 좋을 것이다.
This study proposes a more comprehensive approach for FLD by analyzing the relationship of colorectal polyps, which are precursors of colorectal cancer. In Chi-Square tests of FLD and colorectal polyps, the prevalence of colorectal polyps was significantly high in cases of FLD. The polyps and correl...
This study proposes a more comprehensive approach for FLD by analyzing the relationship of colorectal polyps, which are precursors of colorectal cancer. In Chi-Square tests of FLD and colorectal polyps, the prevalence of colorectal polyps was significantly high in cases of FLD. The polyps and correlation of each factor showed a positive relationship with all factors, and the correlation coefficient with FLD was highest (r = 0.39, p <.001). In multiple regression analysis, FLD(OR 3.80 95% CI 1.93.-7.50), FBS (OR 2.51; 95% CI 1.12-5.62), and older age (OR 2.12; 95% CI 1.27-3.54) were independent risk factors for colorectal polyps. FLD was associated with the prevalence of colorectal polyps. These results show a meaningful influenceof FLD by ultrasonography in the occurrence of colorectal polyps, and that positive consideration of colonoscopy is needed for diagnosed FLD.
This study proposes a more comprehensive approach for FLD by analyzing the relationship of colorectal polyps, which are precursors of colorectal cancer. In Chi-Square tests of FLD and colorectal polyps, the prevalence of colorectal polyps was significantly high in cases of FLD. The polyps and correlation of each factor showed a positive relationship with all factors, and the correlation coefficient with FLD was highest (r = 0.39, p <.001). In multiple regression analysis, FLD(OR 3.80 95% CI 1.93.-7.50), FBS (OR 2.51; 95% CI 1.12-5.62), and older age (OR 2.12; 95% CI 1.27-3.54) were independent risk factors for colorectal polyps. FLD was associated with the prevalence of colorectal polyps. These results show a meaningful influenceof FLD by ultrasonography in the occurrence of colorectal polyps, and that positive consideration of colonoscopy is needed for diagnosed FLD.
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문제 정의
The correlation between adenomatous polyps and non-alcoholic fatty liver disease has been reported recently in South Korea, but there are few cases, and the consistency of the results is inadequate. The purpose of this research is aggressive recognition for fatty liver, and to satisfy the needs of ultrasonography and colonoscopy by analyzing the correlation between diagnosed fatty liver and colorectal polyps by ultrasonography.
대상 데이터
A total of 348 patients were selected as subjects from 380 adults who had colonoscopy and abdomen ultrasonography at the Digestive Internal Medical Center located in Cheongju, Chungbuk,from October 2012 to March 2013, excluding patients with acute and chronic liver disease or colon disease. The sex ratio of the subjects was 59.
The colonoscopy instrument used for the examination was a CF-Q260AL(Olympus optical Co., Japan). Following bowel preparation with 4 L of polyethylene glycol lavage solution, colonoscopy was performed by 3 endoscopy specialists until the last part of the distal colon.
데이터처리
Statistical analyses included an independent t-test, X2-test, and Pearson’s correlation analysis.
성능/효과
This would be an issue for the suitability of BMI in the degree of obesity. Meanwhile, all correlations in the number and size of polyps and BMI were consistent, which means the number and size of polyps simultaneously increased as the BMI increased. In this study, BMI in the prevalence of polyps showed a significant relationship with the onset.
Multiple regression analysis was conducted with each variable that has effective meanings in the occurrences of colorectal polyps in univariate analysis. Multivariate analysis results showed the following odds ratios for FLD(OR 3.80; 95% CI 1.93.-7.50) , FBS(OR 2.51; 95% CI 1.12-5.62), and older age(OR 2.12; 95% CI 1.27-3.54), which were significantly effective to the occurrence of colorectal polyps.
후속연구
Therefore, more thorough research for the relation of fatty liver degree by colorectal polyps and ultrasonography is needed in the future. In addition, more complex and broad research analysis with various environmental factors is needed.
In the cases of highly occupied mild fatty liver, the relation between fatty liver and colorectal polyps could have differences in the results of this study. Therefore, more thorough research for the relation of fatty liver degree by colorectal polyps and ultrasonography is needed in the future. In addition, more complex and broad research analysis with various environmental factors is needed.
참고문헌 (26)
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