Prevalence of Colorectal Neoplasms in Asian Americans

  • Khoa D. Lam
  • Ruel T. Garcia
  • Long H. Nguyen
  • Huy Trinh
  • George Triadafilopoulos
  • Jeanine T. Phan
  • Khanh Nguyen
  • Huy Nguyen
  • Aijaz Ahmed
  • Mindie H. Nguyen
Original Article

Abstract

Purpose To determine the yield of colonoscopy in a predominantly Asian American gastroenterology practice in California from 8/2003 to 2/2005. Results A total 2,723 subjects were included: 87% were Asian and 13% were non-Asian. Advanced neoplasia prevalence was 12% in Asian men and 9% in non-Asian men (P = 0.21), and 8% and 7% in women (P = 0.62). Similar results were found in asymptomatic patients (13% and 13%, P = 0.99, for men; 8% and 6%, P = 0.46, for women). Factors associated with presence of advanced neoplasia were total number of polyps and presence of right-sided lesions. Asian men were more likely to have neoplasia overall compared with non-Asian men with odds ratio (OR) of 2.14 (1.23–3.72); however, there were no significant differences in the prevalences of advanced neoplasia in the two groups. Conclusions Colorectal neoplasia is as prevalent in Asian Americans and preventive guidelines for colorectal cancer should also be advocated for this ethnic group.

Keywords

Colorectal polyps Colorectal cancer Adenomas Colonoscopy Screening 

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Khoa D. Lam
    • 1
    • 2
  • Ruel T. Garcia
    • 3
    • 2
  • Long H. Nguyen
    • 2
  • Huy Trinh
    • 3
    • 2
  • George Triadafilopoulos
    • 4
  • Jeanine T. Phan
    • 4
    • 2
  • Khanh Nguyen
    • 3
  • Huy Nguyen
    • 3
  • Aijaz Ahmed
    • 4
  • Mindie H. Nguyen
    • 4
  1. 1.Stanford UniversityStanfordUSA
  2. 2.Pacific Health FoundationSan JoseUSA
  3. 3.San Jose GastroenterologySan JoseUSA
  4. 4.Division of Gastroenterology and HepatologyStanford University Medical CenterPalo AltoUSA

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