Annals of Coloproctology

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Original Article

Association Between Exposure to Environmental Tobacco Smoke at the Workplace and Risk for Developing a Colorectal Adenoma: A Cross-Sectional Study: Seung-Hwa Lee, Ji-Yeon Hong, Jung-Un Lee, Dong Ryul Lee; Ann Coloproctol. 2016;32(2):51-57. Published online April 30, 2016; DOI: https://doi.org/10.3393/ac.2016.32.2.51

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5 Citations

Purpose

A colorectal adenoma (CRA) is a well-defined precursor to colorectal cancer (CRC). Additionally, smoking is a potent risk factor for developing a CRA, as well as CRC. However, the association between exposure to environmental tobacco smoke (ETS) and the risk for developing a CRA has not yet been fully evaluated in epidemiologic studies. We performed a cross-sectional analysis on the association between exposure to ETS at the workplace and the risk for developing a CRA.

Methods

The study was conducted on subjects who had undergone a colonoscopy at a health promotion center from January 2012 to December 2012. After descriptive analyses, overall and subgroup analyses by smoking status were performed by using a multivariate logistic regression.

Results

Among the 1,129 participants, 300 (26.6%) were diagnosed as having CRAs. Exposure to ETS was found to be associated with CRAs in all subjects (fully adjusted odds ratio [OR], 1.95; 95% confidence interval [CI], 1.08–2.44; P = 0.001). In the subgroup analysis, exposure to ETS in former smokers increased the risk for developing a CRA (fully adjusted OR, 4.44; 95% CI, 2.07–9.51; P < 0.001).

Conclusion

Exposure to occupational ETS at the workplace, independent of the other factors, was associated with increased risk for developing a CRA in all subjects and in former smokers. Further retrospective studies with large sample sizes may be necessary to clarify the causal effect of this relationship.

Citations

Citations to this article as recorded by

Epidemiological and clinicopathological characteristics of colorectal cancer patients in tertiary hospital in West Java
Kiki Lukman, Arrayyan Muhammad, Mohammad Ghozali, Prapanca Nugraha, Yunia Sribudiani, Bistamy Muhammad Nursabur
Clinical Epidemiology and Global Health.2024; 28: 101688. CrossRef
RISK FACTORS OF COLORECTAL CANCER IN SULAIMANI CITY
Mohammed Hassan, Kameran Ismail, Zhian Ramzi, Tariq Al-Hadithi
JOURNAL OF SULAIMANI MEDICAL COLLEGE.2018; 8(1): 47. CrossRef
Plausible Roles for RAGE in Conditions Exacerbated by Direct and Indirect (Secondhand) Smoke Exposure
Joshua Lewis, Kelsey Hirschi, Juan Arroyo, Benjamin Bikman, David Kooyman, Paul Reynolds
International Journal of Molecular Sciences.2017; 18(3): 652. CrossRef
Metformin therapy and the risk of colorectal adenoma in patients with type 2 diabetes: A meta-analysis
Yi-Chao Hou, Qiang Hu, Jiao Huang, Jing-Yuan Fang, Hua Xiong
Oncotarget.2017; 8(5): 8843. CrossRef
Exposure to Cigarette Smoke Contributes to the Risk of Developing a Colorectal Adenoma, Doesn't It? Are Repeated Exposures to Such Smoke Dangerous?
Bong Hwa Lee, Min Jung Kim, Hyoung Chul Park
Annals of Coloproctology.2016; 32(2): 43. CrossRef

Case Report

A Case of Endoscopic Resection of a Colonic Semipedunculated Leiomyoma: Seung Hwa Lee, Gun Yoong Huh, Yoo Seock Cheong; J Korean Soc Coloproctol. 2011;27(4):215-219. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.215

7,228 View
39 Download
12 Citations

Abstract PDF

During colonoscopic examination, epithelial lesions, such as adenomatous polyps, are frequently encountered, unlike subepithelial lesions, such as leiomyomas, which are uncommon. A colonic leiomyoma is a rare tumor, originating either from the mucularis mucosa or from the proper muscle, and accounts for only 3% of all gastrointestinal leiomyomas. Colonic leiomyomas are usually benign and asymptomatic. However, they can sometimes cause symptoms, ie, abdominal pain, intestinal obstruction, hemorrhage, and perforation. The traditional management option for a colonic leiomyoma is surgical resection. Recently, with the development of endoscopy devices and techniques, the endoscopic resection has been considered as an alternative treatment option. We experienced a patient with a leiomyoma that was diagnosed during colonoscopy. The leiomyoma was resected endoscopically without complication. We report this case with a review of the literature.

Citations

Citations to this article as recorded by

Rectal Leiomyoma on Routine Colonoscopy: Narrative Review and an Australian Case Report
Joshua Sungho Hong, Radha Nair
World Journal of Colorectal Surgery.2026; 15(1): 18. CrossRef
Ascending Colon Leiomyoma: A Case Report of a Uncommon Case
Abdulwahed A. Alotay
Journal of Pharmacy and Bioallied Sciences.2024; 16(Suppl 3): S3002. CrossRef
Descending Colon Leiomyoma: A Case Report and Literature Review
Norah I Alabdulaaly , Bader D Alanazi , Khalid A Albassam , Nada N Binkhashlan , Saad T Alqahtani , Nahla S Arab, Fatima A Badahdah , Saeed S Albalawi
Cureus.2024;[Epub] CrossRef
An Unusual Diagnosis of Rectosigmoid Leiomyoma in an Adult: A Rare Case Report
Karam Karam, Houssein Chebbo, Sarah Saleh, Sarah Jalloul, Johny Salem, Karim Al Halabi, Elias Fiani
Clinical Medicine Insights: Case Reports.2024;[Epub] CrossRef
Spontaneous Perforation of Maternal Small Bowel Leiomyoma during the Third Trimester of Pregnancy
In Hye Kim, Hyeon Jin Kim, So Hee Kim, Eun Hee Yu, Sul Lee, Seung Chul Kim
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Colonic Leiomyoma: A Case Report of an Uncommon Endoscopic Finding
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Cureus.2023;[Epub] CrossRef
Leiomyoma in the Transverse Colon With Resection
James R Pellegrini, Jose R Russe, Rezwan Munshi, Rebecca Smoller, Nausheer Khan
Cureus.2021;[Epub] CrossRef
Colon Leiomyoma Diagnosed and Treated with Endoscopy
Ha Young Oh
The Korean Journal of Medicine.2020; 95(5): 336. CrossRef
A case of surgical complete transanal resection of rectal gastrointestinal stromal tumor diagnosed by endoscopic ultrasonography and endoscopic ultrasonography-guided fine needle aspiration
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Choonpa Igaku.2019; 46(1): 71. CrossRef
Rectal Leiomyoma, a Rare Entity
Tagore Sunkara, Eric Omar Then, Andrea Culliford, Vinaya Gaduputi
Clinics and Practice.2018; 8(2): 1053. CrossRef
Incidental Subepithelial Sigmoid Colon Lesion
Mohamed Naem, Peter P. Stanich, Samer El-Dika
Clinical Gastroenterology and Hepatology.2015; 13(1): A32. CrossRef
Colonoscopy procedural skills and training for new beginners
Seung-Hwa Lee
World Journal of Gastroenterology.2014; 20(45): 16984. CrossRef

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