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|Title:||High BMI: a risk factor for significant colonic polyps.|
|Conference Name:||Asian Pacific Digestive Week 2014|
|Conference Date:||November 22-25, 2014|
|Conference Place:||Bali, Indonesia|
|Abstract:||Objective: Background & Aim:An increased body mass index (BMI) has long been associated with increased risk of disease. There is evidence to suggest that a high BMI may be associated with an increased prevalence of significant polyps. Given the prevalence of high BMI within regional centres in Australia this association may impact on the already limited resources. This study was conducted at a large regional Centre to determine if there is an association between high BMI and an increased prevalence of significant polyps. Methods: A prospective data collection was completed on patients who underwent colonoscopy by 17 different endoscopists between May 2012 and March 2014. Patients who underwent a colonoscopy for screening/surveillance purposes were divided into two groups: BMI ≥25 or BMI 2 hyperplastic polyps on the right side within each group was then analysed for significance. Results: A total of 2043 colonoscopies were performed on patients with recorded BMIs. 980 of these underwent colonoscopies for screening/surveillance. 77% of these patients had a BMI ≥25. The prevalence of significant polyps in this group was 29% (218). In those with BMI <25 the prevalence was only 20% (46). This difference was found to be statistically significant with P value 0.001. Given this result we decided to assess the effect of high BMI on the prevalence of significant polyps in the whole cohort. Of the total 2043 patients, 75% of these had BMI ≥25. When we evaluated the data 24% (361) of the BMI ≥25 had significant polyps and only 17% (87) within BMI <25. This difference was again significant (P value 0.001). Conclusion: This study showed an interesting association between high BMI and the prevalence of significant polyps. For consideration is the impact this association has on limited resources in regional hospitals given the prevalence of high BMI within regional centres.|
|Internal ID Number:||00656|
BODY MASS INDEX
|Appears in Collections:||Research Output|
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