Colonoscopy for Small Adenomas

Abstract

Letters20 April 1999Colonoscopy for Small AdenomasThomas E. Read, MD, Julie D. Read, RN, and Lynn F. Butterly, MDThomas E. Read, MDWashington University School of Medicine; St. Louis, MO 63110 (Read)Washington University School of Medicine; St. Louis, MO 63110 (Read)Lahey Clinic; Burlington, MA 01805 (Butterly)Search for more papers by this author, Julie D. Read, RNWashington University School of Medicine; St. Louis, MO 63110 (Read)Washington University School of Medicine; St. Louis, MO 63110 (Read)Lahey Clinic; Burlington, MA 01805 (Butterly)Search for more papers by this author, and Lynn F. Butterly, MDWashington University School of Medicine; St. Louis, MO 63110 (Read)Washington University School of Medicine; St. Louis, MO 63110 (Read)Lahey Clinic; Burlington, MA 01805 (Butterly)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-8-199904200-00009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In a study similar to that of Wallace and colleagues (1), we found higher rates of proximal neoplasia (29%) and advanced proximal neoplasia (6%) in patients whose index lesion at screening flexible sigmoidoscopy was an adenomatous polyp 5 mm or less in diameter (2). Wallace and colleagues attributed the variance in results to our inclusion of patients who had diminutive rectosigmoid polyps with tubulovillous, villous, and dysplastic features. Review of our data, however, does not suggest a correlation between the histologic features of diminutive and small index rectosigmoid adenomas and the prevalence of advanced proximal colonic neoplasia ...