Does Metformin Affect The Incidence of Colonic Polyps and Adenomas in Patients with Type 2 Diabetes Mellitus?
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Cho, Youn Hee | - |
dc.contributor.author | Ko, Bong Min | - |
dc.contributor.author | Kim, Shin Hee | - |
dc.contributor.author | Myung, Yu Sik | - |
dc.contributor.author | Choi, Jong Hyo | - |
dc.contributor.author | Han, Jae Pil | - |
dc.contributor.author | Hong, Su Jin | - |
dc.contributor.author | Jeon, Seong Ran | - |
dc.contributor.author | Kim, Hyun Gun | - |
dc.contributor.author | Kim, Jin Oh | - |
dc.contributor.author | Lee, Moon Sung | - |
dc.date.accessioned | 2021-08-11T23:24:14Z | - |
dc.date.available | 2021-08-11T23:24:14Z | - |
dc.date.issued | 2014-04 | - |
dc.identifier.issn | 1598-9100 | - |
dc.identifier.issn | 2288-1956 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/12319 | - |
dc.description.abstract | Background/Aims: Colorectal cancer (CRC) develops from colonic adenomas. Type 2 diabetes mellitus (DM) is associated with a higher risk of CRC and metformin decreases CRC risk. However, it is not certain if metformin affects the development of colorectal polyps and adenomas. This study aimed to elucidate if metforminaffects the incidence of colonic polyps and adenomas in patients with type 2 DM. Methods: Of 12,186 patients with type 2 DM, 3,775 underwent colonoscopy between May 2001 and March 2013. This study enrolled 3,105 of these patients, and divided them in two groups: 912 patients with metformin use and 2,193 patients without metformin use. Patient clinical characteristics, polyp and adenoma detection rate in the two groups were analyzed retrospectively. Results: The Colorectal polyp detection rate was lower in the metformin group than in the non-meformin group (39.4% vs. 62.4%, P<0.01). Colorectal adenoma detection rate was significantly lower in the metformin group than in the non-metformin group (15.2% vs. 20.5%, P<0.01). Fewer advanced adenomas were detected in the metformin group than in the non-metformin group (12.2% vs. 22%, P<0.01). Multivariate analysis identified age, sex, Body mass index and metformin use as factors associated with polyp incidence, whereas only metforminwas independently associated with decreased adenoma incidence (Odd ratio=0.738, 95% CI=0.554-0.983, P=0.03). Conclusions: In patients with type 2 DM, metformin reduced the incidence of adenomas that may transform into CRC. Therefore, metformin may be useful for the prevention of CRC in patients with type 2 DM. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | 대한장연구학회 | - |
dc.title | Does Metformin Affect The Incidence of Colonic Polyps and Adenomas in Patients with Type 2 Diabetes Mellitus? | - |
dc.type | Article | - |
dc.publisher.location | 대한민국 | - |
dc.identifier.doi | 10.5217/ir.2014.12.2.139 | - |
dc.identifier.wosid | 000420067400010 | - |
dc.identifier.bibliographicCitation | Intestinal research, v.12, no.2, pp 139 - 145 | - |
dc.citation.title | Intestinal research | - |
dc.citation.volume | 12 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 139 | - |
dc.citation.endPage | 145 | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001869766 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordAuthor | Colon adenoma | - |
dc.subject.keywordAuthor | Adenoma detection rate | - |
dc.subject.keywordAuthor | Polyp detection rate | - |
dc.subject.keywordAuthor | Metformin | - |
dc.subject.keywordAuthor | Diabetes mellitus, type 2 | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(31538) 22, Soonchunhyang-ro, Asan-si, Chungcheongnam-do, Republic of Korea+82-41-530-1114
COPYRIGHT 2021 by SOONCHUNHYANG UNIVERSITY ALL RIGHTS RESERVED.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.