Caspian Journal of Internal Medicine
Babol University of Medical Sciences
Tue, Jun 17, 2025
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Volume 16, Issue 3 (Summer 2025)
Caspian J Intern Med 2025, 16(3): 451-457 |
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Balou H A, Joukar F, Orang Goorabzarmakhi M, Shahdkar M, Hassanipour S, Maroufizadeh S, et al . Colon lesions in elderly individuals with positive and negative fecal immunochemical test results among PERSIAN Guilan cohort study (PGCS) population. Caspian J Intern Med 2025; 16 (3) :451-457
URL: http://caspjim.com/article-1-4215-en.html
URL: http://caspjim.com/article-1-4215-en.html
Heydar Ali Balou 
, Farahnaz Joukar , Mahdi Orang Goorabzarmakhi , Milad Shahdkar , Soheil Hassanipour , Saman Maroufizadeh , Mehrnaz Asgharnezhad , Paridokht Karimian , Fariborz Mansour-Ghanaei *
, Farahnaz Joukar , Mahdi Orang Goorabzarmakhi , Milad Shahdkar , Soheil Hassanipour , Saman Maroufizadeh , Mehrnaz Asgharnezhad , Paridokht Karimian , Fariborz Mansour-Ghanaei *
Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran , fmansourghanaei@gmail.com
Abstract: (20 Views)
Background: Early colorectal cancer (CRC) detection helps reduce the mortality rate. This study aimed to investigate colon lesions in individuals with positive and negative fecal immunochemical test (FIT) results among the (PERSIAN) Guilan cohort study (PGCS) population.
Methods: This cross-sectional study was conducted on 1158 participants over 50 who were volunteers for the FIT stool test at the Endoscopy Department of Razi Hospital, Rasht, Iran, from 2021 to 2022. The FIT test was screened for all participants, and for 172 individuals (86 individuals from each group with positive and negative FIT results), a colonoscopy was performed to investigate the colon lesions. Demographic/clinical characteristics, FIT results, colonoscopy findings, and the Bristol Stool Chart were completed. All data were analyzed using SPSS Version 16, considering a significant level<0.05.
Results: Out of 1,158 participants, 86 had positive FIT results, and 172 (52.3%) were females. The colonoscopy results showed that 34.3% of the patients had colon lesions. Individuals with positive FIT exhibited a significantly higher prevalence of colon lesions (p<0.001). No statistically significant differences were observed between positive and negative FIT results, demographic and clinical characteristics, and the location of lesions in individuals with colon lesions (p>0.05). Moreover, there was a significant difference in pathological findings and the presence of adenomatous polyps regarding the FIT results (p<0.001).
Conclusion: The effectiveness of FIT in the initial stages of screening for early lesion detection is considerable, especially for individuals with upper age.
Methods: This cross-sectional study was conducted on 1158 participants over 50 who were volunteers for the FIT stool test at the Endoscopy Department of Razi Hospital, Rasht, Iran, from 2021 to 2022. The FIT test was screened for all participants, and for 172 individuals (86 individuals from each group with positive and negative FIT results), a colonoscopy was performed to investigate the colon lesions. Demographic/clinical characteristics, FIT results, colonoscopy findings, and the Bristol Stool Chart were completed. All data were analyzed using SPSS Version 16, considering a significant level<0.05.
Results: Out of 1,158 participants, 86 had positive FIT results, and 172 (52.3%) were females. The colonoscopy results showed that 34.3% of the patients had colon lesions. Individuals with positive FIT exhibited a significantly higher prevalence of colon lesions (p<0.001). No statistically significant differences were observed between positive and negative FIT results, demographic and clinical characteristics, and the location of lesions in individuals with colon lesions (p>0.05). Moreover, there was a significant difference in pathological findings and the presence of adenomatous polyps regarding the FIT results (p<0.001).
Conclusion: The effectiveness of FIT in the initial stages of screening for early lesion detection is considerable, especially for individuals with upper age.
Type of Study: Original Article |
Subject:
Gastroentrology
Received: 2023/12/24 | Accepted: 2024/03/2 | Published: 2025/06/20
Received: 2023/12/24 | Accepted: 2024/03/2 | Published: 2025/06/20
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