Walter Mark Hassig, MD; Mostafa A. H. Ibrahim, MD; Freda L. Arlow, MD
To the Editors: In the report of their prospective study of whether distal colonic hyperplastic polyps are a marker for proximal adenomatous polyps in symptomatic patients, Provenzale and colleagues (1) generalized their findings to an asymptomatic population. In the reported study, more than 73% of the patients were referred for indications that are associated with a higher prevalence of polyps. To say that only "some of the patients" were symptomatic would be misleading.
The 11% prevalence of a distal polyp found in this study is similar to that found in other studies of truly asymptomatic patients. We prospectively examined 409
Hassig WM, Ibrahim MAH, Arlow FL. Distal and Proximal Colon Adenomas. Ann Intern Med. ;114:603–604. doi: 10.7326/0003-4819-114-7-603
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Published: Ann Intern Med. 1991;114(7):603-604.
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