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
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Hassig WM, Ibrahim MAH, Arlow FL. Distal and Proximal Colon Adenomas. Ann Intern Med. 1991;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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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