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• W2034885211 abstract "OBJECTIVES Cholecystectomy has been implicated as a possible risk factor for colorectal cancer. However, the clinical evidence and the underlying mechanism for this association are still inconclusive. We conducted a population-based study to further clarify this association. METHODS We conducted a retrospective cohort study among all patients aged 40 yr or older in the General Practice Research Database from the United Kingdom. We excluded patients with <1 yr of colorectal cancer-free database follow-up as well as those patients who developed colorectal cancer within 1 yr after their cholecystectomies. Crude and adjusted incidence rate ratios (IRRs) were determined using Poisson regression. RESULTS The incidence rate of colorectal cancer among cholecystectomy patients (n = 55,960) was 119 (95% CI: 106–133) per 100,000 person-years, compared to 86 (95% CI: 83–90) per 100,000 person-years among patients without a cholecystectomy (n = 574,668). Among the covariates examined, only sex and age were significant confounders and were included in the adjusted analyses. The adjusted IRR of colorectal cancer associated with cholecystectomy was 1.32 (95% CI: 1.16–1.48, p < 0.001). The positive association was present for colon cancer (adjusted IRR 1.51, 95% CI: 1.30–1.74, p < 0.001), but not for rectal cancer (adjusted IRR 1.00, 95% CI: 0.85–1.17, p = 0.99). The pattern of association was similar in men versus women. A similar association with colon cancer was observed for cholelithiasis. CONCLUSIONS Cholecystectomy is associated with a modestly increased risk of colon cancer but not for rectal cancer. Lithogenic bile could be the underlying mechanism." @default.
• W2034885211 created "2016-06-24" @default.
• W2034885211 creator A5006363626 @default.
• W2034885211 creator A5042304706 @default.
• W2034885211 date "2005-08-01" @default.
• W2034885211 modified "2023-10-18" @default.
• W2034885211 title "Cholecystectomy and the Risk of Colorectal Cancer" @default.
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• W2034885211 doi "https://doi.org/10.1111/j.1572-0241.2005.41610.x" @default.
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