La obesidad abdominal aumenta el riesgo de pólipos colorrectales

Autores/as

  • Oscar Fernando Ruíz Morales Universidad Nacional de Colombia
  • William Otero Regino Universidad Nacional de Colombia
  • Martin Alonso Gómez Zuleta Universidad Nacional de Colombia
  • Dennys Javier Castro Soteldo Centro de Control de Cáncer Gastrointestinal “Luis E Anderson”

DOI:

https://doi.org/10.22516/25007440.434

Palabras clave:

obesidad, sobrepeso, pólipos, cáncer

Resumen

Introducción: recientemente varias publicaciones internacionales han encontrado asociación entre obesidad y pólipos y/o cánceres colorrectales. En nuestro país no se ha estudiado esta posible asociación. El objetivo del presente estudio fue determinar si los pacientes con obesidad tienen más frecuentemente pólipos o cánceres colorrectales.

Materiales y métodos: estudio transversal, prospectivo realizado entre marzo de 2012 y junio de 2013 con pacientes remitidos a colonoscopia total por tamización. Participaron en el estudio tres instituciones universitarias: Clínica Fundadores y Hospital El Tunal de Colombia y el Centro de Control de Cáncer Gastrointestinal “Luis E Anderson” de Venezuela. A todos los pacientes se les determinaron el peso, la talla, índice de masa corporal (kg/m2) y el perímetro abdominal en centímetros. Se estimó la prevalencia de pólipos en la población y se determinó el riesgo mediante OR con sus intervalos de confianza (IC) de 95%.

Resultados: se incluyeron 405 pacientes, 68,9% eran mujeres, edad promedio 56,1 años +/- 12,9 años, 154 (38%) presentaron pólipos, de estos 113 (73%) (p= 0,01) cumplían con criterios de obesidad abdominal y 41 (27%) (p= 0,03), no cumplían con estos criterios. El análisis de regresión logística encontró relación entre el aumento de perímetro abdominal y presencia de pólipos en el colon y por cada cm de aumento del perímetro abdominal se aumenta el riesgo de padecer pólipos en 5,3%.

Conclusión: en la población examinada se encontró que los pacientes con obesidad, más frecuentemente tienen pólipos del colon y este riesgo aumenta con la severidad de la obesidad.

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Biografía del autor/a

Oscar Fernando Ruíz Morales, Universidad Nacional de Colombia

Médico Internista, Fellow Gastroenterología Universidad Nacional de Colombia

William Otero Regino, Universidad Nacional de Colombia

Profesor de Medicina, unidad de Gastroenterología, Universidad Nacional de Colombia, Gastroenterólogo Clínica Fundadores. Bogotá, Colombia

Martin Alonso Gómez Zuleta, Universidad Nacional de Colombia

Profesor de Medicina, Unidad de Gastroenterología Universidad Nacional de Colombia, Gastroenterólogo Hospital el Tunal. Bogotá, Colombia

Dennys Javier Castro Soteldo, Centro de Control de Cáncer Gastrointestinal “Luis E Anderson”

Director del Centro de Control de Cáncer Gastrointestinal “Luis E Anderson” San Cristóbal, Venezuela.

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Publicado

2014-12-30

Cómo citar

Ruíz Morales, O. F., Otero Regino, W., Gómez Zuleta, M. A., & Castro Soteldo, D. J. (2014). La obesidad abdominal aumenta el riesgo de pólipos colorrectales . Revista Colombiana De Gastroenterología, 29(4), 376–382. https://doi.org/10.22516/25007440.434

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