Conclusion: A small proportion of endoscopists do not report completeness of resection of pedunculated polyps, but the majority

of histopathology reports do not mention this.This has implications on surveillance and risk of cancer development.Surveillance endoscopies and tattooing are still not performed according to national guidelines. Key Word(s): 1. Surveillance; 2. Tattooing; 3. Polyp; 4. Pedunculated; Presenting Author: find more XIAO-JUAN LV Additional Authors: WEI-HONG WANG, XIAO-LEI WANG, SHU-JUN WANG, YUN-XIANG CHU, GUI-GEN TENG Corresponding Author: WEI-HONG WANG Affiliations: Peking University First Hospital Objective: Constipation is a common disease which affects 10% people worldwide. It has been suspected to be linked to the risk of colorectal cancer (CCR). However, epidemiological evidence is inconclusive. We examined the relation between constipation and the risk of CCR in this meta-analysis. Methods: Studies published by March 2013 were selected through a literature search in PubMed, Cochrane library and Google scholar. The reference list of the retrieved reviews was also used to identify additional relevant studies. Studies reported the bowl habit in patients with CCR and the controls

were included. We assessed the study quality MAPK inhibitor according to the Newcastle–Ottawa Scale. Pooled effect sizes were calculated using a random effects model.

An odds ratio was used to estimate the association between CRC and constipation. Results: There were 19 nested and case-control studies were included in the analysis with 242,453 participants. ID-8 Constipation was defined differently in these studies. We accepted the definitions given in each study. In 6 nested case–control studies, the incidence of CRC in constipation group was significantly lower than in controls without constipation (OR = 0.73, 95% CI 0.62–0.87). Constipation subjects had a significantly increased CCR incidence compared to non-constipation controls (OR = 1.58,95% CI 1.35–1.84) in 13 case-control studies with significant heterogeneity. Subgroup analysis of 4 nested case-control studies showed that there was no significant increase of color cancer (OR 0.58, 95% CI 0.19–1.80) and rectal cancer (OR 0.66, 95% CI 0.35–1.25) in constipation groups. Conclusion: Nested case-control studies and case-control studies indicated different outcomes for the association between constipation and CCR. This may be caused by the different definition of constipation and the study design. Key Word(s): 1. constipation; 2. colon cancer; 3.