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We read with great interest Murray et al’s article concerning the association between sporadic duodenal adenoma and colorectal neoplasia (Gut 2004;53:261–5).
We have also noted a lack of published literature regarding sporadic duodenal adenomas, with the exception of the two reports identified by the authors,1,2 as well as a more recent case series,3 and therefore welcome the addition of their large case series and comparison group. Although there is the potential for bias in the detection of colorectal neoplasia in their duodenal adenoma cases, as the indications for colonoscopy were somewhat different between cases and controls (with almost one third of cases of duodenal adenomas being endoscoped for investigation of anaemia or melaena), overall their data …
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