Vitamin D and Diagnostic Colonoscopy for Colorectal Cancer in Indonesian
Population
Abstract
ABSTRACT Objective: Colorectal cancer (CRC) is the world’s third most
common type of cancer. Case studies have shown an inverse correlation
between serum vitamin D levels and the incidence of human colorectal
cancer. This study aims to assess vitamin D levels in patients who
underwent colonoscopy for diagnostic colorectal cancer. Methods: This
research is a cross-sectional study with subjects in this study were
patients who came to the Digestive Surgery polyclinic and underwent a
colonoscopy for diagnosis of colorectal cancer. Level of vitamin D was
collected before the colonoscopy examination and categorized into three
groups, vitamin D with a value of < 20 ng/mL indicate a
deficiency, a level of 20 – 30 ng/mL as an insufficiency level, and a
value > 30 ng/mL as a sufficient value. A colonoscopy
examination was performed to obtain a diagnosis of colorectal cancer
based on anatomical pathology examination. Result: Examination of
vitamin D levels from 120 subjects showed the average vitamin level was
16.36 ng/mL, which indicates vitamin D deficiency levels. A total of 85
subjects (70.8%) showed vitamin D deficiency, as many as 24 (20%)
showed vitamin D insufficiency levels, and only 11 study subjects
(9.2%) showed sufficient vitamin D levels. The colonoscopy showed 60
subjects (50%) with colorectal cancer. The relationship between vitamin
D levels and the diagnosis of CRC showed a value of p = 0.60 (p
> 0.05). Conclusion: There is no significant difference
between low levels of Vitamin D and the diagnosis of colorectal cancer
patients.