Case Control Study
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World J Gastroenterol. Jul 21, 2014; 20(27): 9116-9120
Published online Jul 21, 2014. doi: 10.3748/wjg.v20.i27.9116
Incidence of colorectal neoplasms among male pilots
Menachem Moshkowitz, Ohad Toledano, Lior Galazan, Aharon Hallak, Nadir Arber, Erwin Santo
Menachem Moshkowitz, Lior Galazan, Aharon Hallak, Nadir Arber, Erwin Santo, Ohad Toledafno, Integrated Cancer Prevention Center and Department of Gastroenterology, Tel- Aviv Sourasky Medical Center, and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 64239, Israel
Author contributions: Moshkowitz M, Arber N and Santo E designed research; Toledano O, Galazan L, Hallak A and Arber N performed research and analyzed data; Moshkowitz M and Arber N wrote the paper.
Correspondence to: Nadir Arber, MD, MSc, MHA, Head, Integrated Cancer Prevention Center and Department of Gastroenterology, Tel- Aviv Sourasky Medical Center, and Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizmann St. Tel Aviv 64239, Israel. nadira@tlvmc.gov.il
Telephone: +972-3-6974968 Fax: +972-3-6974867
Received: October 21, 2013
Revised: December 11, 2013
Accepted: March 8, 2014
Published online: July 21, 2014
Core Tip

Core tip: Military and commercial airline pilots are exposed to cosmic radiation and other specific occupational factors. Several epidemiological studies on a possible elevated cancer risk, including colorectal cancer, among flight personnel have yielded contradictory results. We aimed to evaluate the incidence of colorectal neoplasms among Israeli military and commercial pilots and to compare it with the incidence of colorectal neoplasms among the general population. We found that the prevalence of colorectal adenomas, advanced adenoma and cancer is not higher, and tends to be even lower, among aircrew than that of the general population. It seems that ionizing radiation does not constitute a risk factor for colorectal cancer among air crew personal.