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World J Gastrointest Endosc. Oct 16, 2026; 18(10): 125082
Published online Oct 16, 2026. doi: 10.4253/wjge.125082
Published online Oct 16, 2026. doi: 10.4253/wjge.125082
One-stop colonoscopy-based management of colorectal polyps and internal hemorrhoids in older adults: A real-world cohort study
Man Qiu, Department of Endoscopy Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Man Qiu, Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Jin Xiao, Xiang-Liang Deng, Xin Dai, Tang Cao, Gang-Rong Zhao, Zhi-Yong Gu, Xiao-Yan Liang, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Co-corresponding authors: Zhi-Yong Gu and Xiao-Yan Liang.
Author contributions: Qiu M, Gu ZY, and Liang XY designed the study and acquired funding; Qiu M, Xiao J, Deng XL, Dai X, Cao T, and Zhao GR participated in the formal analysis and investigation; Gu ZY and Liang XY contributed equally to this manuscript as co-corresponding authors; Qiu M wrote the original draft; Qiu M, Xiao J, Deng XL, Dai X, Cao T, Zhao GR, Gu ZY and Liang XY participated in the review and editing. All authors have read and approved the final manuscript.
AI contribution statement: Portions of this manuscript were edited using AI tools (ChatGPT 4.0) solely for language refinement and manuscript formatting assistance. AI tools were not used to generate original scientific data, perform statistical analyses, or draw scientific conclusions. All AI-assisted outputs were carefully reviewed, validated, and approved by all authors, who take full responsibility for the integrity and scientific validity of the entire manuscript.
Supported by the National Natural Science Foundation of China, No. 82273125; Natural Science Foundation of Chongqing, No. CSTB2022NSCQ-MSX0803; and High-level Medical Reserved Personnel Training Project of Chongqing, No. 2023GDRC009.
Institutional review board statement: The study protocol was approved by the Institutional Ethics Committee of the First Affiliated Hospital of Chongqing Medical University (approval No. 2025-553-01).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.
Corresponding author: Xiao-Yan Liang, MD, PhD, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, No. 24 Shiyou Road, Yuzhong District, Chongqing 400016, China. lxyan@hospital.cqmu.edu.cn
Received: June 30, 2026
Revised: August 16, 2026
Accepted: October 9, 2026
Published online: October 16, 2026
Processing time: 107 Days and 19.2 Hours
Revised: August 16, 2026
Accepted: October 9, 2026
Published online: October 16, 2026
Processing time: 107 Days and 19.2 Hours
Core Tip
Core Tip: This retrospective real-world cohort study evaluated a one-stop colonoscopy-based strategy integrating diagnostic colonoscopy, polypectomy when indicated, and hemorrhoid treatment during a single session in older adults. Despite a higher comorbidity burden, elderly patients achieved > 80% symptom improvement, with a low frequency of observed adverse events, and age was not independently associated with symptom improvement. These findings support the clinical feasibility of a consolidated endoscopic strategy in appropriately selected older adults, while its potential advantages over staged management require prospective evaluation.