The Association between Distal Findings and Proximal Colorectal Neoplasia: A Systematic Review and Meta-Analysis

Distal HP is not associated with PN/APN in asymptomatic screening population when compared with normal distal findings. Hence, the presence of distal HP alone detected by FS does not automatically indicate colonoscopy referral for all screening participants, as other risk factors of PN/APN should be considered.