학술논문
Retrospective Analysis of Colonoscopic Polypectomy Results at University of Health Sciences Turkey Kanuni Sultan Suleyman Training and Research Hospital/Saglik Bilimleri Universitesi Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesi, Kolonoskopik Polipektomi Sonuclarinin Retrospektif Analizi
ORIGINAL INVESTIGATION
ORIGINAL INVESTIGATION
Document Type
Report
Source
Istanbul Kanuni Sultan Suleyman Medical Journal (Istanbul Kanuni Sultan Suleyman Tıp Dergisi). September 2021, Vol. 13 Issue 3, p236, 5 p.
Subject
Language
English
ISSN
2148-273X
Abstract
GIRIS Kolon polipi, barsak lumeni icine dogru cikinti yapan, mukoza veya submukoza epitelinden kaynaklanan lezyon olarak tanmlanir. Polipler genellikle asemptomatiktir, ancak ulsere olup kanayabilir, rektumda tenesmus olusturabilir ve cok buyuk [...]
Objective: Colorectal polyps are tissue masses originating from the mucosa and submucosa in the gastrointestinal system and extending into the intestinal lumen. Since polyps have a risk of cancer, the detected polyp should be removed by colonoscopy and examined histopathologically. In our study, we evaluated polyps that were removed colonoscopically and underwent histopathological examination. Method: 2,267 colonoscopy reports made in the Gastroenterology Endoscopy Unit at University of Health Sciences Turkey Kanuni Sultan Suleyman Training and Research Hospital between 2013 - 2015 were retrospectively analyzed. Patients were analyzed according to polyp incidence, male-female ratio, average age, polyp location and polyp type. Results: Colonoscopy was performed on 2,267 patients for various reasons, and polyps were found in 302 (13.3%). One hundred seventy three (57.3%) of the cases were rectosigmoid, 67 (22.7%) descending colon, 47 (15.6%) transverse colon, 35 (11.6%) ascending colon and 13 (4.3%) polyps were seen in the cecum. 168 (55.6%) adenoma, 120 (39.7%) tubular adenoma, 41 (13.6%) tubulovillous adenoma, 7 (2.3%) villous adenoma, 30 (7%) inflammatory polyps, 10 (3.3%) were mucosal, 3 (1%) were serrated, 2 (0.7%) were lipomas. 52 (17.2%) of the cases were determined as adenocarcinoma and 71 (23.5%) as hyperplastic polyps. According to their size, 227 (75.2%) of the polyps were below 1 cm and 75 (24.8%) were over 1 cm. Conclusion: The results in our study were found to be compatible with the literature. Since it is impossible to determine the risk endoscopically, all polyps detected during endoscopy should be removed or coagulated and followed. Keywords: Polyp, colonoscopy, dysplasia Amac: Kolorektal polipler gastrointestinal sistemde mukoza ve submukozadan koken alan ve barsak Lumeni icine uzanan doku kutlesidir. Poliplerin kanserlesme riski oldugundan tespit edilen polip kolonoskopiyle cikarilarak histopatolojik incelenmelidir. Calismamizda kolonoskopi ile tespit edilen ve cikarilan poliplerin sikligi, boyutu, lokalizasyonu ve histopatolojik olarak ozelliklerini degerlendirmeyi amacladik. Yontem: Saglik Bilimler Universitesi Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesinde 2013 - 2015 yillari arasinda Gastroenteroloji Endoskopi Unitesi'nde yapilan 2.267 kolonoskopi raporu retrospektif olarak incelendi. Hastalar polip gorulme orani, erkek - kadin orani, yas ortalamasi, polip yerlesim yeri ve polip cinsine gore analiz edildi. Bulgular: Unitemizde calismaya alinan kolonoskopi yapilmis olan 2.267 hastanin, 302'sinde (%13,3) polip saptandi. Olgularin 173'u (%57,3) rektosigmoid, 67'si (%22,7) inen kolon, 47'si (%15,6) transvers kolon, 35'i (%11,6) cikan kolonda ve 13'u (%4,3) cekumda polip vardir. Poliplerin 168'i (%55,6) adenom, 120'si (%39,7) tubuler adenom, 41!i (%13,6) tubulovilloz adenom, 7'si (%2,3) villoz adenom, 30'u (%7) enflamatuvar polip, 10'u (%3,3) mukozal, 3'u (%1) serrated, 2'si (%0,7) lipomdur. Olgularin 52'si (%17,2) adenokarsinom, 71'i (%23,5) hiperplastik polip olarak belirlenmistir. Boyutlarina gore poliplerin 227'si (%75,2) 1 cm altinda, 75'i (%24,8) 1 cm uzerinde idi. Sonuc: Calismamizda polip prevalansi literaturle uyumlu olarak bulunmasi yanisira displazi ve adenokarsinom oraninin yuksek olmasi kolonoskopi ile taramanin ve patolojik takiplerinin onemli oldugu sonucunu ortaya cikmistir. Anahtar kelimeler: Polip, kolonoskopi, displazi
Objective: Colorectal polyps are tissue masses originating from the mucosa and submucosa in the gastrointestinal system and extending into the intestinal lumen. Since polyps have a risk of cancer, the detected polyp should be removed by colonoscopy and examined histopathologically. In our study, we evaluated polyps that were removed colonoscopically and underwent histopathological examination. Method: 2,267 colonoscopy reports made in the Gastroenterology Endoscopy Unit at University of Health Sciences Turkey Kanuni Sultan Suleyman Training and Research Hospital between 2013 - 2015 were retrospectively analyzed. Patients were analyzed according to polyp incidence, male-female ratio, average age, polyp location and polyp type. Results: Colonoscopy was performed on 2,267 patients for various reasons, and polyps were found in 302 (13.3%). One hundred seventy three (57.3%) of the cases were rectosigmoid, 67 (22.7%) descending colon, 47 (15.6%) transverse colon, 35 (11.6%) ascending colon and 13 (4.3%) polyps were seen in the cecum. 168 (55.6%) adenoma, 120 (39.7%) tubular adenoma, 41 (13.6%) tubulovillous adenoma, 7 (2.3%) villous adenoma, 30 (7%) inflammatory polyps, 10 (3.3%) were mucosal, 3 (1%) were serrated, 2 (0.7%) were lipomas. 52 (17.2%) of the cases were determined as adenocarcinoma and 71 (23.5%) as hyperplastic polyps. According to their size, 227 (75.2%) of the polyps were below 1 cm and 75 (24.8%) were over 1 cm. Conclusion: The results in our study were found to be compatible with the literature. Since it is impossible to determine the risk endoscopically, all polyps detected during endoscopy should be removed or coagulated and followed. Keywords: Polyp, colonoscopy, dysplasia Amac: Kolorektal polipler gastrointestinal sistemde mukoza ve submukozadan koken alan ve barsak Lumeni icine uzanan doku kutlesidir. Poliplerin kanserlesme riski oldugundan tespit edilen polip kolonoskopiyle cikarilarak histopatolojik incelenmelidir. Calismamizda kolonoskopi ile tespit edilen ve cikarilan poliplerin sikligi, boyutu, lokalizasyonu ve histopatolojik olarak ozelliklerini degerlendirmeyi amacladik. Yontem: Saglik Bilimler Universitesi Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesinde 2013 - 2015 yillari arasinda Gastroenteroloji Endoskopi Unitesi'nde yapilan 2.267 kolonoskopi raporu retrospektif olarak incelendi. Hastalar polip gorulme orani, erkek - kadin orani, yas ortalamasi, polip yerlesim yeri ve polip cinsine gore analiz edildi. Bulgular: Unitemizde calismaya alinan kolonoskopi yapilmis olan 2.267 hastanin, 302'sinde (%13,3) polip saptandi. Olgularin 173'u (%57,3) rektosigmoid, 67'si (%22,7) inen kolon, 47'si (%15,6) transvers kolon, 35'i (%11,6) cikan kolonda ve 13'u (%4,3) cekumda polip vardir. Poliplerin 168'i (%55,6) adenom, 120'si (%39,7) tubuler adenom, 41!i (%13,6) tubulovilloz adenom, 7'si (%2,3) villoz adenom, 30'u (%7) enflamatuvar polip, 10'u (%3,3) mukozal, 3'u (%1) serrated, 2'si (%0,7) lipomdur. Olgularin 52'si (%17,2) adenokarsinom, 71'i (%23,5) hiperplastik polip olarak belirlenmistir. Boyutlarina gore poliplerin 227'si (%75,2) 1 cm altinda, 75'i (%24,8) 1 cm uzerinde idi. Sonuc: Calismamizda polip prevalansi literaturle uyumlu olarak bulunmasi yanisira displazi ve adenokarsinom oraninin yuksek olmasi kolonoskopi ile taramanin ve patolojik takiplerinin onemli oldugu sonucunu ortaya cikmistir. Anahtar kelimeler: Polip, kolonoskopi, displazi