Nisan 2011
Yasli popülasyonda kolonoskopi taramasi yapilmali mi?
Is colonoscopic screening necessary in the elderly population?
- Ana Sayfa
- Sayılar
- Nisan 2011
- Yasli popülasyonda kolonoskopi taramasi yapilmali mi?...
Özet
Giris ve Amaç: Kolon kanseri için risk tasimayan bireylerde kolonoskopi taramasinin 50 yasinda baslanmasi önerilmektedir. Ancak kolonoskopi taramasinin ne zaman durdurulmasi gerektigi konusunda fikir birligi yoktur. Biz bu çalismada 65 yas üzeri hastalarda kolonoskopi sonuçlarimizi degerlendirmeyi amaçladik. Gereç ve Yöntem Fatih Üniversitesi Tip Fakültesi Gastroenteroloji Kliniginde 2007-2010 yillari arasinda 65 yas ve üzeri kolonoskopi yapilan, dosyalarina tam ulasilan hastalar retrospektif degerlendirildi. Hastalar kolonoskopi endikasyonuna göre ortalama risk grubu ve yüksek risk grubu olarak ayrildi. Bulgular: Ortalama risk grubunda 174 hastada (%36.8) normal kolonoskopi, 85 hastada (%18) 1 cm alti polip, 13 hastada (%2.7) 1-2 cm arasi polip, 2 hastada (%0.4) 2 cm üzeri polip, 33 hastada (%6.9) malignite, 13 hastada hiperplastik polip (%2.7), 2 hastada yüksek dereceli diplazi (%0.4) ve 149 hastada (%31.5) hemoroid, divertikülozis, kolit gibi bulgular saptandi. Kolonoskopi öncesi yüksek risk grubunda olup kolonoskopi yapilan 28 hastanin ise 7?sinde (%25) normal kolonoskopi saptanirken, 1 hastada 1 cm alti (%3.6) polip, 11 hastada (%39.3) 1-2 cm arasi polip, 1 hastada (%3.6) malignite, 8 hastada (%28.6) divertikülozis, kolit gibi bulgular saptandi. Sonuç: Biz çalismamizda semptomatik, yüksek risk tasiyan yasli grup ile semptomatik olmayan ve orta risk tasiyan yasli grupta kolon kanseri ve polip saptanmasi arasinda istatistiki anlamli fark saptamadik.
Abstract
Background and Aims: Among the population that carries no risk factors for colon cancer, it is advised to start colonoscopic screening at 50 years of age. However, there is no consensus on when to stop colonoscopic screening. In this study, we aimed to evaluate our colonoscopy results among patients over 65 years of age. Materials and Methods: The patients ≥65 years who had colonoscopic assessment in Fatih University Hospital Gastroenterology Outpatient Clinic between 2007-2010 were evaluated retrospectively. The patients were divided into moderateor high-risk groups according to the indication of colonoscopy. Results: Among the patients in the moderate-risk group, 174 (36.8%) had normal colonoscopy, 85 (18%) had a polyp <1 cm, 13 (2.7%) had a polyp with a diameter of 1-2 cm, 2 (0.4%) had a polyp >2 cm, 33 (6.9%) had malignancy, 13 (2.7%) had hyperplastic polyp, 2 (0.4%) had high-grade dysplasia, and 149 (31.5%) had signs of diverticulosis, hemorrhoid or colitis. Among the 28 patients with high risk before the colonoscopy, while 7 (25%) had normal colonoscopy, 1 (3.6%) had a polyp <1 cm, 11 (39.3%) had a polyp with a diameter of 1-2 cm, 1 (3.6%) had malignancy, and 8 (28.6%) had signs of diverticulosis, hemorrhoid or colitis. Conclusions: We did not determine any statistically significant difference between symptomatic, high-risk group patients and asymptomatic, moderate-risk group patients with regards to the determination of colon cancer and polyp among elderly patients.
