Aralik 2011
Gastroenteroloji ünitemizdeki kolonoskopik polipektomi sonuçlarimiz
Colonoscopic polypectomy results of our gastroenterology unit
- Ana Sayfa
- Sayılar
- Aralik 2011
- Gastroenteroloji ünitemizdeki kolonoskopik polipektomi sonuçlarimiz...
Özet
Giris ve Amaç: Mukoza veya submukozadan köken alan ve barsak lümeni içine uzanan doku kütlesine polip denir. Kolonoskopi sirasinda saptanan poliplerin boyutu ne olursa olsun kolorektal kanserin öncü lezyonu ya da potansiyel kanser riski nedeniyle çikartilmasi ve patolojik tanisinin konmasi önerilmektedir. Biz bu çalismamizda bölümümüzde yapilan kolonoskopi sonuçlarinda saptanan polip prevelansi ve bu poliplerin histopatoloji sonuçlarini ortaya koymayi amaçladik. Gereç ve Yöntem: Uludag Üniversitesi Tip Fakültesi Gastroenteroloji Bilim Dali Endoskopi Ünitesi?nde fiubat-2005 ile Temmuz-2010 arasindaki kolonoskopi raporlari endoskopi arsiv sisteminden retrospektif olarak tarandi. Bulgular: Kolonoskopi raporlarina göre 894 hastada toplam 1379 adet polip (%22,06) tespit edildi. Bu poliplerden patoloji sonucuna ulasilabilen 914 tanesi incelemeye alindi. Hastalarin 530?u erkek (%59,3), 364?ü kadin (%40,7) idi. Neoplastik özellikte olan poliplerin 621 tanesi (%68) tubuler adenom, 66 tanesi (%7,2) tubulovillöz adenom, 5 tanesi de (%0,5) villöz adenom olarak saptandi. Sonuç: Bu çalismada Dogu Marmara Bölgemizin önemli bir kesimine hizmet veren Endoskopi ünitemizde yaklasik 6 sene boyunca çesitli nedenlerle kolonoskopi yapilan hastalarimizdaki kolon polip tiplerinin prevelansi ortaya konmustur. Prevelansin daha net belirlenmesi, özellikle displazi saptanan olgulardaki prognozun ortaya konmasi için daha genis çapta ve prospektif çalismalara ihtiyaç vardir.
Abstract
Background/aims: A tissue mass derived from mucosa or submucosa and extending into the lumen of the bowel is referred to as a polyp. Removal of polyps detected during colonoscopy and establishment of the pathological diagnosis are recommended since cancer has become the leading lesion and due to the potential cancer risk regardless of polyp size. In this study, we aimed to determine the prevalence of polyps and their histopathological results based on colonoscopies performed in our Unit. We aimed to reveal the polyp prevalence and histopathological results in our colonoscopy experience. Material and Methods: Colonoscopy reports between February 2005 and July 2010 were retrospectively reviewed from the endoscopy archive system in Uludag University, Endoscopy Unit, Department of Gastroenterology. Results: According to the colonoscopy reports, a total of 1379 polyps (22.06%) were detected in 894 patients; 914 of these polyps with attainable pathology results were analyzed. 530 of the patients (59.3%) were male and 364 (40.7%) were female. Of the polyps with neoplastic characteristics, 621 (68%) were tubular adenomas, 66 (7.2%) tubulovillous adenomas, and 5 (0.5%) villous adenomas. Conclusions: In this study, the prevalence of colon polyp types over an approximately six-year period was described in patients undergoing colonoscopy for various reasons in our Endoscopy Unit, which provides healthcare to an important part of the Eastern Marmara region. To determine the prevalence more clearly, especially for determination of prognosis in cases with dysplasia, additional wider and prospective studies are needed.
