Alt gastrointestinal sistem endoskopi sonuçlarımız
On bir yıllık bir süre içerisinde 2103 hastaya alt gastrointestinal sistem endoskopisi yapıldı. Hastaların 213'ünde (%10.1) çekum, 317'sinde (%15) hepatik fleksura, 746'sında (%35.6) splenik fleksura ve 827'sinde (%39.3) inen kolona kadar inceleme yapıldı, Hastaların 814'ünde (%38.8) herhangi bir patolojik bulguya rastlanmazken, 228'inde (%10.8) kolit, 296'sında (%14) kanser, 130'unda (%6.2) polip, 12'sinde (%0.6) divertikülozis, 370'inde (%17.6) hemoroid, 34'ünde (%1.6) perianal fistül, 172'sinde (%8.2) anal fissür ve 47:sinde (%2.2) proktit saptandı. Morbiditesi düşük olan endoskopi özellikle semptomatik hastalarda malignite ihtimali göz önüne alınarak uygulanması gereken bir tanı yöntemidir.
Low gastrointestinal endoscopy; An instutional results
In an 11-year period 2103 patients were undergone endoscopic examination of the distal gastrointestinal tract. Endoscopic examination included cecum, hepatic flexura, splenik flexura, and distal end of the descending colon in 213(10.1%), 317(15%), 746(35.6%), and 827(39.3%) patients respectively. Of the patients, 814(38.8%) showed normal endoscopic appearance, whereas 228 (10.8%) had colitis, 296 (14%) colorectal cancer, 130 (6.2%) had polyp, 12 (0.6%) had diverticulozis, 370 (17.6%) had hemorrhoid, 34 (1.6%) had perianal fistula, 172 (8.2%) had fissura in ano, and 47 (2.2%) had proctitis. Because of the possibility of colorectal cancer the symptomatic patients should undergo endoscopic examination.
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- 1. Edmonson JM. Hirscowitz fiberoptic endoscop. Gastrointestinal Endoscopy 2000;52:19A-20A
- 2.Minali G, Meucci G, Bartoli A, et al. The ASGE guidelines for the appropriate use of colonoscopy in an open access system. Gastrointestinal Endoscopy 2000;52:39-47
- 3.American Society for Gastrointestinal Endoscopy. Flexible sigmoidoscopy: guidelines for clinical application. Gastrointestinal Endoscopy 1988;36:16S-17S
- 4.Selby SV, Friedman GD, Queensberry CP, Weiss NS. A case control study of screening sigmoidoscopy and mortality from colorectal cancer. N Engl J Med 1992;326:653-657
- 5.Baillie J (ed). Gastrointestinal Endoscopy. Oxford: Butterworth-Heinemann 1992
- 6.Gollub MJ, Flaherty F. Barium enema following incomplete colonoscopy. Clin İmaging 1999; 23:367-374
- 7.Junquera F, Quiroga S, Saperas E, et al. Accuracy of helical computed tomographic angiography for the diagnosis of colonic angiodysplasia. Gastroenterology 2000;119:293-299
- 8.Pappalardo G, Polettini E, Frattaroli FM, et al. Magnetic resonance colonography versus conventional colonoscopy for the detection of colonic endoluminal lesions. Gastroenterology 2000;119:300