İsmail DEMİRYILMAZ, Serpil YILMAZ POSTGİL, Yavuz ALBAYRAK

Frequency of various types of gastric polyp

Amaç. Endoskopik olarak görülen gastrointestinal sistemin lümenine çıkıntı oluşturan herhangi birlezyon polipoid lezyon olarak adlandırılır. Çalışmamızda, gastrik polipoid lezyonlu hastalarındemografik, klinik ve endoskopik özelliklerinin incelemeyi amaçladık. Yöntem. Ekim 2006 ileTemmuz 2010 tarihleri arasında toplam 3375 hastaya üst gastrointestinal sistem endoskopisiyapıldı. Bu hastaların 66 (%1,95)sında midenin çeşitli anatomik pozisyonlarında polipoid lezyongörülerek bunlara polipektomi yapılmıştı. Gastrik polip tespit edilen 66 hastadaki gastrik polipve/veya poliplerin lokalizasyon, boyut, histopatolojik bulguları ve tedavileri üzerinde duruldu.Tüm hastaların histolojik inceleme ile doğrulanmış en az bir polibi mevcuttu. Bulgular.Hastalarda görülen en sık şikayet %72,7 ile epigastrik ağrı daha sonra ise dispepsi (%18) ve anemi(%4,5) idi. Hastaların 51inde bir adet, 8inde iki ve 7sinde üç adet polip mevcuttu. Toplam 88adet gastrik polipoid lezyonun 41 (%46,5)i antrumda, 26 (%29,5)sı korpusta, 12 (%13,6)sikardiada ve 9 (%10,4)u anastomoz sahasında lokalize idi. Poliplerin 53 (%60,2)ü 1 cmdenküçük, 23 (%26,1)ü 1-2 cm arasında ve 12 (%13,7)si 2 cmden daha büyüktü. Poliplerinhistopatolojik incelemesinde 71 (%80,7)inde hiperplastik polip, 15 (%17)inde inflamatuar polipve 2 (%2,3)sinde adenomatöz polip tespit edildi. Birden fazla polibe sahip hastaların tümü tek birhistopatolojik tipe sahipti. Sonuç. Endoskopik polipektomi gastrik poliplerin teşhis ve tedavisindeduyarlı bir yöntemdir. Sonuç olarak; gastrik polipli hastalarda hem nüks ihtimalini ortadankaldırmak hemde midenin başka bir yerinde kanser gelişimini engellemek için endoskopi ile takipyapılmalıdır.

Farklı gastrik polip tiplerinin sıklığı

Aim. Any discrete lesion protruding into the lumen of gastrointestinal tract detected by endoscopyis called as polypoid lesion . Thus, we aimed to study the demographic, clinical, and endoscopiccharacteristics of patients with gastric polypoid lesions. Method. Upper gastrointestinal systemendoscopy was carried out in a total of 3375 patients between the dates of October 2006-July2010. In 66 (1.95%) of these patients polypoid lesions were observed in various anatomical sitesof the stomach, and polypectomy was performed. Sixty six patients who had gastric polyp orpolpys were included in this study. The localization, size, histopathological findings and treatmentof the polyps were recorded. All patients had at least one gastric polyp confirmed by histologicalexamination. Results. The most frequent presenting symptom was epigastric pain (72.7%)followed by dyspepsia (18%), and anemia (4.5%). Fifty-one of the patients had one, 8 had two and7 had three polyps. Out of 88 gastric polypoid lesions, 41 (46.5%) were located in the antrumfollowed by 26 (29.5%) in corpus, 12 (13.6%) in cardia, and 9 (10.4%) in around anastomoses.Fifty-three (60.2%) of the polyps were smaller than 1 cm, 23 (26.1%) were between 1-2 cm, and12 (13.7%) were larger than 2 cm. In the histopathological examination of the polyps, 71 (80.7%)were found to be hyperplastic polyps, 15 (17%) were inflammatory polyps and 2 (2.3%) wereadenomatous polyps. All patients with multiple polyps had only a single histological type.Conclusion. For this reason, endoscopic polypectomy to be a sensible diagnostic and therapeuticprocedure of gastric polyps when feasible. Finally, endoscopic surveillance in these patients maybe recommended to exclude both possibility of recurrence and cancer development elsewhere instomach.

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