Kolon polipleri: Lokalizasyon, histoloji, boyut - 5 yıllık kolonoskopik değerlendirme
Giriş ve Amaç: Kolon polipleri konusunda hasta sayısı fazla olan bir çalışma yaparak konu hakkındaki epidemiyolojik verilere prevalans, histoloji, boyut ve lokalizasyon konusunda katkı yapmak. Gereç ve Yöntem: 2012-2017 yılları arasında kolonoskopi yapılan 2512 hasta kolon polip prevalansı, histolojisi (hiperplastik, adenomatöz, serrated), boyutu (<1 cm ve >1 cm) ve lokalizasyonuna (rektum, sigmoid kolon, inen kolon, transvers kolon, çıkan kolon, çekum) göre değerlendirildi. Bulgular: Çalışmaya alınan 2.512 hastanın 876'sında (%34,9) polip saptandı. 104'ünde (%11,9) hiperplastik polip saptanırken, 10 (%1,1) hastada serrated polip, 650 (%74,3) hastada adenomatöz polip saptandı. Saptanan poliplerin 696 (%79,4) tanesi 1 cm'den küçükken, 180 (%20,6) tanesi 1 cm'den büyüktü. Yerleşim bölgeleri incelendiğinde en sık rektal bölgede 323 (%36,9) polipler saptanırken proksimal kolon kesimlerinde polip görülme yüzdesi azalmaktaydı. Yaş arttıkça polip görülme sıklığı, adenamatöz histoloji varlığı ve polip boyutu artmaktaydı. Erkeklerde polip saptanma yüzdesi, kadınlarda ise >1 cm polip saptanma sıklığı daha fazlaydı. Sonuç: Çalışmamız literatüre göre yüksek hasta sayısı içermesi nedeniyle değerli sonuçlar içermektedir. Epidemiyolojik açıdan literatür verilerine göre saptadığımız yüksek polip prevalansı tarama programlarında daha dikkatli davranmamız gerektiğini düşündürmüştür.
Anahtar Kelimeler:
Kolon polip, prevalans, histoloji, lokalizasyon, boyut
Colon polyps localization, histology, and size – five years of colonoscopic research
Background and Aims: We conducted a study with a large number of patients to contribute to the epidemiological information in the literature on prevalence, histology, size, and localization of colon polyps. Materials and Methods: Between 2012 and 2017, 2.512 patients underwent colonoscopy to determine colon polyp prevalence, histology (hyperplastic, adenomatous, and serrated), size (<1 cm and >1 cm), and localization (rectum, sigmoid colon, descending colon, and transverse colon). Results: Polyps were detected in 876 (34,9%) of 2.512 patients who were included in the study. Hyperplastic polyps were detected in 104 (11,9%) patients, serrated polyps in 10 (1,1%) patients, and adenomatous polyps in 650 (74.3%) patients. Most (696, 79,4%) detected polyps were smaller than 1 cm, but 180 (20,6%) were larger than 1 cm. According to the localization of polyps, 323 (36,9%) were detected in the rectal region, whereas the percentage of polyps in the proximal colon segments decreased. As age increased, the incidence of polyps, adenomatous histology, and polyps increased. When compared with that in females, the percentage of polyp prevalence was higher in males. However, females had a higher rate of polyps larger than 1 cm when compared with males. Conclusion: Our study has meaningful results due to the high number of patients. In particular, the high prevalence of polyps we detected according to data reported in the literature should encourage all clinicians to establish a carefully executed screening program.
Keywords:
Colon polyp, prevalence, histology, localization, size,
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- ISSN: 1302-5422
- Başlangıç: 2010
- Yayıncı: Türk Gastroenteroloji Vakfı