Kolonoskopik polipektomi sonuçlarımızın analizi

Giriş ve Amaç: Kolorektal poliplerin endoskopik olarak çıkarılması kolorektal kanser insidansını ve mortalitesini azaltabilir. Biz bu çalışmayı, endoskopi ünitemizde kolonoskopi ile tespit edilen poliplerin tip, boyut ve histopatolojik özelliklerini saptamak amacıyla yaptık. Gereç ve Yöntem: Adnan Menderes Üniversitesi Gastroenteroloji Bölümü Endoskopi Ünitesi’nde son dört yılda çeşitli endikasyonlarla kolonoskopi yapılan 18 yaş üzeri hastalar geriye dönük olarak değerlendirildi. Bulgular: Kolonoskopi yapılan toplam 3.953 hastanın 525’inde (%13.3) 808 adet polip tespit edildi. 525 hastanın 171’i (%32.6) kadın, 354’ü (%67.4) erkekti ve yaş ortalaması 62.8±11.4 idi. 808 polipten, 617 (%76.4) polip kolonun sol tarafında bulundu. En sık görülen bölge sigmoid kolondu (%25.2). Hastalar arasında, 454 hasta (%86.5) 50 yaşın üstündeydi ve 60-69 yaş grubunda (%35.6) polipler daha sık tespit edildi. Histopatolojik tipler temelinde, tübüler adenom [n = 604 (%74.8)] en sık rastlanan polipti ve adenokarsinoma 808 polip içinde 19’unda (%2.4) saptandı, 690 (%85.4) polipin boyutu 1 cm’den küçüktü. Sonuç: Kolon polipleri, kanser gelişim riski nedeniyle önemli bir sağlık problemi oluşturmaktadır ve kolon polipleri genellikle ileri yaşlarda saptanmaktadır. Bunların çoğunluğu kolonun sol tarafında bulunmakta, sıklıkla tübüler adenom tipinde, ve çapları 1 cm’ den daha azdır.

Anahtar Kelimeler:

Kolorektal polipler, histopatoloji, lokalizasyon

Analysis of colonoscopic polypectomy results

Background and Aims: The endoscopic removal of colorectal polyps can reduce the incidence and mortality of colorectal cancer. We conducted this study to determine the type, size, and histopathological features of polyps detected using colonoscopy that was performed in our endoscopy unit. Materials and Methods: Patients aged more than 18 years who underwent colonoscopy due to various indications at Adnan Menderes University Department of Gastroenterology, Endoscopy Unit in the last 4 years were retrospectively evaluated. Results: A total of 808 polyps were detected in 525 (13.3%) of 3,953 patients who underwent colonoscopy. Of the 525 patients, 171 (32.6%) were females and 354 (67.4%) were males, with an average age of 62.8±11.4 years. Of the 808 polyps, 617 (76.4%) polyps were located in the left side of the colon. The most common site was the sigmoid colon (25.2%). Among the patients, 454 patients (86.5%) were aged more than 50 years, and polyps were more frequently detected among those in the age group of 60–69 years (35.6%). On the basis of the histopathological types, tubular adenoma was the most commonly detected polyp [n = 604 (74.8%)], and adenocarcinoma was detected in 19 (2.4%) of 808 polyps. The size of 690 (85.4%) polyps was less than 1 cm. Conclusion: Colon polyps constitute an important health problem due to the development of cancer, and colon polyps are usually found at older ages. The majority of these are found on the left side of the colon, frequently in tubular adenoma type, and less than 1 cm in diameter.

Keywords:

Colorectal polyps, histopathology, localization,

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