Son iki dekatta endoskopi merkezinde kolorektal kanser görülme sıklığı

Giriş ve Amaç: Kolon kanseri yüksek sosyoekonomik düzeye ulaşmış insan ve toplumlarda daha sık olarak görülmektedir. Son yıllarda özellikle sağ kolonun daha sık tutulduğu bildirilmektedir. Bu çalışmanın amacı toplumumuzda kolon kanseri ve lokalizasyonu ile bunların yıllarla değişimini değerlendirmektir. Gereç ve Yöntem: Ankara Üniversitesi Gastroenteroloji Bilim Dalı Endoskopi Merkezlerinde 1993-2008 yıllarında yapılan 18.484 alt gastrointestinal sistem endokopi işlemi sonucu retrospektif olarak değerlendirildi. Bunlardan %44,6'sı kolonoskopi (8.249), %55,4'ü rektoskopiydi (10.235). Hastaların yaşları, cinsiyeti ve kanser varlığı ile bunların lokalizasyonları ve yıllara göre olan değişimleri değerlendirildi. Bulgular: İşlem yapılan hastaların yaş ortalaması 47,8, %52,2'si erkekti. 659 (%3,5) olguda kolorektal kanser saptandı. Erkeklerde kanser saptama oranının (%4,5) kadınlardan (%2,5) daha fazla olduğu görüldü (p

Anahtar Kelimeler:

Kolorektal kanser, lokalizasyon, görülme sıklığı, polipler

Colorectal cancer detection rate in the last two decades at an endoscopy center

Background and Aims: Colorectal cancer is seen more frequently in people and societies with higher socioeconomic status. In recent years, more evidence has emerged about the increasing involvement of the proximal colon. The purpose of this study was to evaluate the occurrence rate, localization and annual change in the rate of colorectal cancer. Materials and Methods: 18,484 lower gastrointestinal endoscopy procedures performed between 1993-2008 in the Endoscopy Units of Ankara University, Department of Gastroenterology were evaluated retrospectively. Among these, 8,249 (44.6%) were total colonoscopy and 10,235 (55.4%) rectosigmoidoscopy. Age, sex, occurrence of cancer, localization and annual changes in these parameters were determined. Results: Mean age of the patients was 47.8, and 52.2% were male. Colorectal cancer was detected in 659 (3.5%) of the cases. Cancer detection rate in males (4.5%) was significantly higher than in females (2.5%) (p

Keywords:

Colorectal cancer, localization, occurrence rate, polyps,

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