CERRAHİ ENDOSKOPİ ÜNİTEMİZDEKİ GASTROSKOPİK POLİPEKTOMİ SONUÇLARIMIZIN DEĞERLENDİRİLMESİ

Gastrik polipler sık rastlanan lezyonlar olmayıp, üst gastrointestinal sistemin endoskopik incelenmesinde tesadüfen saptanırlar. Malign dönüşüm gösterme özellikleri nedeniyle çıkartılması ve histopatolojik tanısının konması gerekmektedir. Bu çalışmamızda cerrahi endoskopi ünitemizde uygulanan gastroskopilerde, polipektomi sonrası sonuçlarımızın değerlendirilmesini amaçladık. İzmir Bozyaka Eğitim ve Araştırma Hastanesi cerrahi endoskopi ünitesinde 2013 – 2014 yılları arasında 2450 hastaya gastroskopik girişimde bulunuldu. Gastroskopik polipektomi uygulanan 200 hastanın sonuçları retrospektif olarak değerlendirildi. Sonuçların istatistiksel değerlendirilmesi SPSS, Windows 21.0 ile gerçekleştirildi ve p

EVALUATION OF GASTROSCOPIC POLYPECTOMY RESULTS IN OUR SURGICAL ENDOSCOPY UNIT

Polyp is a mucosa or submucosa originated tissue mass protrusion into the intestinal lumen. It is essential to excise all the polyps encountered during gastroscopy regardless of their dimensions because they are precancerous. In this study we aimed to evaluate the results after gastroscopic polypectomy in our surgical endoscopy unit. There were 2450 gastroscopic interventions in İzmir Bozyaka Education and Research Hospital between 2013 and 2014. The results of 200 patients who had undergone gastroscopic polypectomy are evaluated retrospectively. The results were processed with SPSS® ver. 21.0 Chicago IL. p

___

  • ) Oberhuber G, Stolte M. Gastric polyps: an update of their pathology and biological significance. Virchows Arch 2000; 437: 581
  • ) Silverstein FE, Tytgat GNJ. Stomach II: Tumors and polyps, In: Silverstein FE, Tytgat GNJ, Editors. Gastrointestinal Endoscopy, 3rd ed. London. Mosby 1997; 147-80.
  • ) Cao H, Wang B, Zhang Z, Zhang H, Qu R. Distribution trends of gastric polyps: an endoscopy database analysis of 24 121 northern Chinese patients. J Gastroenterol Hepatol. 2012 Jul;27(7):1175-80. doi: 1111/j.1440-1746.2012.07116.x.
  • ) Jain R, Chetty R: Gastric hyperplastic polyps: a review. Dig Dis Sci 2009, 54:1839
  • ) Turner JR, Odze RD. Polyps of the stomach. In Odze RD, Goldblum JR, Crawford JM (Eds): Surgical Pathology of the GI Tract, Liver, Biliary tract, and Pancreas. 1st ed., Philadelphia, Elsevier Saunders, 2004, 267
  • ) Morais DJ, Yamanaka A, Zeitune JM, Andreollo NA. Gastric polyps: a retrospective analysis of 26.000 digestive endoscopies. Arq Gastroenterol 2007, 44:14-7.
  • ) Ming SC. Malignant potential of epithelial polyps of stomach. In: Ming SC, editor. Precursors of gastric cancer. New York: Praeger; 1984. p.219.
  • ) Robbins SL. Tumors of the stomach. In: Robbins SL, editor. Pathological basis of disease. Boston: W.B. Saunders; 1995. p.161.
  • ) Sivelli R, Del Rio P, Bonati L, Sianesi M. Gastric polyps: a clinical contribution. Chir Ital. 2002;54:37-40.
  • ) Palacios-Salas F, Frisancho-Velarde O, Palomino-Portilla E. Gastric polyps and histological changes in surrounding mucosa. Rev Gastroenterol Peru. 2003;23:245-53.
  • ) Gencosmanoglu R, Sen-Oran E, Kurtkaya-Yapicier O, et al. Gastric polypoid lesions: analysis of 150 endoscopic polypec- tomy specimens from 91 patients. World J Gastroenterol 2003;9:2236-9.
  • ) Chang WH, Shih SC, Wang HY, Chang CW, Chen CJ, Chen MJ. Acquired hyperplastic gastric polyps after treatment of ulcer. J Formos Med Assoc 2010; 109: 567-73.
  • ) Owen DA. The stomach, In: Sternberg SS, Editor. Diagnostic Surgical Pathology, 3rd ed. Philadelphia. Lippincott Williams & Wilkins ; 1311-47.
  • ) Abraham SC, Singh VK, Yardley JH, Wu TT. Hyperplastic polyps of the stomach: associations with histologic patterns of gastritis and gastric atrophy. Am J Surg Pathol. 2001;25:500-7.
  • ) Ohkusa T, Miwa H, Hojo M, et al. Endoscopic, histological and serologic findings of gastric hyperplastic polyps after eradica- tion of Helicobacter pylori: comparison between responder and non-responder cases. Digestion. 2003;68:57-62.
  • ) Ohkusa T, Takashimizu I, Fujiki K, et al. Disappearance of hyperplastic polyps in the stomach after eradication of Helicobacter pylori. A randomized, clinical trial. Ann Intern Med. 1998;129:712-5.
  • ) Ji F, Wang ZW, Ning JW, Wang QY, Chen JY, Li YM. Effect of drug treatment on hyperplastic gastric polyps infected with Helicobacter pylori: a randomized, controlled trial. World J Gastroenterol. 2006;12:1770-3.
  • ) Ljubicic N, Banic M, Kujundzic M, et al. The effect of eradicating Helicobacter pylori infection on the course of adenomatous and hyperplastic gastric polyps. Eur J Gastroenter ol Hepatol. 1999;11:727-30.
  • ) Goddard AF, Badreldin R, Pritchard DM, Walker MM, Warren B. The management of gastric polyps. Gut. 2010;59:1270-6.
  • ) Burt RW. Gastric fundic gland polyps. Gastroenterology. 2003;125:1462-9.
  • ) Debongnie JC. Gastric polyps. Acta Gastroenterol Belg 1999;62:87-9.
  • ) Choudhry U, Boyce HW Jr, Coppola D. Proton pump inhibitor-associated gastric polyps: a retrospective analysis of their frequency, and endoscopic, histologic, and ultrastructural characteristics. Am J Clin Pathol 1998;110:615-21.
  • ) Stolte M, Sticht T, Eidt S, Ebert D, Finkenzeller G. Frequency, location, and age and sex distribution of various types of gastric polyp. Endoscopy. 1994;26:659-65.
  • ) Kokkola A, Sjoblom S, Haapiainen R, et al. The risk of gastric carcinoma and carcinoid tumours in patients with pernicious anaemia: A prospective follow-up study. Scand J Gastroenterol 1998;33:88-92.
  • ) Laine L, Ahnen D, McClain C, et al: Potential gastrointestinal effects of long-term acid suppression with proton pump inhibitors. Aliment Pharmacol Ther 2000;14:651-68.
  • ) Silverstein FE, Tytgat GNJ. Stomach II: Tumors and polyps, In: Silverstein FE, Tytgat GNJ, Editors. Gastrointestinal Endoscopy, 3rd ed. London. Mosby 1997; 147-80.
  • Yazının alınma tarihi:26.06.2014 Kabül tarihi:16.07.2014 Online basım:14.08.2014