Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation

UÇMAK, FEYZULLAH; BÜYÜKBAYRAM, HÜSEYIN; Kaya, Muhsin; EKİN, Nazım; TUNCER, Elif Tuğba

Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation

Feyzullah UÇMAK, (Dicle University Faculty of Medicine, Department of Gastroenterology, Diyarbakır, Turkey)

Elif Tuğba TUNCER, (Gazi Yaşargil Training and Research Hospital, Clinic of Gastroenterology, Diyarbakır, Turkey)

Nazım EKİN, (Gazi Yaşargil Training and Research Hospital, Clinic of Gastroenterology, Diyarbakır, Turkey)

Hüseyin BÜYÜKBAYRAM, (Dicle University Faculty of Medicine, Department of Pathology, Diyarbakır, Turkey)

Muhsin KAYA (Dicle University Faculty of Medicine, Department of Gastroenterology, Diyarbakır, Turkey)

Türk Kolon ve Rektum Hastalıkları Dergisi

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Yıl: 2016 Cilt: 26 Sayı: 2 Sayfa Aralığı: 21 - 26 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation

Öz:

Amaç: Alt gastrointestinal sistemin en sık saptanan patolojilerinden biri poliplerdir. Kolonoskopik polipektomi, bu lezyonların tedavisinin yanısıra histolopatolojik özelliklerinin ortaya konmasına da imkan sunmaktadır. Bu çalışmanın amacı kliniğimizde uygulanan polipektomi sonuçlarını değerlendirmektir. Yöntem: Dicle Üniversitesi Tıp Fakültesi Endoskopi Ünitesi'nin arşivi taranarak; Ocak 2010 ile Aralık 2014 tarihleri arasında kolonoskopi raporları retrospektif olarak incelendi. Kolonoskopik polipektomi yapılmış olan 470 hastanın demografik, kolonoskopik ve histopatolojik verileri kaydedildi.Bulgular: Beş yıllık süre içerisinde (Ocak 2010 ile Aralık 2014 arasında) toplam 3514 hastaya kolonoskopi yapılmış ve 470 hastada polip veya polipler saptanmıştır (%13,3). Hastaların yaş ortalaması 56,9±16,0 yıl ve 270'i (%61,7) erkekti. Polip boyutları 2-40 mm arasında (ortalama 6,24±5,0 mm) olan 980 polipektomi işlemi yapılmıştı. Hastaların %31,3'ünde birden fazla lokalizasyonda polip saptandı ve en sık yerleşim yeri rektumdu (%44,9). Histopatolojik olarak polipler adenomatöz (%53,6), hiperplastik (%31,7), kanser (%6,6), displazik (%5,1) ve diğer patolojiler (%3) olarak tanımlanmıştı. Histopatolojik olarak malignite riski ile 20 mm'den büyük çaplı polip, saplı polip ve birden fazla lokalizasyonda polip bulunması arasında korelasyon saptandı (sırasıyla p<0,001, p<0,001 ve p=0,011). Histopatolojik olarak displazi riski ile poliplerin sağ kolon yerleşimi arasında da korelasyon saptandı (p=0,033).Sonuç: Kolonoskopi yapılan hastalarımızın önemli bir kısmında polip saptanmıştır. Bu polipler arasında en sık rastlanan grup malignite potansiyeline sahip olan adenomatöz poliplerdir.

Anahtar Kelime:

Konular: Gastroenteroloji ve Hepatoloji

Güneydoğu Anadolu Bölgesinde Kolon Poliplerinin Sıklığı ve Özellikleri: Beş Yıllık Değerlendirme

Öz:

Aim: Polyps are one of the most common pathologic indications observed in the lower gastrointestinal system. Colonoscopic polypectomy ensures both the treatment of such lesions and identification of their histopathologic features. The purpose of this study was to evaluate the results of polypectomies performed in our clinic. Method: Colonoscopy reports produced and archived in the Endoscopy Unit of the Faculty of Medicine of Dicle University between January 2010 and December 2014 were retrospectively examined. Demographic, colonoscopic and histopathologic data of 470 patients who underwent polypectomy were recorded.Results: In five years (between January 2010 and December 2014) a total of 3514 patients underwent colonoscopy and 470 of them were found to have at least one polyp (13.3%). The patients' mean age was 56.9±16.0 years (15-100, range) and 270 of them (61.7%) were male. A total of 980 polypectomies were performed for polyps varying between 2-40 mm in size (mean 6.24±5.0 mm). 31.3% of the patients had polyps in multiple locations, however the most frequent location of the polyps was the rectum (44.9%). The polyps were grouped according to their histopathologic features: adenomatous (53.6%), hyperplastic (31.7%), cancerous (6.6%), dysplastic (5.1%) and others (3%). The histopathologic malignancy risk was found to correlate with having polyps larger than 20 mm in diameter, having pedunculated polyps and having polyps in multiple locations (p<0.001, p<0.001, and p=0.011, respectively). In addition, a correlation was found between the histopathologic dysplasia risk and polyps located on the right side of the colon (p=0.033).Conclusion: Polyp was observed for significant portion of our patient who underwent colonoscopy. The most common of these polyps were the adenomatous type which has the potential of malignancy

Anahtar Kelime:

Konular: Gastroenteroloji ve Hepatoloji

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	UÇMAK F, TUNCER E, EKİN N, BÜYÜKBAYRAM H, Kaya M (2016). Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. , 21 - 26.
Chicago	UÇMAK FEYZULLAH,TUNCER Elif Tuğba,EKİN Nazım,BÜYÜKBAYRAM HÜSEYIN,Kaya Muhsin Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. (2016): 21 - 26.
MLA	UÇMAK FEYZULLAH,TUNCER Elif Tuğba,EKİN Nazım,BÜYÜKBAYRAM HÜSEYIN,Kaya Muhsin Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. , 2016, ss.21 - 26.
AMA	UÇMAK F,TUNCER E,EKİN N,BÜYÜKBAYRAM H,Kaya M Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. . 2016; 21 - 26.
Vancouver	UÇMAK F,TUNCER E,EKİN N,BÜYÜKBAYRAM H,Kaya M Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. . 2016; 21 - 26.
IEEE	UÇMAK F,TUNCER E,EKİN N,BÜYÜKBAYRAM H,Kaya M "Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation." , ss.21 - 26, 2016.
ISNAD	UÇMAK, FEYZULLAH vd. "Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation". (2016), 21-26.

APA	UÇMAK F, TUNCER E, EKİN N, BÜYÜKBAYRAM H, Kaya M (2016). Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. Türk Kolon ve Rektum Hastalıkları Dergisi, 26(2), 21 - 26.
Chicago	UÇMAK FEYZULLAH,TUNCER Elif Tuğba,EKİN Nazım,BÜYÜKBAYRAM HÜSEYIN,Kaya Muhsin Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. Türk Kolon ve Rektum Hastalıkları Dergisi 26, no.2 (2016): 21 - 26.
MLA	UÇMAK FEYZULLAH,TUNCER Elif Tuğba,EKİN Nazım,BÜYÜKBAYRAM HÜSEYIN,Kaya Muhsin Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. Türk Kolon ve Rektum Hastalıkları Dergisi, vol.26, no.2, 2016, ss.21 - 26.
AMA	UÇMAK F,TUNCER E,EKİN N,BÜYÜKBAYRAM H,Kaya M Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. Türk Kolon ve Rektum Hastalıkları Dergisi. 2016; 26(2): 21 - 26.
Vancouver	UÇMAK F,TUNCER E,EKİN N,BÜYÜKBAYRAM H,Kaya M Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. Türk Kolon ve Rektum Hastalıkları Dergisi. 2016; 26(2): 21 - 26.
IEEE	UÇMAK F,TUNCER E,EKİN N,BÜYÜKBAYRAM H,Kaya M "Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation." Türk Kolon ve Rektum Hastalıkları Dergisi, 26, ss.21 - 26, 2016.
ISNAD	UÇMAK, FEYZULLAH vd. "Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation". Türk Kolon ve Rektum Hastalıkları Dergisi 26/2 (2016), 21-26.