Kolon polipleri: Lokalizasyon, histoloji, boyut - 5 yıllık kolonoskopik değerlendirme

Year 2018, , 57 - 60, 25.09.2018

Yasin Şahintürk Ayhan Hilmi Çekin

https://doi.org/10.17940/endoskopi.461413

Cited By: 2

Abstract

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.

Keywords

Kolon polip, prevalans, histoloji, lokalizasyon, boyut

Colon polyps localization, histology, and size – five years of colonoscopic research

Abstract

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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