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Evaluation of gastrointestinal polyps according to their size, localization and histopathologic types

Year 2013, , 31 - 35, 01.08.2013
https://doi.org/10.17940/endoskopi.74802

Abstract

Background and Aims: We aimed to document upper and lower gastrointestinal system polyps in our center according to their types. Materials and Methods:271 gastrointestinal polyps that were histopathologically diagnosed at Çankırı State Hospital during the period 2011-2012 were included in the study. Polyps were noted according to their localization and histopathologic types.Results:69.4% of the patients were males and 30.6% were females, and their mean age was 61.7 years. The mean diameter of the polyps was 8 mm. 233 of the polyps were located in the colon and the remainder in the stomach. Colonic polyps were most commonly seen in the rectum (36.2%), while gastric polyps were most commonly seen in the antrum (6.3%). Colonic polyps were most common in males, while gastric polyps were most common in females. Conclusions:In this study, in which we evaluated upper and lower gastrointestinal polyps separately, our results were found to be similar to those reported in the literature

References

  • Itzkowitz SH, Potack J. Colonic polyps and polyposis syndromes. In: Sleisenger MH, Fordtran JS, (Eds). Sleisenger and Fordtran’s Gastroin- testinal and Liver Disease. 8 th ed. Philedeplhia. Saunders. 2006; 2713- 36.
  • Konishi F, Morson BC. Pathology of colorectal adenomas: A colonoscop- ic survey. J Clin Pathol 1982; 35: 830-41.
  • Boland CR, Hzkowitz SH, Kim YS. Colonic polyps and gastrointestinal polyposis syndromes. Gastrointestinal disease, Sleisenger MH, Fordran JSS, Philadelphia, WB Saunders Company 1989; 2: 1483-518.
  • Oberhuber G, Stolte M. Gastric polyps: an update of their pathology and biological significance. Virchows Arch 2000; 437: 581-90.
  • Silverstein FE, Tytgat GNJ. Stomach II: Tumors and polyps, In: Silver- stein FE, Tytgat GNJ, Editors. Gastrointestinal Endoscopy, 3rd ed. Lon- don. Mosby 1997; 147-80.
  • Jain R, Chetty R. Gastric hyperplastik polyps: a review. Dig Dis Sci 2009; 54: 1839-46.
  • Morais DJ, Yamanaka A, Zeiture JM, Andreollo NA. Gastric polyps: a ret- rospective analysis of 26.000 digestive endoscopies. Arq Gastroenterol 2007; 44: 14-7.
  • Archimandritis A, Spiliadis C, Tzivras M, et al. Gastric epithelial polyps: aretrospective endoscopic study of 12974 symptomatic patients. Ital J Gatroenterol 1996; 28: 387-90.
  • Owen DA. The stomach, In: Sternberg SS, Editor. Diagnostic Surgical Pathology, 3rd ed. Philadelphia. Lippincott Williams & Wilkins 1999; 1311-47.
  • Debongnie JC. Gastric polyps. Acta Gastroenterol Belg 1999; 62: 187-9.
  • Davaris P, Petraki K, Archimandritis A, et al. Mucosal hyperplastik pol- yps of the stomach. Do they have any potential to malignancy? Pathol Res Pract 1986; 181: 385-9.
  • Hizawa K, Fuchigami T, lida M, et al. Possible neoplastic transformation within gastric hyperplastic polyp. Application of endoscopic polypec- tomy. Surg Endosc 1995; 9: 714-8.
  • Zea-Iriarte WL, Sekine I, Itsuno M, et al. Carcinoma in gastric hyperplas- tic polyps: a phenotypic study. Dig Dis Sci 1996; 41: 377-86.
  • Nakamura T, Nakano G. Histopathological classification and malignant change in gastric polyps. J Clin Pathol 1985; 38: 754-64.
  • O’Brien MJ, Winaver SJ, Zauber AG, et al. The National Polyp Study: Patient and polyp characteristics associated with high-grade dysplasia in colorectal adenomas. Gastroenterolgy 1990; 98: 371-9.
  • Muto T, Bussey HJR, Morson BC. The evolution of cancer of the colon and rectum. Cancer 1975: 36; 2251-70.
  • Williams AR, Balasoorriya BAW, Day DW. Polyp and cancer of the large bovel: A necropsy study in Liverpool. Gut 1982; 23: 835-42.
  • Vatn MH, Staisberg H. The prevalence of polyps of the large intestine in Osio: An autopsy study. Cancer 1982; 49: 819-25.
  • Granqvist S, Cabrielsson N, Sundelin P. Diminutive colonic polyps- clinical significance and managemant. Endoscopy 1979; 11: 36-42.
  • Matek W, Guggenmoos-Holzmann I, Demling L. Follow-up of patients with colorectal adenomas. Endoscopy 1985; 17: 175-81.
  • DiSario JA, Fautch PG, Mai HD, et al. Prevalence and malignant poten- tial of colorectal polyps in asymtomatic, avarage-risk men. Am J Gastro- enterol 1991; 86: 941-5.
  • Bech K, Kronborg O, Fenger C. Adenomasand hyperplastic polyps in screening studies. World J Surg 1991; 15: 7-13.
  • Lieberman DA, Smith FW. Screening for colon malignancy with colo- noscopy. Am J Gastroenterol 1991; 86: 946-51.
  • Joss JR. Nature and clinical significance of colorectal hyperlastic polyps. Semin Colon Rectal Surg 1991; 2: 246-52.
  • Altınparmak E, Sezgin O, Parlak E, Altıntaş E. Colorectal polyps ‘The Yüksek İhtisas experience’. Turk J Gastroenterol 2001; 12: 49-52.
  • Eminler AT, Sakallı M, Irak K, et al. Gastroenteroloji ünitemizdeki kolo- noskopik polipektomi sonuçlarımız. Akademik Gastroenteroloji Dergisi 2011; 10: 112-5.

Gastrointestinal poliplerin boyut, lokalizasyon ve histopatolojik tipleriyle değerlendirilmesi

Year 2013, , 31 - 35, 01.08.2013
https://doi.org/10.17940/endoskopi.74802

Abstract

Amaç:Çalışmadaki amacımız merkezimizde tanı alan üst ve alt gastrointestinal sisteme ait polipektomi materyallerinin histopatolojik tipleri ile birlikte dökümante edilmesidir. Gereç ve Yöntem:Çalışmada Çankırı Devlet Hastanesi Patoloji Laboratuvarında 2011- 2012 yılları arasında histopatolojik tanı verilen 271 adet gastrointestinal polip olgusu retrospektif olarak incelendi. Yerleşim özellikleri ve histopatolojik tiplerine göre polipler kaydedildi. Bulgular: Hastaların %69,4'ü erkek, %30,6'sı kadındı. Yaş dağılımı 2-91 yıl arasında değişmekte olup, yaş ortalaması 61,7 yıl, ortalama boyut 8 mm olarak saptandı. Gastrointestinal sistem polipleri yerleşim bölgeleri açısından değerlendirildiğinde 271 olgunun 233'ü kolon, 38'i mide yerleşimliydi. Kolon yerleşimli poliplerin büyük kısmının rektumda (%36,2), mide yerleşimli poliplerin ise büyük kısmının antrumda (%6,3) oldukları saptandı. Gastrointestinal sistem poliplerinde histopatolojik tipler açısından en büyük hasta grubunu 161 (%59,4) olgu ile tübüler adenom oluştururken, bunu 63 (%23,2) olgu ile hiperplastik polipler takip etmekteydi. Kolondaki polipler erkeklerde daha sık görülürken, mide lokalizasyonlu polipler kadınlarda daha sık saptandı. Tartışma:Üst ve alt gastrointestinal sisteme ait polipleri ayrı ayrı değerlendirdiğimiz çalışmamızda genel olarak tüm sonuçlarımızın literatür ile uyumluluk halinde olduğu görüldü

References

  • Itzkowitz SH, Potack J. Colonic polyps and polyposis syndromes. In: Sleisenger MH, Fordtran JS, (Eds). Sleisenger and Fordtran’s Gastroin- testinal and Liver Disease. 8 th ed. Philedeplhia. Saunders. 2006; 2713- 36.
  • Konishi F, Morson BC. Pathology of colorectal adenomas: A colonoscop- ic survey. J Clin Pathol 1982; 35: 830-41.
  • Boland CR, Hzkowitz SH, Kim YS. Colonic polyps and gastrointestinal polyposis syndromes. Gastrointestinal disease, Sleisenger MH, Fordran JSS, Philadelphia, WB Saunders Company 1989; 2: 1483-518.
  • Oberhuber G, Stolte M. Gastric polyps: an update of their pathology and biological significance. Virchows Arch 2000; 437: 581-90.
  • Silverstein FE, Tytgat GNJ. Stomach II: Tumors and polyps, In: Silver- stein FE, Tytgat GNJ, Editors. Gastrointestinal Endoscopy, 3rd ed. Lon- don. Mosby 1997; 147-80.
  • Jain R, Chetty R. Gastric hyperplastik polyps: a review. Dig Dis Sci 2009; 54: 1839-46.
  • Morais DJ, Yamanaka A, Zeiture JM, Andreollo NA. Gastric polyps: a ret- rospective analysis of 26.000 digestive endoscopies. Arq Gastroenterol 2007; 44: 14-7.
  • Archimandritis A, Spiliadis C, Tzivras M, et al. Gastric epithelial polyps: aretrospective endoscopic study of 12974 symptomatic patients. Ital J Gatroenterol 1996; 28: 387-90.
  • Owen DA. The stomach, In: Sternberg SS, Editor. Diagnostic Surgical Pathology, 3rd ed. Philadelphia. Lippincott Williams & Wilkins 1999; 1311-47.
  • Debongnie JC. Gastric polyps. Acta Gastroenterol Belg 1999; 62: 187-9.
  • Davaris P, Petraki K, Archimandritis A, et al. Mucosal hyperplastik pol- yps of the stomach. Do they have any potential to malignancy? Pathol Res Pract 1986; 181: 385-9.
  • Hizawa K, Fuchigami T, lida M, et al. Possible neoplastic transformation within gastric hyperplastic polyp. Application of endoscopic polypec- tomy. Surg Endosc 1995; 9: 714-8.
  • Zea-Iriarte WL, Sekine I, Itsuno M, et al. Carcinoma in gastric hyperplas- tic polyps: a phenotypic study. Dig Dis Sci 1996; 41: 377-86.
  • Nakamura T, Nakano G. Histopathological classification and malignant change in gastric polyps. J Clin Pathol 1985; 38: 754-64.
  • O’Brien MJ, Winaver SJ, Zauber AG, et al. The National Polyp Study: Patient and polyp characteristics associated with high-grade dysplasia in colorectal adenomas. Gastroenterolgy 1990; 98: 371-9.
  • Muto T, Bussey HJR, Morson BC. The evolution of cancer of the colon and rectum. Cancer 1975: 36; 2251-70.
  • Williams AR, Balasoorriya BAW, Day DW. Polyp and cancer of the large bovel: A necropsy study in Liverpool. Gut 1982; 23: 835-42.
  • Vatn MH, Staisberg H. The prevalence of polyps of the large intestine in Osio: An autopsy study. Cancer 1982; 49: 819-25.
  • Granqvist S, Cabrielsson N, Sundelin P. Diminutive colonic polyps- clinical significance and managemant. Endoscopy 1979; 11: 36-42.
  • Matek W, Guggenmoos-Holzmann I, Demling L. Follow-up of patients with colorectal adenomas. Endoscopy 1985; 17: 175-81.
  • DiSario JA, Fautch PG, Mai HD, et al. Prevalence and malignant poten- tial of colorectal polyps in asymtomatic, avarage-risk men. Am J Gastro- enterol 1991; 86: 941-5.
  • Bech K, Kronborg O, Fenger C. Adenomasand hyperplastic polyps in screening studies. World J Surg 1991; 15: 7-13.
  • Lieberman DA, Smith FW. Screening for colon malignancy with colo- noscopy. Am J Gastroenterol 1991; 86: 946-51.
  • Joss JR. Nature and clinical significance of colorectal hyperlastic polyps. Semin Colon Rectal Surg 1991; 2: 246-52.
  • Altınparmak E, Sezgin O, Parlak E, Altıntaş E. Colorectal polyps ‘The Yüksek İhtisas experience’. Turk J Gastroenterol 2001; 12: 49-52.
  • Eminler AT, Sakallı M, Irak K, et al. Gastroenteroloji ünitemizdeki kolo- noskopik polipektomi sonuçlarımız. Akademik Gastroenteroloji Dergisi 2011; 10: 112-5.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Yasemin Dölek This is me

Yasemin Yuyucu Karabulut This is me

Firdevs Topal This is me

Nazmiye Kurşun This is me

Publication Date August 1, 2013
Published in Issue Year 2013

Cite

APA Dölek, Y., Karabulut, Y. Y., Topal, F., Kurşun, N. (2013). Gastrointestinal poliplerin boyut, lokalizasyon ve histopatolojik tipleriyle değerlendirilmesi. Endoskopi Gastrointestinal, 21(2), 31-35. https://doi.org/10.17940/endoskopi.74802
AMA Dölek Y, Karabulut YY, Topal F, Kurşun N. Gastrointestinal poliplerin boyut, lokalizasyon ve histopatolojik tipleriyle değerlendirilmesi. Endoskopi Gastrointestinal. August 2013;21(2):31-35. doi:10.17940/endoskopi.74802
Chicago Dölek, Yasemin, Yasemin Yuyucu Karabulut, Firdevs Topal, and Nazmiye Kurşun. “Gastrointestinal Poliplerin Boyut, Lokalizasyon Ve Histopatolojik Tipleriyle değerlendirilmesi”. Endoskopi Gastrointestinal 21, no. 2 (August 2013): 31-35. https://doi.org/10.17940/endoskopi.74802.
EndNote Dölek Y, Karabulut YY, Topal F, Kurşun N (August 1, 2013) Gastrointestinal poliplerin boyut, lokalizasyon ve histopatolojik tipleriyle değerlendirilmesi. Endoskopi Gastrointestinal 21 2 31–35.
IEEE Y. Dölek, Y. Y. Karabulut, F. Topal, and N. Kurşun, “Gastrointestinal poliplerin boyut, lokalizasyon ve histopatolojik tipleriyle değerlendirilmesi”, Endoskopi Gastrointestinal, vol. 21, no. 2, pp. 31–35, 2013, doi: 10.17940/endoskopi.74802.
ISNAD Dölek, Yasemin et al. “Gastrointestinal Poliplerin Boyut, Lokalizasyon Ve Histopatolojik Tipleriyle değerlendirilmesi”. Endoskopi Gastrointestinal 21/2 (August 2013), 31-35. https://doi.org/10.17940/endoskopi.74802.
JAMA Dölek Y, Karabulut YY, Topal F, Kurşun N. Gastrointestinal poliplerin boyut, lokalizasyon ve histopatolojik tipleriyle değerlendirilmesi. Endoskopi Gastrointestinal. 2013;21:31–35.
MLA Dölek, Yasemin et al. “Gastrointestinal Poliplerin Boyut, Lokalizasyon Ve Histopatolojik Tipleriyle değerlendirilmesi”. Endoskopi Gastrointestinal, vol. 21, no. 2, 2013, pp. 31-35, doi:10.17940/endoskopi.74802.
Vancouver Dölek Y, Karabulut YY, Topal F, Kurşun N. Gastrointestinal poliplerin boyut, lokalizasyon ve histopatolojik tipleriyle değerlendirilmesi. Endoskopi Gastrointestinal. 2013;21(2):31-5.