TY  - JOUR
T1  - Kolonoskopik polipektomi sonuçlarımızın analizi
TT  - Analysis of colonoscopic polypectomy results
AU  - Coşkun, Adil
AU  - Kandemir, Altay
PY  - 2017
DA  - November
DO  - 10.17940/endoskopi.356838
JF  - Endoskopi Gastrointestinal
PB  - Türk Gastroenteroloji Vakfı
WT  - DergiPark
SN  - 1302-5422
SP  - 66
EP  - 69
VL  - 25
IS  - 3
LA  - tr
AB  - Giriş ve Amaç: Kolorektal poliplerin endoskopik olarak çıkarılması kolorektalkanser insidansını ve mortalitesini azaltabilir. Biz bu çalışmayı, endoskopiünitemizde kolonoskopi ile tespit edilen poliplerin tip, boyut ve histopatolojiközelliklerini saptamak amacıyla yaptık. Gereç ve Yöntem: Adnan MenderesÜniversitesi Gastroenteroloji Bölümü Endoskopi Ünitesi’nde son dörtyılda çeşitli endikasyonlarla kolonoskopi yapılan 18 yaş üzeri hastalar geriyedönük olarak değerlendirildi. Bulgular: Kolonoskopi yapılan toplam 3.953hastanın 525’inde (%13.3) 808 adet polip tespit edildi. 525 hastanın 171’i(%32.6) kadın, 354’ü (%67.4) erkekti ve yaş ortalaması 62.8±11.4 idi. 808polipten, 617 (%76.4) polip kolonun sol tarafında bulundu. En sık görülenbölge sigmoid kolondu (%25.2). Hastalar arasında, 454 hasta (%86.5) 50yaşın üstündeydi ve 60-69 yaş grubunda (%35.6) polipler daha sık tespitedildi. Histopatolojik tipler temelinde, tübüler adenom [n = 604 (%74.8)]en sık rastlanan polipti ve adenokarsinoma 808 polip içinde 19’unda (%2.4)saptandı, 690 (%85.4) polipin boyutu 1 cm’den küçüktü. Sonuç: Kolon polipleri,kanser gelişim riski nedeniyle önemli bir sağlık problemi oluşturmaktadırve kolon polipleri genellikle ileri yaşlarda saptanmaktadır. Bunların çoğunluğukolonun sol tarafında bulunmakta, sıklıkla tübüler adenom tipinde,ve çapları 1 cm’ den daha azdır.
KW  - Kolorektal polipler
KW  - histopatoloji
KW  - lokalizasyon
N2  - Background and Aims: The endoscopic removal of colorectal polyps canreduce the incidence and mortality of colorectal cancer. We conducted thisstudy to determine the type, size, and histopathological features of polypsdetected using colonoscopy that was performed in our endoscopy unit.Materials and Methods: Patients aged more than 18 years who underwentcolonoscopy due to various indications at Adnan Menderes University Departmentof Gastroenterology, Endoscopy Unit in the last 4 years were retrospectivelyevaluated. Results: A total of 808 polyps were detected in 525(13.3%) of 3,953 patients who underwent colonoscopy. Of the 525 patients,171 (32.6%) were females and 354 (67.4%) were males, with an average ageof 62.8±11.4 years. Of the 808 polyps, 617 (76.4%) polyps were locatedin the left side of the colon. The most common site was the sigmoid colon(25.2%). Among the patients, 454 patients (86.5%) were aged more than50 years, and polyps were more frequently detected among those in the agegroup of 60–69 years (35.6%). On the basis of the histopathological types,tubular adenoma was the most commonly detected polyp [n = 604 (74.8%)],and adenocarcinoma was detected in 19 (2.4%) of 808 polyps. The size of690 (85.4%) polyps was less than 1 cm. Conclusion: Colon polyps constitutean important health problem due to the development of cancer, andcolon polyps are usually found at older ages. The majority of these are foundon the left side of the colon, frequently in tubular adenoma type, and lessthan 1 cm in diameter.
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UR  - https://doi.org/10.17940/endoskopi.356838
L1  - https://dergipark.org.tr/tr/download/article-file/369060
ER  -