Kolon polipleri ve diyet ilişkisi

Öz

Giriş ve Amaç: Diyet alışkanlıkları ve spesifik besin gruplarının kolon polip gelişimi, histolojisi ve boyutları üzerindeki etkisinin aydınlatılması. Gereç ve Yöntem: 2012-2015 yılları arasında kolonoskopi yapılan 1004 hasta beslenme alışkanlıkları yönünden prospektif olarak değerlendirildi. Hastalar kolon polibi var-yok, kolon polibi olanlar ise hiperplastik-adenomatöz, <1 cm - >1 cm olarak sınıflandırıldı ve gruplar arası diyet alışkanlıklarının farkları incelendi. Bulgular: Çalışmamızda kolon polip gelişmesini; yaş, erkek cinsiyet, kırmızı et ve bulgur tüketimi arttırırken, domates tüketimi azaltmaktadır. Adenomatöz histoloji görülme sıklığını artıran faktörler yaş ve bulgur tüketimi olarak saptanırken; azaltan faktörler ise yumurta ve pirinç tüketimindeki artış olarak saptanmıştır. Kolon polip boyutlarını ise sadece bulgur tüketimindeki artışın etkilediği saptanmıştır. Sonuç: Kolonda polip gelişimi, adenomatöz histoloji varlığı ve 1 cm’den büyük polip gelişimi şeklinde bu üç kolorektal kanser risk faktörünü de artıran tek besin maddesi bulgur olarak saptanmıştır. Bulgurun tüketim şekli, sıklığı ve kolon kanseri saptanan hastaların geçmiş dönemdeki bulgur tüketimleri ayrıntılı sorgulanmalı ve konuyla ilgili daha ayrıntılı çalışmalar yapılmalıdır.

Anahtar Kelimeler

• Kolon polip,diyet,polip boyutu,polip histolojisi,spesifik besin ürünleri

Relationship between colon polyps and diet

Öz

Background and Aims: The aim of this study was to identify the effect of dietary habits and specific nutrient groups on colon polyp development, histology, and size. Materials and Methods: Between 2012 and 2015, 1004 patients who underwent colonoscopy were evaluated prospectively for their dietary habits. Patients were classified according to whether or not they had colon polyps. Patients with polyps were classified as hyperplastic-adenomatous, <1 cm –>1 cm and differences in dietary habits among the groups were examined. Results: In our study, colon polyp development decreased by tomato consumption whereas increasing age, male sex, red meat, and bulgur consumption increased development. While factors increasing the incidence of adenomatous histology were determined as age and bulgur consumption, the decrease was observed after an increase in egg and rice consumption. It was concluded that colon polyp diameter is only affected by bulgur consumption. Conclusion: The only nutrient that increases the risk of developing colonic polyps, which are larger than 1 cm in diameter, and have adenomatous histology, is bulgur. The type and frequency of consumption of bulgur should be questioned in detail, and additional studies on this subject that are more comprehensive should be performed.

Anahtar Kelimeler

• Colon polyp,diet,polyp size,polyp histology,specific nutritional products

Kaynakça

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