Retrospective analysis of gastrointestinal polyps: 1 year period

Abstract

Aim: We planned this study to determine the compatibility of the polypectomy materials of the gastrointestinal system diagnosed in our department with the literature and if different characteristics.

Material and Method: 325 polypectomy materials diagnosed in 2017 were evaluated according to localization, diameter, age and histopathological types.

Findings: The age distribution of the patients ranged from 5 to 88 years, with an average age of 62.3 years and an average diameter of 5.8 mm. When we looked at the location of the polyps, 72.6% cases were located in the colon, 24% in the stomach and 0.3% in the small intestine and anastomotic region. It was found that most of the colon polyps were in sigmoid (33.0%) and most of the stomach polyps were in antrum (26.9%). The largest group of patients (49.8%) had hyperplastic polyps in terms of histopathological types in gastrointestinal system polyps, and tubuler adenomas were the second most common in 25.5% of cases.

Results: Our results in our analysis of gastrointestinal system polyps are similar to the literature findings.

Keywords

• Gastrointestinal polyps,histopathological type,localization,size,age

Gastrointestinal poliplerin retrospektif analizi: 1 yıllık dönem

Abstract

Amaç: Anabilim dalımızda tanı alan gastrointestinal sisteme ait polipektomi materyallerinde izlenen bulguların literatür ile uyumu ve varsa farklı özelliklerin tespiti için bu çalışmayı planladık.

Gereç ve Yöntem: Çalışmamızda 2017 yılı içinde anabilim dalımızda tanısı konulan gastrointestinal sisteme ait 325 adet polipektomi materyali lokalizasyon, çap, yaş ve histopatolojik tiplerine göre incelendi.

Bulgular: Hastaların yaş dağılımı 5-88 arasında değişmekte olup, yaş ortalaması 62,3 yıl, ortalama çap 5,8 mm olarak saptandı. Poliplerin yerleşim yeri açısından bakıldığında %72,6’ü kolon, %24’ü mide, %0,3’ü ise ince barsak ve anastomoz bölgesi yerleşimliydi. Kolon poliplerinin büyük kısmının sigmoidde (%33,0), mide yerleşimli poliplerin ise büyük kısmının antrumda (%26,9) oldukları saptandı. Gastrointestinal sistem poliplerinde histopatolojik tipler bakımından en büyük hasta grubunu (%49,8) hiperplastik polip oluştururken;  %25,5 olgu ile tübüler adenom ikinci sırada yer almaktaydı.

Sonuç: Gastrointestinal sistem poliplerini analiz ettiğimiz çalışmamızda sonuçlarımız literatür bulguları ile benzerlik göstermektedir.

Keywords

• Gastrointestinal polipler,histopatolojik tip,lokalizasyon,boyut,yaş

References

1. Referanslar1. Lau CF, Hui PK, Mak KL et al. Gastric polypoid lesions illustrative cases and literature review. Am J Gastroenterol 1998; 93: 2559-64 2- Rafiul Sameer Islam, Neal C. Patel, Dora Lam-Himlin, Cuong C. Nguyen. Gastric Polyps: A Review of Clinical, Endoscopic, and Histopathologic Features and Management Decisions. Gastroenterol Hepatol (N Y). 2013; 9(10): 640–51. 3- Do Youn Park and Gregory Y. Lauwers. Gastric Polyps: Classification and Management. Arch Path Lab Med 2008;132(4):633-640. 4- Atalay R, Solakoğlu T, Sarı SÖ et al. Evaluation of gastric polyps detected by endoscopy: A single-center study of a four-year experience in Turkey. Tr J Gastroenterol 2014; 25: 370-35. Silverstein FE, Tytgat GNJ. Stomach II: Tumors and polyps, In: Silverstein FE, Tytgat GNJ, Editors. Gastrointestinal Endoscopy, 3rd ed. London. Mosby 1997; 147-80.6. Jain R, Chetty R. Gastric hyperplastik polyps: a review. Dig Dis Sci 2009; 54: 1839-46.7. Davaris P, Petraki K, Archimandritis A, et al. Mucosal hyperplastik polyps of the stomach. Do they have any potential to malignancy? Pathol Res Pract 1986; 181: 385-9.8. Hizawa K, Fuchigami T, lida M, et al. Possible neoplastic transformation within gastric hyperplastic polyp. Application of endoscopic polypectomy. Surg Endosc 1995; 9: 714-8.9. Zea-Iriarte WL, Sekine I, Itsuno M, et al. Carcinoma in gastric hyperplastic polyps: a phenotypic study. Dig Dis Sci 1996; 41: 377-86.10. Morais DJ, Yamanaka A, Zeiture JM, Andreollo NA. Gastric polyps: a retrospectiveanalysis of 26.000 digestive endoscopies. Arq Gastroenterol 2007; 44: 14-7.11. Archimandritis A, Spiliadis C, Tzivras M, et al. Gastric epithelial polyps: aretrospective endoscopic study of 12974 symptomatic patients. Ital J Gatroenterol 1996; 28: 387-90.12. Owen DA. The stomach, In: Sternberg SS, Editor. Diagnostic Surgical Pathology, 3rd ed. Philadelphia. Lippincott Williams & Wilkins 1999; 1311-47.13. Debongnie JC. Gastric polyps. Acta Gastroenterol Belg 1999; 62: 187-9.14. Nakamura T, Nakano G. Histopathological classification and malignant change in gastric polyps. J Clin Pathol 1985; 38: 754-64.15. DiSario JA, Fautch PG, Mai HD, et al. Prevalence and malignant potential of colorectal polyps in asymtomatic, avarage-risk men. Am J Gastroenterol 1991; 86: 941-5.16. Lieberman DA, Smith FW. Screening for colon malignancy with colonoscopy. Am J Gastroenterol 1991; 86: 946-51.17. Altınparmak E, Sezgin O, Parlak E, Altıntaş E. Colorectal polyps ‘The Yüksek İhtisas experience’. Turk J Gastroenterol 2001; 12: 49-52.18. 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: 371-9.19. Muto T, Bussey HJR, Morson BC. The evolution of cancer of the colon and rectum. Cancer 1975: 36; 2251-70.20- Eminler AT, Sakallı M, Irak K et al. Gastroenteroloji ünitemizdeki kolonoskopik polipektomi sonuçlarımız. Akademik Gastroenterol Derg 2011; 10(3): 112-5. 21- Dölek Y, Karabulut YY, Topal F, Kurşun N. Evaluation of gastrointestinal polyps according to their size, localization and histopathologic types. Endoskopi Derg 2013; 21 (2) : 31-5 22. Granqvist S, Cabrielsson N, Sundelin P. Diminutive colonic polypsclinical significance and managemant. Endoscopy 1979; 11: 36-42.23. Matek W, Guggenmoos-Holzmann I, Demling L. Follow-up of patients with colorectal adenomas. Endoscopy 1985; 17: 175-81.24-Sangeetha N Kalimuthu, Adeline Chelliah, Runjan Chetty. From traditional serrated adenoma to tubulovillous adenoma and beyond. World J Gastrointest Oncol. 2016; 8(12): 805–09.25- O'Brien MJ, Winawer SJ, Zauber AG et al. The National Polyp Study: Patient and polyp characteristics associated with high-grade dysplasia in colorectal adenomas. Gastroenterol 1990; 98: 371-9. 26-Sangeetha N, Kalimuthu, Adeline Chelliah, Runjan Chetty. From traditional serrated adenoma to tubulovillous adenoma and beyond. World J Gastrointest Oncol. 2016; 8(12): 805–09.