Gastrik Polipler: 10 Yıllık Endoskopik İşlemlerin Retrospektif Analizi

Yıl 2022, Cilt: 17 Sayı: 2, 29 - 34, 15.07.2022

Kadir Gişi

https://doi.org/10.17517/ksutfd.1115823

Öz

Amaç: Mide polipleri genellikle asemptomatik olan ve üst gastroistestinal sistem endoskopisi sırasında tesadüfen saptanan gastrik mukozal çıkıntılardır. Bu çalışmada gastrik poliplerin görülme sıklığı, yerleşim yerleri ve genel özellikleri değerlendirildi.
Gereç ve yöntemler: Üçüncü basamak bir hastanede on yıllık bir süre boyunca gerçekleştirilen üst gastrointestinal sistem endoskopileri retrospektif olarak değerlendirildi. Hastaların demografik özellikleri, gastroskopi endikasyonları, poliplerin morfolojik ve histolojik özellikleri kayıt edildi.
Bulgular: Toplam 25230 gastroskopi hastasının 347'sinde (%1.4) mide polipleri bulundu. Hastaların yaş ortalaması 61.04 ± 15.05 ve %64.3'ü kadındı. Hastaların 124’ü (%35.7) erkek ve 223’ü (%64.3) kadın hastaydı. Polip tespit edilen hastaların en sık endoskopi endikasyonu (%74.1) dispepsiydi. Poliplerin çoğu (%55.3) 5mm’den küçüktü ve en sık yerleşim yeri antrumdu. En sık hiperplastik polip (%44.4) saptandı. Polip saptanan hastaların %42.9’unda Helikobakter pilori pozitifti. Ayrıca adenomatöz poliplerin %58’ine displazi eşlik ediyordu.
Sonuç: Hiperplastik polipler popülasyonumuzdaki en sık görülen polip tipiydi. 5 mm’nin üzerindeki poliplerin (özellikle adenomatöz polipler) displazi odakları içerebileceğinden biyopsi almak yerine tam eksizyonu önerilir. Ayrıca 5 mm’den küçük poliplerin eksize edilmeden endoskopik takibe alınmasının maliyet açısından daha etkin olduğu düşünüldü.

Anahtar Kelimeler

Endoskopi, Helikobakter Pylori, Mide, Polip

Gastric Polyps: Retrospective Analysis of a 10-Years Endoscopic Procedure

Öz

Objective: Gastric polyps are gastric mucosal protrusions that are usually asymptomatic and detected incidentally during upper gastrointestinal system endoscopy. In this study, the incidence, location and general characteristics of gastric polyps were evaluated.
Material and Methods: Upper gastrointestinal system endoscopies performed in a tertiary hospital for a period of ten years were evaluated retrospectively. Demographic characteristics of the patients, gastroscopy indications, morphological and histological characteristics of polyps were recorded.
Results: Gastric polyps were found in 347 (1.4%) of a total of 25230 gastroscopy patients. The mean age of the patients was 61.04±15.05. One hundred and twenty four (35.7%) of the patients were male and 223 (64.3%) were female. The most common endoscopic indication (74.1%) of the patients with polyps
was dyspepsia. Most of the polyps (55.3%) were smaller than 5 mm and the most common site was the antrum. Hyperplastic polyp (44.4%) was detected the most. 42.9% of the patients with polyps were positive for Helicobacter Pylori. In addition, 58% of adenomatous polyps were accompanied by dysplasia.
Conclusion: Hyperplastic polyps were the most common polyp type in our population. Full excision of polyps over 5 mm (especially adenomatous polyps) is recommended instead of biopsy, as they may contain dysplasia foci. In addition, it was thought that taking polyps smaller than 5 mm into endoscopic follow-up without excision was more cost-effective.

Anahtar Kelimeler

Endoscopy, Helicobacter Pylori, Polyp, Stomach

Kaynakça

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