Abstract
Amaç: Bu çalışmanın amacı endoskopi ünitemizde kolonoskopi sırasında saptanan kolon polipleri ile ilgili deneyimimizi sunmaktır..
Yöntem: Endoskopi ünitemizde Mart 2016-Mart 2018 tarihleri arasında kolonoskopi yapılan ve kolonoskopi ile en az bir polip saptanan hastaların dosyaları geriye dönük olarak incelendi.
Bulgular: Çalışmaya 428 hasta dahil edildi. 96 (%22,4) polip birden fazla kolon segmentinde yer alırken, 102 (%23,8) polip rektumda, 108 (%25,2) sigmoid kolonda, 33 (%7,7) inen kolonda, 41 ( %9,6) splenik fleksurada, 25'i (%5,8) transvers kolonda, 2'si (%0,5) hepatik fleksurada, 33'ü (%7,7) çıkan kolonda, 20'si (%4,7) çekumdaydı.
Sonuç: Polipektomi sonuçlarımızın literatürle uyumlu olması kliniğimizde yapılan kolonoskopik incelemelerin kalitesinin bir göstergesi olarak kabul edilebilir.
Keywords
References
- 1. Ciardiello F, Ciardiello D, Martini G, Napolitano S, Tabernero J, Cervantes A. Clinical management of metastatic colorectal cancer in the era of precision medicine. CA Cancer J Clin. 2022;72: 372–401.
- 2. Patel SG, Karlitz JJ, Yen T, Lieu CH, Boland CR. The rising tide of early-onset colorectal cancer: a comprehensive review of epidemiology, clinical features, biology, risk factors, prevention, and early detection. Lancet Gastroenterol Hepatol. 2022;7: 262–274.
- 3. Gönüllü E, Gönüllü E, Tiryaki Ç, Çapoğlu R, Yazıcıoğlu MB, Haksal MC, et al. Compa- rison of clinicopathologic features of young and older patients with sporadic colorectal adenocarcinoma. Cumhur Med J. 2014;36: 62.
- 4. Ladabaum U, Dominitz JA, Kahi C, Schoen RE. Strategies for Colorectal Cancer Scree- ning. Gastroenterology. 2020;158: 418–432.
- 5. Yilmaz S, Emre N. 50-70 yaş arası kişilerin kolorektal kanser risk faktörleri ve erken tanısına yönelik bilgi tutum ve davranışlarının değerlendirilmesi. Pamukkale Med J. 2021;3:726-733.
- 6. Rajagopalan A, Antoniou E, Morkos M, Rajagopalan E, Arachchi A, Chouhan H, et al. Is colorectal cancer associated with altered bowel habits in young patients? ANZ J Surg. 2021;91: 943–946.
- 7. Siddique I, Mohan K, Hasan F, Memon A, Patty I, Al-Nakib B. Appropriateness of indi- cation and diagnostic yield of colonoscopy: first report based on the 2000 guidelines of the American Society for Gastrointestinal Endoscopy. World J Gastroenterol. 2005;11: 7007–7013.
- 8. Vasen HF, Watson P, Mecklin JP, Lynch HT. New clinical criteria for hereditary nonpoly- posis colorectal cancer (HNPCC, Lynch syndrome) proposed by the International Colla- borative group on HNPCC. Gastroenterology. 1999;116(6):1453-6.
- 9. Kotzev I. Risk and Protective Factors for Development of Colorectal Polyps and Cancer. Cancer Prevention - From Mechanisms to Translational Benefits. 2012;3:24-28.
- 10. Leslie A, Carey FA, Pratt NR, Steele RJC. The colorectal adenoma-carcinoma sequence. Br J Surg. 2002;89: 845– 860.
- 11. Al-Shamali MA, Kalaoui M, Hasan F, Khajah A, Siddiqe I, Al-Nakeeb B. Colonoscopy: evaluating indications and diagnostic yield. Ann Saudi Med. 2001;21: 304–307.
- 12. Yigit T. Kolonoskopi Deneyimlerimiz: Ardışık 983 Hastanın İrdelenmesi. Kolon Rektum Hast Derg 2007;17:154-159
- 13. Simon K. Colorectal cancer development and advances in screening. Clin Interv Aging. 2016;11: 967–976.
- 14. Aguiar Junior S, Oliveira MM de, Silva DRME, Mello CAL de, Calsavara VF, Curado MP. SURVIVAL OF PATIENTS WITH COLORECTAL CANCER IN A CANCER CENTER. Arq Gastroenterol. 2020;57: 172–177.
- 15. Penn E, Garrow D, Romagnuolo J. Influence of race and sex on prevalence and recurrence of colon polyps. Arch Intern Med. 2010;170: 1127–1132.
- 16. Sninsky JA, Shore BM, Lupu GV, Crockett SD. Risk Factors for Colorectal Polyps and Cancer. Gastrointest Endosc Clin N Am. 2022;32: 195–213.
- 17. Gangireddy VGR, Coleman T, Kanneganti P, Talla S, Annapureddy AR, Amin R, et al. Polypectomy versus surgery in early colon cancer: size and location of colon cancer affect long-term survival. Int J Colorectal Dis. 2018;33: 1349–1357.
- 18. Şahintürk, Y. & Çekin, A. H. (2018). Kolon polipleri: Lokalizasyon, histoloji, boyut - 5 yıllık kolonoskopik değerlendirme . Endoskopi Gastrointestinal. 2018;26 (2) , 57-60
- 19. Aarons CB, Shanmugan S, Bleier JIS. Management of malignant colon polyps: current status and controversies. World J Gastroenterol. 2014;20: 16178–16183.
Abstract
Objective: The aim of this study is to present our experience with colon polyps detected during colonoscopy in our endoscopy unit.
Methods: The files of patients who underwent colonoscopy and at least one polyp detected with colonoscopy in our endoscopy unit between March 2016 and March 2018 were reviewed retrospectively.
Results: We included 428 patients in the study. While 96 (22.4%) polyps were located in more than one colon segment,102 (23.8%) polyps were located in the rectum, 108 (25.2%) in the sigmoid colon, 33 (7.7%) in the descending colon, 41 (9.6%) in the splenic flexure, 25 (5.8%) in the transverse colon, 2 (0.5%) in the hepatic flexure, 33 (7.7%) were in the ascending colon, 20 (4.7%) were in the cecum.
Conclusion:
The compatibility of our polypectomy results with the literature can be considered as an indicator of the quality of colonoscopic examinations performed in our clinic.
Keywords
References
- 1. Ciardiello F, Ciardiello D, Martini G, Napolitano S, Tabernero J, Cervantes A. Clinical management of metastatic colorectal cancer in the era of precision medicine. CA Cancer J Clin. 2022;72: 372–401.
- 2. Patel SG, Karlitz JJ, Yen T, Lieu CH, Boland CR. The rising tide of early-onset colorectal cancer: a comprehensive review of epidemiology, clinical features, biology, risk factors, prevention, and early detection. Lancet Gastroenterol Hepatol. 2022;7: 262–274.
- 3. Gönüllü E, Gönüllü E, Tiryaki Ç, Çapoğlu R, Yazıcıoğlu MB, Haksal MC, et al. Compa- rison of clinicopathologic features of young and older patients with sporadic colorectal adenocarcinoma. Cumhur Med J. 2014;36: 62.
- 4. Ladabaum U, Dominitz JA, Kahi C, Schoen RE. Strategies for Colorectal Cancer Scree- ning. Gastroenterology. 2020;158: 418–432.
- 5. Yilmaz S, Emre N. 50-70 yaş arası kişilerin kolorektal kanser risk faktörleri ve erken tanısına yönelik bilgi tutum ve davranışlarının değerlendirilmesi. Pamukkale Med J. 2021;3:726-733.
- 6. Rajagopalan A, Antoniou E, Morkos M, Rajagopalan E, Arachchi A, Chouhan H, et al. Is colorectal cancer associated with altered bowel habits in young patients? ANZ J Surg. 2021;91: 943–946.
- 7. Siddique I, Mohan K, Hasan F, Memon A, Patty I, Al-Nakib B. Appropriateness of indi- cation and diagnostic yield of colonoscopy: first report based on the 2000 guidelines of the American Society for Gastrointestinal Endoscopy. World J Gastroenterol. 2005;11: 7007–7013.
- 8. Vasen HF, Watson P, Mecklin JP, Lynch HT. New clinical criteria for hereditary nonpoly- posis colorectal cancer (HNPCC, Lynch syndrome) proposed by the International Colla- borative group on HNPCC. Gastroenterology. 1999;116(6):1453-6.
- 9. Kotzev I. Risk and Protective Factors for Development of Colorectal Polyps and Cancer. Cancer Prevention - From Mechanisms to Translational Benefits. 2012;3:24-28.
- 10. Leslie A, Carey FA, Pratt NR, Steele RJC. The colorectal adenoma-carcinoma sequence. Br J Surg. 2002;89: 845– 860.
- 11. Al-Shamali MA, Kalaoui M, Hasan F, Khajah A, Siddiqe I, Al-Nakeeb B. Colonoscopy: evaluating indications and diagnostic yield. Ann Saudi Med. 2001;21: 304–307.
- 12. Yigit T. Kolonoskopi Deneyimlerimiz: Ardışık 983 Hastanın İrdelenmesi. Kolon Rektum Hast Derg 2007;17:154-159
- 13. Simon K. Colorectal cancer development and advances in screening. Clin Interv Aging. 2016;11: 967–976.
- 14. Aguiar Junior S, Oliveira MM de, Silva DRME, Mello CAL de, Calsavara VF, Curado MP. SURVIVAL OF PATIENTS WITH COLORECTAL CANCER IN A CANCER CENTER. Arq Gastroenterol. 2020;57: 172–177.
- 15. Penn E, Garrow D, Romagnuolo J. Influence of race and sex on prevalence and recurrence of colon polyps. Arch Intern Med. 2010;170: 1127–1132.
- 16. Sninsky JA, Shore BM, Lupu GV, Crockett SD. Risk Factors for Colorectal Polyps and Cancer. Gastrointest Endosc Clin N Am. 2022;32: 195–213.
- 17. Gangireddy VGR, Coleman T, Kanneganti P, Talla S, Annapureddy AR, Amin R, et al. Polypectomy versus surgery in early colon cancer: size and location of colon cancer affect long-term survival. Int J Colorectal Dis. 2018;33: 1349–1357.
- 18. Şahintürk, Y. & Çekin, A. H. (2018). Kolon polipleri: Lokalizasyon, histoloji, boyut - 5 yıllık kolonoskopik değerlendirme . Endoskopi Gastrointestinal. 2018;26 (2) , 57-60
- 19. Aarons CB, Shanmugan S, Bleier JIS. Management of malignant colon polyps: current status and controversies. World J Gastroenterol. 2014;20: 16178–16183.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 30, 2022 |
| Acceptance Date | November 25, 2022 |
| Published in Issue | Year 2022 Volume: 6 Issue: 3 |
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