Research Article
Üst gastrointestinal endoskopilerinde tespit edilen poliplerin özelliklerinin histopatolojik tipleri ile ilişkileri
Abstract
Giriş ve Amaç:
Üst GİS maligniteleri dünyada ve ülkemizde sık görülen kanserlerdendir ve poliplerden gelişebilmektedirler. Bizde poliplerin ünitemizdeki prevalansını, endoskopik ve histolojik özelliklerini ortaya koymayı amaçladık
Materyal metod:
Tek merkezli retrospektif çalışmamıza, mart 2016 ile nisan 2022 tarihleri arasında hastanemiz genel cerrahi endoskopi ünitesinde yapılan gastroskopi işleminde polip saptanan 18 yaş ve üzerindeki erişkin hastalar dahil edildi, Hastaların gastroskopi raporları incelenerek yaş, cinsiyet, gastroskopi yapılma nedeni, polip sayısı, poliplerin midedeki lokalizasyonu, polipektomi yöntemleri kaydedildi.
Bulgular
Çalışmamıza mart 2016 ile nisan 2022 tarihleri arasında yapılan toplam 11.643 üst GİS endoskopisinde, polip saptanan 262 hasta dahil edildi. Hastaların 180 (%68,7)’inde tek bir polip, 82 (%31,3)’sinde ise multiple polipler saptandı. Yaşları 21 ve 86 aralığında olan toplam 262 hastanın yaş ortalaması 57.6 ± 13.1 idi. Hastaların 152’si (%58) kadın ve 110’u (%42) erkekti, yaş ortalamaları arasında anlamlı farklılık yoktu . Toplam 230 (%87,8) hastada forceps tekniği ile polipektomi yapılırken, 32 (%12,2) hastada ise snare polipektomi yapıldı. Snare tekniğinin, forceps tekniğine kıyasla daha büyük boyutlu poliplerin çıkarılmasında tercih edildiği gözlendi.
Sonuç:
Çalışmamızda değerlendirilen üst GIS endoskopilerindeki polip saptanma oranı literatür ile uyumlu olarak yaklaşık %2 idi. En sık saptanan türler hiperplastik polip ve fundik gland polipiydi. Endoskopik olarak bazen poliplerin birbirinden ayırt edilmesi zor olabildiğinden özellikle boyutları büyük olan polipler güvenli bir şekilde polipektomi ile alınmalıdır.
Keywords
References
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- 11. Carmack SW, Genta RM, Schuler CM, Saboorian MH. The current spectrum of gastric polyps: a 1-year national study of over 120,000 patients. Am J Gastroenterol. 2009 Jun;104(6):1524-32.
- 12. Sezikli M, Çetinkaya ZA, Şirin G, Güzelbulut F, Atar GE, Eroğlu D, et al. Gastroskopik incelemede mide polip sıklığı ve bu poliplerin yerleşim, boyut ve histopatolojik özellikleri. Endoskopi Gastrointestinal. 2014; 22(2): 38-40.
- 13. Sülü B, Demir E, Günerhan Y. Endoscopic diagnosis and management of gastric polyps: A clinical study. Turkish journal of Surgery.2012; 28(1): 17–20.
- 14. Albayrak Y, Demiryılmaz İ, Yılmaz S. Frequency of various types of gastric polyp. Cumhuriyet Medical Journal.2011; 33, 209–214.
- 15. Sayar S, Olmez S, Avcioglu U, Tenlik I, Saritas B, Ozdil K, et al. A retrospective analysis of endoscopic treatment outcomes in patients with postoperative bile leakage. North Clin Istanb. 2016 Nov 24;3(2):104-110.
- 16. Erinanc H, Unler GK, Gokturk HS, Ozgur GT. Gastric polyps: A retrospective analysis of endoscopic biopsies: A single center ctudy in Central Anatolia. GMJ 2019;30:336-40
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- 22. Soytürk M, Akkaya Ozdinc S, Sarıoğlu S, Sağol Ö, Derviş Hakim G, Topalak Ö . Endoskopik incelemede saptanan mide poliplerinin yerleşimi, histopatolojik tipleri ve Helikobakter pilori infeksiyonu ile ilişkisi. Endoskopi Gastrointestinal 2012; 20(1): 01-04.
- 23. Cao H, Wang B, Zhang Z, Zhang H, Qu R. Distribution trends of gastric polyps: an endoscopy database analysis of 24 121 northern Chinese patients. J Gastroenterol Hepatol. 2012 Jul;27(7):1175-80.
- 24. Karagülle OO, Yavuz E. Üst gastro-intestinal sistem endoskopilerinde saptanan polipoid lezyonların değerlendirilmesi. IKSSTD 2020;12(1):63-8
- 25. Banks M, Graham D, Jansen M, Gotoda T, Coda S, di Pietro M, et al. British Society of Gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma. Gut. 2019;68(9):1545-1575.
- 26. ASGE Standards of Practice Committee, Evans JA, Chandrasekhara V, Chathadi KV, Decker GA, Early DS, et al. The role of endoscopy in the management of premalignant and malignant conditions of the stomach. Gastrointest Endosc. 2015;82(1):1-8.
Year 2022,
Volume: 12 Issue: 3, 462 - 467, 29.09.2022
Abstract
References
- 1. Çelik F, Şenkaya A, Aslanov S, Ünal NG, Uysal A, Buyruk AM, et al. Endoskopik incelemede saptanan mide poliplerinin yerleşimi, histopatolojik tipleri ve tedavi yönetimi. Akademik Gastroenteroloji Dergisi. 2022; 20(3): 129-135.
- 2. Yacoub H, Bibani N, Sabbah M, Bellil N, Ouakaa A, Trad D, et al. Gastric polyps: a 10-year analysis of 18,496 upper endoscopies. BMC Gastroenterol. 2022 Feb 19;22(1):70.
- 3. Park DY, Lauwers GY. Gastric polyps: classification and management. Arch Pathol Lab Med. 2008 Apr;132(4):633-40.
- 4. Goddard AF, Badreldin R, Pritchard DM, Walker MM, Warren B; British Society of Gastroenterology. The management of gastric polyps. Gut. 2010 Sep;59(9):1270-6.
- 5. Jalving M, Koornstra JJ, Wesseling J, Boezen HM, DE Jong S, Kleibeuker JH. Increased risk of fundic gland polyps during long-term proton pump inhibitor therapy. Aliment Pharmacol Ther. 2006 Nov 1;24(9):1341-8.
- 6. Elhanafi S, Saadi M, Lou W, Mallawaarachchi I, Dwivedi A, Zuckerman M, et al. Gastric polyps: Association with Helicobacter pylori status and the pathology of the surrounding mucosa, a cross sectional study. World J Gastrointest Endosc. 2015 Aug 10;7(10):995-1002.
- 7. Voutilainen M, Mäntynen T, Kunnamo I, Juhola M, Mecklin JP, Färkkilä M. Impact of clinical symptoms and referral volume on endoscopy for detecting peptic ulcer and gastric neoplasms. Scand J Gastroenterol. 2003 Jan;38(1):109-13.
- 8. Burt RW. Gastric fundic gland polyps. Gastroenterology. 2003 Nov;125(5):1462-9.
- 9. Morais DJ, Yamanaka A, Zeitune JM, Andreollo NA. Gastric polyps: a retrospective analysis of 26,000 digestive endoscopies. Arq Gastroenterol. 2007 Jan-Mar;44(1):14-7.
- 10. Zheng E, Ni S, Yu Y, Wang Y, Weng X, Zheng L. Impact of gender and age on the occurrence of gastric polyps: data analysis of 69575 southeastern Chinese patients. Turk J Gastroenterol. 2015 Nov;26(6):474-9.
- 11. Carmack SW, Genta RM, Schuler CM, Saboorian MH. The current spectrum of gastric polyps: a 1-year national study of over 120,000 patients. Am J Gastroenterol. 2009 Jun;104(6):1524-32.
- 12. Sezikli M, Çetinkaya ZA, Şirin G, Güzelbulut F, Atar GE, Eroğlu D, et al. Gastroskopik incelemede mide polip sıklığı ve bu poliplerin yerleşim, boyut ve histopatolojik özellikleri. Endoskopi Gastrointestinal. 2014; 22(2): 38-40.
- 13. Sülü B, Demir E, Günerhan Y. Endoscopic diagnosis and management of gastric polyps: A clinical study. Turkish journal of Surgery.2012; 28(1): 17–20.
- 14. Albayrak Y, Demiryılmaz İ, Yılmaz S. Frequency of various types of gastric polyp. Cumhuriyet Medical Journal.2011; 33, 209–214.
- 15. Sayar S, Olmez S, Avcioglu U, Tenlik I, Saritas B, Ozdil K, et al. A retrospective analysis of endoscopic treatment outcomes in patients with postoperative bile leakage. North Clin Istanb. 2016 Nov 24;3(2):104-110.
- 16. Erinanc H, Unler GK, Gokturk HS, Ozgur GT. Gastric polyps: A retrospective analysis of endoscopic biopsies: A single center ctudy in Central Anatolia. GMJ 2019;30:336-40
- 17. Atalay R, Solakoğlu T, Ozer Sarı S, Köseoğlu H, Akın FE, Demirezer Bolat A,et al. Evaluation of gastric polyps detected by endoscopy: a single-center study of a four-year experience in Turkey. Turk J Gastroenterol. 2014 Aug;25(4):370-3.
- 18. Federle MP, Poullos PD, Sinha SR. Gastric Polyps. in Imaging in Gastroenterology. Elsevier. 2018: 190–191.
- 19. Vatansever S, Akpınar Z, Alper E, İpek S, Yazıcıoğlu N, Ekinci N, et al. Gastric polyps and polypoid lesions: Retrospective analysis of 36650 endoscopic procedures in 29940 patients. Turk J Gastroenterol. 2015;26(2):117-22.
- 20. Li WB, Zuo XL, Zuo F, Gu XM, Yu T, Zhao YA, et al. Characterization and identification of gastric hyperplastic polyps and adenomas by confocal laser endomicroscopy. Surg Endosc. 2010 ;24(3):517-24.
- 21. Gencosmanoglu R, Sen Oran E, Kurtkaya Yapicier O, Avsar E, Sav A, Tozun N. Gastric polypoid lesions: analysis of 150 endoscopic polypectomy specimens from 91 patients. World J Gastroenterol. 2003 ;9(10):2236-9.
- 22. Soytürk M, Akkaya Ozdinc S, Sarıoğlu S, Sağol Ö, Derviş Hakim G, Topalak Ö . Endoskopik incelemede saptanan mide poliplerinin yerleşimi, histopatolojik tipleri ve Helikobakter pilori infeksiyonu ile ilişkisi. Endoskopi Gastrointestinal 2012; 20(1): 01-04.
- 23. Cao H, Wang B, Zhang Z, Zhang H, Qu R. Distribution trends of gastric polyps: an endoscopy database analysis of 24 121 northern Chinese patients. J Gastroenterol Hepatol. 2012 Jul;27(7):1175-80.
- 24. Karagülle OO, Yavuz E. Üst gastro-intestinal sistem endoskopilerinde saptanan polipoid lezyonların değerlendirilmesi. IKSSTD 2020;12(1):63-8
- 25. Banks M, Graham D, Jansen M, Gotoda T, Coda S, di Pietro M, et al. British Society of Gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma. Gut. 2019;68(9):1545-1575.
- 26. ASGE Standards of Practice Committee, Evans JA, Chandrasekhara V, Chathadi KV, Decker GA, Early DS, et al. The role of endoscopy in the management of premalignant and malignant conditions of the stomach. Gastrointest Endosc. 2015;82(1):1-8.
There are 26 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | September 29, 2022 |
| Submission Date | June 16, 2022 |
| Published in Issue | Year 2022 Volume: 12 Issue: 3 |
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