Tüm Özellikleri ile Kolon Polipleri: Doğu Akdeniz’de Üçüncü Basamak Merkez Deneyimi
Introduction:Colon polyps are proliferative and neoplastic lesions which originate from the mucosa, submucosa and protrude into the lumen. With this study, we aimed to reveal the demographic data, histopathological features, malignant potential and characteristics of patients with colonic polyp in o...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-05-01
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| Series: | İstanbul Medical Journal |
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http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/tm-zellikleri-ile-kolon-polipleri-dou-akdenizde-nc/47288
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| author | Mustafa Zanyar Akkuzu Orhan Sezgin Enver Üçbilek Serkan Yaraş Osman Özdoğan Fehmi Ateş Ferzan Aydın Hatice Rızaoğlu Balcı Engin Altıntaş |
| author_facet | Mustafa Zanyar Akkuzu Orhan Sezgin Enver Üçbilek Serkan Yaraş Osman Özdoğan Fehmi Ateş Ferzan Aydın Hatice Rızaoğlu Balcı Engin Altıntaş |
| author_sort | Mustafa Zanyar Akkuzu |
| collection | DOAJ |
| description | Introduction:Colon polyps are proliferative and neoplastic lesions which originate from the mucosa, submucosa and protrude into the lumen. With this study, we aimed to reveal the demographic data, histopathological features, malignant potential and characteristics of patients with colonic polyp in our region by evaluating the results of 4-year colononoscopic polypectomy in our tertiary university clinic.Methods:The records of patients over 18 years of age with polyps detected during colonoscopy and removed by polypectomy between 2014 and 2019 in our hospital were retrospectively analyzed. The demographic characteristics of the patients, localization, size, number and histopathological features of the polyps, and control colonoscopy results were evaluated.Results:During this period, data of 240 polyps of 180 patients who underwent polypectomy in our clinic were analyzed. 125 (69%) of the patients were male and 55 (31%) were female. The average age of men was 59.2±14.4, and the mean age of women was 57.2±11.3. One hundred and thirty-seven people had a single polyp, 43 people had multiple polyps. When polyps are examined according to their localization; 27% was in the sigmoid colon, 24% in the rectum and 15% in the ascending colon. 82% of polyps were adenomatous polyp, 10% hyperplastic polyps, 3% adenocarcinoma, 3% inflammatory polyp. 67% of adenomatous polyps were tubular adenoma, 27% tubulovillous adenoma, 0.5% villous adenoma. 71% of adenomatous polyps had low grade dysplasia, 23% had high grade dysplasia. Adenocarcinoma was detected in 8 of the cases and intramucosal carcinoma was detected in 6% of the patients with adenomatous polyp. Colonoscopy controls were performed periodically in the cases, and recurrent polyps were detected in 52% and adenocarcinoma development in 2 patients.Conclusion:The colon polyps were observed in our study were more frequently in the 5th and 6th decades, and more frequently in men, as single or multiple neoplastic formations. It is most commonly located in the left colon and were found to be malign at a rate of 9%. Detection of cancer precursor polyps and their removal by polypectomy show the importance of colon cancer screening programs and colonoscopy. |
| first_indexed | 2024-04-10T12:03:02Z |
| format | Article |
| id | doaj.art-f0c0897fe3144bd181d791f68f33a757 |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T12:03:02Z |
| publishDate | 2021-05-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-f0c0897fe3144bd181d791f68f33a7572023-02-15T16:16:28ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2021-05-0122210010410.4274/imj.galenos.2021.3285813049054Tüm Özellikleri ile Kolon Polipleri: Doğu Akdeniz’de Üçüncü Basamak Merkez DeneyimiMustafa Zanyar Akkuzu0Orhan Sezgin1Enver Üçbilek2Serkan Yaraş3Osman Özdoğan4Fehmi Ateş5Ferzan Aydın6Hatice Rızaoğlu Balcı7Engin Altıntaş8 Mersin University Faculty of Medicine, Department of Gastroenterology, Mersin, Turkey Mersin University Faculty of Medicine, Department of Gastroenterology, Mersin, Turkey Mersin University Faculty of Medicine, Department of Gastroenterology, Mersin, Turkey Mersin University Faculty of Medicine, Department of Gastroenterology, Mersin, Turkey Mersin University Faculty of Medicine, Department of Gastroenterology, Mersin, Turkey Mersin University Faculty of Medicine, Department of Gastroenterology, Mersin, Turkey Mersin University Faculty of Medicine, Department of Gastroenterology, Mersin, Turkey Mersin University Faculty of Medicine, Department of Gastroenterology, Mersin, Turkey Mersin University Faculty of Medicine, Department of Gastroenterology, Mersin, Turkey Introduction:Colon polyps are proliferative and neoplastic lesions which originate from the mucosa, submucosa and protrude into the lumen. With this study, we aimed to reveal the demographic data, histopathological features, malignant potential and characteristics of patients with colonic polyp in our region by evaluating the results of 4-year colononoscopic polypectomy in our tertiary university clinic.Methods:The records of patients over 18 years of age with polyps detected during colonoscopy and removed by polypectomy between 2014 and 2019 in our hospital were retrospectively analyzed. The demographic characteristics of the patients, localization, size, number and histopathological features of the polyps, and control colonoscopy results were evaluated.Results:During this period, data of 240 polyps of 180 patients who underwent polypectomy in our clinic were analyzed. 125 (69%) of the patients were male and 55 (31%) were female. The average age of men was 59.2±14.4, and the mean age of women was 57.2±11.3. One hundred and thirty-seven people had a single polyp, 43 people had multiple polyps. When polyps are examined according to their localization; 27% was in the sigmoid colon, 24% in the rectum and 15% in the ascending colon. 82% of polyps were adenomatous polyp, 10% hyperplastic polyps, 3% adenocarcinoma, 3% inflammatory polyp. 67% of adenomatous polyps were tubular adenoma, 27% tubulovillous adenoma, 0.5% villous adenoma. 71% of adenomatous polyps had low grade dysplasia, 23% had high grade dysplasia. Adenocarcinoma was detected in 8 of the cases and intramucosal carcinoma was detected in 6% of the patients with adenomatous polyp. Colonoscopy controls were performed periodically in the cases, and recurrent polyps were detected in 52% and adenocarcinoma development in 2 patients.Conclusion:The colon polyps were observed in our study were more frequently in the 5th and 6th decades, and more frequently in men, as single or multiple neoplastic formations. It is most commonly located in the left colon and were found to be malign at a rate of 9%. Detection of cancer precursor polyps and their removal by polypectomy show the importance of colon cancer screening programs and colonoscopy. http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/tm-zellikleri-ile-kolon-polipleri-dou-akdenizde-nc/47288 colon polypsadenomatous polypscolonoscopy |
| spellingShingle | Mustafa Zanyar Akkuzu Orhan Sezgin Enver Üçbilek Serkan Yaraş Osman Özdoğan Fehmi Ateş Ferzan Aydın Hatice Rızaoğlu Balcı Engin Altıntaş Tüm Özellikleri ile Kolon Polipleri: Doğu Akdeniz’de Üçüncü Basamak Merkez Deneyimi İstanbul Medical Journal colon polyps adenomatous polyps colonoscopy |
| title | Tüm Özellikleri ile Kolon Polipleri: Doğu Akdeniz’de Üçüncü Basamak Merkez Deneyimi |
| title_full | Tüm Özellikleri ile Kolon Polipleri: Doğu Akdeniz’de Üçüncü Basamak Merkez Deneyimi |
| title_fullStr | Tüm Özellikleri ile Kolon Polipleri: Doğu Akdeniz’de Üçüncü Basamak Merkez Deneyimi |
| title_full_unstemmed | Tüm Özellikleri ile Kolon Polipleri: Doğu Akdeniz’de Üçüncü Basamak Merkez Deneyimi |
| title_short | Tüm Özellikleri ile Kolon Polipleri: Doğu Akdeniz’de Üçüncü Basamak Merkez Deneyimi |
| title_sort | tum ozellikleri ile kolon polipleri dogu akdeniz de ucuncu basamak merkez deneyimi |
| topic | colon polyps adenomatous polyps colonoscopy |
| url |
http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/tm-zellikleri-ile-kolon-polipleri-dou-akdenizde-nc/47288
|
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