Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region:  A 5-Year Evaluation

U�mak, Feyzullah; Tuncer, Elif Tu�ba; Ekin, Naz�m; B�y�kbayram, H�seyin; Kaya, Muhsin

ISSN 2536-4898
E-ISSN 2536-4901

Volume: 28 Issue: 4 (2018)

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Turkish Journal of Colorectal Disease has been indexed in Tubitak-Ulakbim

Frontiers in Intestinal and Colorectal Disease St Marks Academic Institute

Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation [Turk J Colorectal Dis ]

Turk J Colorectal Dis . 2016; 26(2): 21-26 | DOI: 10.4274/tjcd.09815

Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation

Feyzullah U�mak¹, Elif Tu�ba Tuncer¹, Naz�m Ekin², H�seyin B�y�kbayram³, Muhsin Kaya¹
¹Dicle University Faculty of Medicine, Department of Gastroenterology, Diyarbak�r, Turkey
²Gazi Ya�argil Training and Research Hospital, Clinic of Gastroenterology, Diyarbak�r, Turkey
³Dicle University Faculty of Medicine, Department of Pathology, Diyarbak�r, Turkey

Aim: Polyps are one of the most common pathologic indications observed in the lower gastrointestinal system. Colonoscopic polypectomy ensures both the treatment of such lesions and identification of their histopathologic features. The purpose of this study was to evaluate the results of polypectomies performed in our clinic.
Method: Colonoscopy reports produced and archived in the Endoscopy Unit of the Faculty of Medicine of Dicle University between January 2010 and December 2014 were retrospectively examined. Demographic, colonoscopic and histopathologic data of 470 patients who underwent polypectomy were recorded.
Results: In five years (between January 2010 and December 2014) a total of 3514 patients underwent colonoscopy and 470 of them were found to have at least one polyp (13.3%). The patients� mean age was 56.9�16.0 years (15-100, range) and 270 of them (61.7%) were male. A total of 980 polypectomies (polyp numbers; median=2, minimum-maximum=1-15) were performed for polyps varying between 2-40 mm in size (mean 6.24�5.0 mm). 31.3% of the patients had polyps in multiple locations, however the most frequent location of the polyps was the rectum (44.9%). The polyps were grouped according to their histopathologic features: adenomatous (53.6%), hyperplastic (31.7%), cancerous (6.6%), dysplastic (5.1%) and others (3%). The histopathologic malignancy risk was found to correlate with having polyps larger than 20 mm in diameter, having pedunculated polyps and having polyps in multiple locations (p<0.001, p<0.001, and p=0.011, respectively). In addition, a correlation was found between the histopathologic dysplasia risk and polyps located on the right side of the colon (p=0.033).
Conclusion: Polyp was observed for significant portion of our patient who underwent colonoscopy. The most common of these polyps were the adenomatous type which has the potential of malignancy.

Keywords: Colonoscopy, polypectomy, dysplasia, colon cancer

G�neydo�u Anadolu B�lgesinde Kolon Poliplerinin S�kl�� ve �zellikleri: Be� Y�ll�k De�erlendirme

Feyzullah U�mak¹, Elif Tu�ba Tuncer¹, Naz�m Ekin², H�seyin B�y�kbayram³, Muhsin Kaya¹
¹Dicle �niversitesi T�p Fak�ltesi, Gastroenteroloji Bilim Dal�, Diyarbak�r
²Gazi Ya�argil E�itim Ve Ara�t�rma Hastanesi, Gastroenteroloji Klini�i, Diyarbak�r
³Dicle �niversitesi T�p Fak�ltesi, Patoloji Anabilim Dal�, Diyarbak�r

Ama�: Alt gastrointestinal sistemin en s�k saptanan patolojilerinden biri poliplerdir. Kolonoskopik polipektomi, bu lezyonlar�n tedavisinin yan�s�ra histolopatolojik �zelliklerinin ortaya konmas�na da imkan sunmaktad�r. Bu �al��man�n amac� klini�imizde uygulanan polipektomi sonu�lar�n� de�erlendirmektir.
Y�ntem: Dicle �niversitesi T�p Fak�ltesi Endoskopi �nitesi�nin ar�ivi taranarak; Ocak 2010 ile Aral�k 2014 tarihleri aras�nda kolonoskopi raporlar� retrospektif olarak incelendi. Kolonoskopik polipektomi yap�lm�� olan 470 hastan�n demografik, kolonoskopik ve histopatolojik verileri kaydedildi.
Bulgular: Be� y�ll�k s�re i�erisinde (Ocak 2010 ile Aral�k 2014 aras�nda) toplam 3514 hastaya kolonoskopi yap�lm�� ve 470 hastada polip veya polipler saptanm��t�r (%13,3). Hastalar�n ya� ortalamas� 56,9�16,0 y�l (15-100) ve 270�i (%61,7) erkekti. Polip boyutlar� 2-40 mm aras�nda (ortalama 6,24�5,0 mm) olan 980 polipektomi (polip say�s�; ortanca=2, minimum-maksimum=1-15) i�lemi yap�lm��t�. Hastalar�n %31,3��nde birden fazla lokalizasyonda polip saptand� ve en s�k yerle�im yeri rektumdu (%44,9). Histopatolojik olarak polipler adenomat�z (%53,6), hiperplastik (%31,7), kanser (%6,6), displazik (%5,1) ve di�er patolojiler (%3) olarak tan�mlanm��t�. Histopatolojik olarak malignite riski ile 20 mm�den b�y�k �apl� polip, sapl� polip ve birden fazla lokalizasyonda polip bulunmas� aras�nda korelasyon saptand� (s�ras�yla p<0,001, p<0,001 ve p=0,011). Histopatolojik olarak displazi riski ile poliplerin sa� kolon yerle�imi aras�nda da korelasyon saptand� (p=0,033).
Sonu�: Kolonoskopi yap�lan hastalar�m�z�n �nemli bir k�sm�nda polip saptanm��t�r. Bu polipler aras�nda en s�k rastlanan grup malignite potansiyeline sahip olan adenomat�z poliplerdir.

Anahtar Kelimeler: Kolonoskopi, polipektomi, displazi, kolon kanser

Feyzullah U�mak, Elif Tu�ba Tuncer, Naz�m Ekin, H�seyin B�y�kbayram, Muhsin Kaya. Incidence and Characteristics of Colon Polyps in Southeast Anatolian Region: A 5-Year Evaluation. Turk J Colorectal Dis . 2016; 26(2): 21-26

Corresponding Author: Feyzullah U�mak, T�rkiye

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