Üçüncü basamak hastane endoskopi ünitesinde kolonoskopik polipektomi deneyimimiz

Yıl 2022, Cilt: 6 Sayı: 3, 231 - 235, 30.12.2022

Recayi Capoglu , Emre Gönüllü , Zulfu Bayhan , Bahaeddin Umur Aka , Emre Sabuncu , Merve Yiğit , Adem Senturk

https://doi.org/10.34084/bshr.1205030

Öz

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.

Anahtar Kelimeler

Kolonoskopi, Kolorektal polip, Malignite

Our colonoscopic polypectomy experience in the tertiary hospital endoscopy unit

Öz

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.

Anahtar Kelimeler

Colonoscopy, Colorectal polyp, Malignancy

Kaynakça

• 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.