Sabahattin Destek, MD1, Vahit Onur Gul, MD2, Serkan Ahioglu, MD3. 1Bezmialem Foundation University School of Medicine Dragos Hospital General Surgery Department, 2Edremit State Hospital General Surgery, 3Edremit State Hospital
BACKGROUND: Colorectal polyps (CRP) are developing from colon mucosa and the most common benign tumors. CRP are seen in 1-12% of the adult population. They can be adenomatous, hyperplastic, inflammatory, hamartamatous and pseudopolyp. The majority are of adenomatous polyps.There may be different diseases in the gastrointestinal tract together with lower CRP. We have discussed in this presentation lower gastrointestinal disease that is associated with colorectal polyps.
METHODS: Patients with CRP were retrospectively reviewed from Surgical Endoscopy Unit report in between 2011 – 2014.
RESULTS: CRP were detected in 71 of 305 patients (23.2%) in their lower gastrointestinal endoscopy. The majority were male (%61). The mean age was 54.5 years (age range 26-82). Polyps were found in rectum of 21 patients, in sigmoid colon of 21, in left colon of 23, in transverse colon of 19, in right colon of 9 and in 4 of caecum. 56% of all polyps were adenomatous, 43% were hyperplastic and 1% was inflammatory polyps. Polypectomy was performed to the patients. It’s detected that 76% of these patients have hemorrhoidal disease, 20% have colonic diverticular disease, 4% have colon cancer, 3% have chronic anal fissures and 4% have other diseases (anal fistula, ulcerative colitis, eosinophilic colitis).
CONCLUSION: As seen in our study, patients with CRP most often have hemorrhoidal disease and colonic diverticular disease. In these patients some tests such as fecal occult blood test could be misleading. In such patients to make the correct diagnosis lower gastrointestinal endoscopy should be planned more stably.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80911
Program Number: P243
Presentation Session: Poster (Non CME)
Presentation Type: Poster