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Our Patients With Colorectal Polyp And Their Features. The importance of endoscopic screening.

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 lesions that developing from mucosa and growing through lumen. CRP are seen in 1-12% of adult population, 30% of after the 50 years. They can be pedunculated or sessile, neoplastic or non-neoplastic. Previous studies have shown that the CRP are adenomatous character of 40% to 70%. We have discussed in this presentation characteristics of CRP that detected in surgical endoscopy unit.

Material and Methods: Patients with CRP were retrospectively reviewed from Surgical Endoscopy Unit report in between 2011 – 2015.

Result: Polyps were detected in 71 of 305 patients (%23.2) in their lower gastrointestinal endoscopy. 43 patients were male and 28 were female. The mean age was 54.5 years. 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. The majority of polyps (72%) of sessile. 58% of patients have only one polyp. Diameters of 82% polyps were 0-5 mm and 56% of all polyps were adenomatous, 43% were hyperplastic and 1% was inflammatory polyps. The majority of adenomatous polyps (92%) was tubular type. 56% of adenomatous polyps had dysplasia. 57% of all dysplasia were mild dysplasia, 3% were moderate and 40% were severe. Polypectomy and hot biopsy was performed to the patients. Patients were followed up.

Conclusion: Screening programs with rectosigmoidoscopy and colonoscopy must be developed to detect cancer precursor polyps because of common in left colon as it appears that in our study.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 80917

Program Number: P186

Presentation Session: Poster (Non CME)

Presentation Type: Poster

37

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