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Polypoid lesions in the upper gastrointestinal endoscopy who has colorectal polyps performed simultaneously

Sabahattin Destek, MD1, Vahit Onur Gul, MD2, Serkan Ahioglu, MD2. 1Bezmialem Foundation University Medical Faculty Hospital Dragos, 2Edremit State Hospital

Background: Colorectal polyps (CRP) are the most common pathology seen in colon. It is observed 15-20% in adults. It was detected 0.01% -0.45% esophageal polyps, 2% 6% gastric polyps, 0,3-0,6's%. nonampul duodenal polyps in esophagogastroduodenoscopy (EGD) applied patients. Research in patients with CRP shows that they could be together with the other destive siystem polyps. This presentation features of EGD polypoid lesions, in the patients with CRP.

Method: In a colonoscopy and upper gastrointestinal endoscopy were performed between May 2011- December 2014 CRP and patients with detected CRP and EGD were analysed retrospectively.

Results: Eusophajenal duedunal polypoid lesions were observed at 11 patients who had CRP. 9 patients were male and 2 were female. Their average age was 59 (range 37-82 years). CRP was found most at left column (50%), at least at the cecum (7%).

55% of the CRP was sessile. 73% polyps diameters were beetwen 0-5 mm. 64% of the CRP were hyperplastic polyps and 36% were adenomatous. 100% of adenomatous polyps in the colon showed dysplasia.

In CRP patients, one patient had polyps in the esophagus, seven had polyps in stomach, three had polyps in duodenum.

Five of the lesions found in EGD were hyperplastic polyps, three of them were reagent polyps one of them was fundic gland polyp, adenomatous polypin one, squamous cell polyp in one, gastrointestinal stromal tumor in one and polypoid MALT lymphoma in one. Average polyp diameter was 7.2 mm. 85% polyps were sessile. 36% of patients had HP, 54.6% of patients had alkaline reflux gastritis ,27% of patients had atrophic gastritis and 73% of patients had chronic gastritis . Patients were followed by making a variety of treatments .

Conclusion: In EGD most frequently found polyps types were hyperplastic . Often it is accompanied with chronic gastritis alkaline reflux gastritis and HP infection. Large-scale prospective studies will help to reach more definitive conclusions on this issue.


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

Abstract ID: 80909

Program Number: P267

Presentation Session: Poster (Non CME)

Presentation Type: Poster

87

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