INTRODUCTION:
Polyp is a mucosa or submucosa originated tissue mass protrusion into the intestinal lumen. It is essential to excise all the polyps encountered during colonoscopy regardless of their dimensions because they are precancerous. In this study we aimed to evaluate the results after colonoscopic polypectomy in our surgical endoscopy unit.
METHODS:
There were 1750 colonoscopic interventions in our surgical endoscopy unit between 2013 and 2014. The results of 471 patients who had undergone colonoscopic polypectomy are evaluated retrospectively. The results were processed with SPSS® ver. 21.0 (Chicago IL.) p <0.05 was accepted to be statistically significant.
RESULTS:
In 471 cases of colonoscopic interventions, 931 polyps were detected and excised. There were 307 male (65%) and 166 female (35%) patients with the mean age of 61.3 (22-91). Histopathology results reveal that 455 (48.8%) tubular adenoma, 231 (24.8%) tubulovillous adenoma, 27 (2.9%) villous adenoma, 155 (16.6%) hyperplastic polyp, 26 (5.5%) invasive cancer and 6 (1.3%) cases of intramucosal carcinoma.
DISCUSSION AND CONCLUSION:
Our purpose in this study is to evaluate retrospectively the type, number and histopathology of the polyps, demographics of the patient, procedures and complications of the colonoscopies performed in our surgical endoscopy unit. In order to determine more precisely the prevalence and prognosis especially in cases where dysplastic polyps were detected, large-scale prospective studies are needed.
Keywords: Colonoscopy, Polypectomy, Polyp, Dysplasia, Neoplasm