Diminutive Polyposis Coli: Should All Polyps be Removed during a Colonoscopy?
[ X ]
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Introduction: Colorectal cancer (CRC) is the second mostcommon cause of cancer-related death. Most CRCs arise fromcolorectal polyps or adenomas. Colonoscopy with polypectomyoffers a real-time management of benign adenomas, whichbreaks the adenoma-carcinoma sequence. In this study, thefollowing question is discussed: should each polyp be excisedin patients with more than three diminutive polyps?Methods: The study was conducted in Yedikule Surp PırgiçErmeni Hospital between January 2012 and October 2020. Themedical records of 2,222 patients who underwent colonoscopywere retrospectively examined. The patients were dividedinto two groups. The first group included patients with threeor fewer polyps, whereas the second group included patientswith four or more polyps. In the first group, all polyps wereexcised regardless of the polyp’s diameter. In the secondgroup, all polyps larger than 5 mm in diameter were excised.A maximum of three polyps were excised in patients who hadmore than three diminutive polyps. Student’s t-test, chi-squaretest, and Fisher’s exact test were used for the statistical analysis.All statistical analyses were performed using SPSS version 18.0(SPSS Inc., USA). P<0.05 was considered statistically significant.Results: The total number of performed colonoscopies was2,222. Colorectal polyps were detected in 501 (22.5%) patients.The number of total polypectomies was 728. Five hundredeighty-nine (81.0%) polyps had a diameter of 1 cm or less.Diminutive polyps were detected in 352 (48.4%) patients. Themost common histopathological diagnosis in patients withdiminutive polyps was tubular adenoma with mild dysplasia(60.8%) and inflammatory polyp (31.0%).Conclusion: It is concluded that excising all polypsencountered during colonoscopy is appropriate, whether theyare diminutive or not. Further studies with a larger case seriesare needed in this area.
Açıklama
Anahtar Kelimeler
Patoloji, Gastroenteroloji ve Hepatoloji
Kaynak
İstanbul Medical Journal
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
3
