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Sakarya Medical Journal Pub Date : 2022-09-20 DOI:10.31832/smj.1147186

Himmet Durgut, Yusuf Yavuz

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引用次数: 0

摘要

目的:本研究的主要目的是通过将息肉的类型、大小、数量和组织病理学评估结果与文献资料进行比较，对内镜临床诊断为胃息肉的息肉切除术患者的资料进行评价。方法:回顾性分析2014-2019年XX和XX医院9654例经上消化道内镜检查并行息肉切除术的264例患者的组织病理学和人口学资料。结果:我们的患者中男性140例，女性124例。女性的平均年龄为55.8岁，男性为54.4岁。结果:增生性息肉185例(70.1%)，基底腺息肉15例(5.7%)，腺瘤性息肉8例(3.0%)，炎性息肉16例(6.1%)，小窝增生18例(6.8%)，淋巴样增生19例(7.2%)，类癌1例(0.4%)，腺癌1例(0.4%)，平滑肌瘤1例(0.4%)。按位置分，胃窦142例(53.8%)，体73例(27.7%)，眼底28例(10.6%)，贲门20例(7.6%)，幽门1例(0.4%)。75.4%的患者未发现癌前病变。化生53例(20.1%)，萎缩6例(2.3%)，低级别发育不良5例(1.9%)，高级别发育不良1例。结论:胃息肉是一种偶然发现的息肉，多见于胃窦和腕部。增殖性息肉是最常见的息肉类型，其与幽门螺杆菌的关系已得到证实。我们的研究结果与文献中的发现相对应的相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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MİDE POLİPLERİ; 264 ÜST GASTROİNTESTİNAL SİSTEM ENDOSKOPİSİNİN RETROSPEKTİF ANALİZİ

Objective: The main objective of our study was to evaluate the data of our patients who underwent polypectomy with the diagnosis of gastric polyp in our endoscopy clinic by comparing type, size, number and histopathological evaluation results of the polyps with the literature data. Methodology: In our study, the histopathological and demographic data of 264 cases who were detected among 9654 upper gastrointestinal endoscopies and underwent polypectomy performed in XX and XX Hospitals in between the years 2014-2019 were retrospectively analyzed. Findings: Among our patients 140 were male and 124 were female. The mean age was 55.8 in females and 54.4 in males. The results were reported as hyperplastic polyp in 185 cases (70.1%), fundic gland polyps in 15 cases (5.7%), adenomatous polyps in 8 cases (3.0%), inflammatory polyps in 16 cases (6.1%), foveolar hyperplasia in 18 cases (6.8%), lymphoid hyperplasia in 19 cases (7.2%), carcinoid tumor in 1 case (0.4%), adenocalcinoma in 1 case (0.4%) and leiomyoma in 1 case (0.4%). According to their location, 142 (53.8%) were in the antrum, 73 (27.7%) were in the corpus, 28 (10.6%) were in the fundus, 20 (7.6%) were in the cardia, and 1 (0.4%) were in the pylorus. No precancerous lesions were detected in 75.4% of our patients. Metaplasia in 53 (20.1%) cases, atrophy in 6 (2.3%) cases, low-grade dysplasia in 5 (1.9%) cases, and high-grade dysplasia in 1 case were detected. Conclusion: Stomach polyps are usually incidentally detected polyps which are most commonly seen in the antrum and carpus. Hyperplastic polyps are the most common type of polyp and their relationship with helicobacter pylori has been proven. The results of our study were correspondingly similar to the findings in literature.

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Sakarya Medical Journal

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