A Glimpse on the Colonic Polyps' Problem in Thi-Qar

Authors

  • Lamia Jarallah Yaseen

Abstract

A descriptive study was performed on 82 patients diagnosed as colonic polyps out of 1538 colonoscopy done at AL-Hussain Teaching Hospital between 2007-201. The incidence of colonic polyps is (5.3%). Among 82 studied patients ( 67 % ) were males and (33 %) were females. Average age was 42.5 years (range 4-81 years). Non-neoplatic polyps were more prevalent under age of 20 years while above 20 years most polyps were neoplastic. Bleeding per rectum (50 %) was the most frequent symptom followed by abdominal pain (25.6 %).Neoplastic polyps were (80.5 % ) out of the total while the non-neoplatic represent only (19.5 %.). Most non-neoplatic polyps had been encountered in the rectum while polyps in the sigmoid were mostly neoplastic. Among adenomatous polyps, tubular adenoma (71.2 %) were the most frequent type, villous adenoma (27.3%) while serrated adenoma is the least common type (1.5%).

Low grade dysplasia was found in (68.2% ) of adenomatous polyps while (28.8 %) and (3%) were of moderate and high grade dysplasia respectively.                                     

Conclusion

  1. The incidence of polyps is lower in our locality compare to other neighboring countries (Saudia Arabia and Turkiy) and others like USA
  2. Most neoplastic polyps in our locality were low risk polyps (tubular with low grade dysplasia)
  3. Our study is in consist with study of colorectal carcinoma in our province being the 6th one (not common).

Objective

To have an insight about the problem of colonic polyps in Thi-Qar.

Methods

A descriptive study on 82 patients diagnosed as colonic polyps out of (1538)colonoscopy done at  AL –Hussain Teaching Hospital between 2007-2011. Data on patients age, gender, clinical signs, symptoms and colonoscopic findings were collected from patients hospital records and pathology reports.

Results

 The incidence of colonic polyps is (5.3%). Eighty two patients had colonic polyps, among them 55 (67%) were male and 27(33%) were female. For those patients below 20 years non- neoplastic polyps were the most frequent while above 20 years most polyps were neoplastic. In neoplastic polyps; the male to female ratio was (68.2%), (31.8%) while in non- neoplastic polyps it was(62.5%) ,(37.5%)   

References

Macrae FA, Young JP. Neoplastic & non-neoplatic polyps of the colon & Rectum. In text book of gastroenterology ed Tadatak Yamada, Pub: Lippn Williams & Wilking,1999, pp:1965-1995.

Majid A. Almadi, Othman Alharbi, Nahla Azzam, Junaid Wadera, Nazia Sadaf, Abdulrahman M. Aljebreen Prevalence and Characteristics of Colonic Polyps and Adenomas in 2654 Colonoscopies in Saudi Arabia. Saudi J Gastroenterol. 2014 May-Jun; 20(3): 154–161.

Tevfik Solakoğlu, Roni Atalay, Hüseyin Kِseoğlu, Sevil zer Sarı, Aylin Demirezer Bolat, Ebru Akın,ykü Tayfur Yürekli, Eyüp Selvi, Şemnur Büyükaşık, Osman Ersoy. Analysis of 2222 colorectal polyps in 896 patients: A tertiary referreal hospital study. Turk J Gastroenterol 2014; 25: 175-9.

eMedicine - Colon, Polyps : Article Excerpt by: Justin D Pearlman, MD, ME, PhD, MA - Emedicine Clinical Knowledge Base.

Yood MU, Oliveria S, Boyer JG, Wells K, Stang P, Johnson CC. Colon polyp recurrence in a managed care population. Arch Intern Med 2003;163:422-6.

Abdulkader Albasri, Hala Yosef, Akbar Hussainy, Saud Bukhari, Ahmed Alhujaily. Profile of Colorectal Polyps: a Retrospective Study from King Fahad Hospital, Madinah, Saudi Arabia. APJCP.2014.15.6.2669.

Khodadoostan M, Fatemi R, Maserat E, Hooshang A, Alizade M, Molaie M, Mashaiekhy R, Moaddab Y, Poor SY, Hashemy A, Zali MR. Clinical and pathological characteristics of colorectal polyps in Iranian population. East Afr J Public Health. 2010 Jun;7(2):157-9.

Naruemon Wisedopas MD*,Duangpen Thirabanjasak MD*, Mana Taweevisit MD*. A Retrospective Study of Colonic Polyps in King Chulalongkorn Memorial Hospital. J Med Assoc Thai 2005; 88(Suppl 4): S36-41

Fatima A. Haggar, M.P.H. Robin P. Boushey, M.D., Ph.D. Colorectal Cancer Epidemiology: Incidence, Mortality, Survival, and Risk Factors. Clin Colon Rectal Surg. Nov 2009; 22(4): 191–197.

10. Fadhel S.Weheed Msc. Parm, Hameed N. Mussa F.I.C.M.S Path., Ali N. Assi C.A.B.S,Sadiq Jarallah Yaseen D.M, F.I.S.M.S Med, F.I.C.M.S G&H. cancer in Thi-Qar governorate: pattern and disterbution of cancer cases during 2005- 2009. Thi-Qar Medical Journal (TQMJ): Vol(5) No(3):2011(43-49).

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Published

2019-04-29

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