Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı
Yıl: 2020 Cilt: 6 Sayı: 1 Sayfa Aralığı: 112 - 118 Metin Dili: Türkçe DOI: 10.17954/amj.2019.2298 İndeks Tarihi: 14-10-2020
Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı
Öz: Amaç: Akromegali hastalarında kolon polipi prevelansı artmıştır. Kolon poliplerinin malignpotansiyele sahip olabilmeleri ve saptanan poliplerin eksizyonunun kolon kanseri insidansını azaltmasınedeni ile akromegali hastalarında kolonoskopi taramalarının hasta izleminin bir parçası olmasıönerilmektedir. Çalışmada akromegali hastalarında kolon patolojilerini ve kolon polipi sıklığını veilişkili oldukları faktörleri araştırmayı amaçladık.Gereç ve Yöntemler: Total kolonoskopileri yapılmış 70 akromegali hastasının kayıtları retrospektifolarak incelendi. Kolonoskopi raporları incelenerek saptanan divertikül ve polip gibi patolojikbulgular, poliplerin yerleşim yerleri ve patoloji sonuçları incelendi. Kolon polipi olan ve olmayanhastaların verileri karşılaştırıldı.Bulgular: Hastaların medyan yaşları 49 (38-70) yıldı ve 42’si (%60) kadındı. Hastaların %62,8’inde(n=44) kolonoskopi sonuçları normal olarak raporlanmıştı. Hastaların %21,4’ünde (n=15) toplam20 adet polip, %10’unda (n=7) divertikül saptandı. Polipler en sık transvers kolonda (%35, n=7)) veikinci sıklıkta rektumda (%25, n=5) lokalizeydi. Saptanan poliplerin %50’si (n=10) hiperplastik polip,%45’i (n=9) adenomatöz polip ve %5’i (n=1) lipom idi. İki kez kolonoskopi yapılan hastaların (n=32)%18,5’inde (n=6) ikinci kolonoskopilerinde polip saptanmıştır.Sonuç: Çalışmamız akromegali hastalarında yeni kolon polipi saptama ihtimalinin az olmadığını veilk kolonoskopi sonrası aktif kolonoskopi takiplerinin devamının uygun olduğunu göstermiştir.
Anahtar Kelime: Colonoscopy Findings and Colon Polyp Frequency in Patients with Acromegaly
Öz: Objective: The prevalence of colon polyps is increased in acromegaly patients. Colon polyps may have malignant potential and excision reduces the colon cancer incidence. Screening with colonoscopy should therefore be included in the follow-up in acromegaly. In this study, we investigated colon pathologies, the frequency of colon polyps and related factors in acromegaly patients. Material and Methods: The retrospective records of 70 acromegaly patients who underwent colonoscopy were reviewed. Colonoscopy reports were examined and findings such as diverticulosis and polyps, polyp location and pathology results were evaluated. The data of the patients with and without colon polyps were compared. Results: The median age of the patients was 49 (38-70) years and 42 (60%) were female. Colonoscopy results were normal in 62.8% (n=44). A total of 20 polyps were detected in 21.4% (n=15) and diverticulosis was found in 10% (n=7). Polyps were most commonly localized in the transverse colon (35%, n = 7) and secondly in the rectum (25%, n=5). Of these polyps, 50% (n=10) were hyperplastic, 45% (n=9) were adenomatous and 5% (n=1) were lipomas. Polyps were detected during the second colonoscopy (n=32) in 18.5% (n=6) of the patients. Conclusion: Our study showed that the probability of detecting new colon polyps in acromegaly patients is not low and that repeated colonoscopic follow-up is appropriate
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | YILMAZ N, Tazegul G, SARI R, altunbas h, BALCI M (2020). Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı. , 112 - 118. 10.17954/amj.2019.2298 |
| Chicago | YILMAZ NUSRET,Tazegul Gokhan,SARI RAMAZAN,altunbas hasan,BALCI Mustafa Kemal Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı. (2020): 112 - 118. 10.17954/amj.2019.2298 |
| MLA | YILMAZ NUSRET,Tazegul Gokhan,SARI RAMAZAN,altunbas hasan,BALCI Mustafa Kemal Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı. , 2020, ss.112 - 118. 10.17954/amj.2019.2298 |
| AMA | YILMAZ N,Tazegul G,SARI R,altunbas h,BALCI M Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı. . 2020; 112 - 118. 10.17954/amj.2019.2298 |
| Vancouver | YILMAZ N,Tazegul G,SARI R,altunbas h,BALCI M Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı. . 2020; 112 - 118. 10.17954/amj.2019.2298 |
| IEEE | YILMAZ N,Tazegul G,SARI R,altunbas h,BALCI M "Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı." , ss.112 - 118, 2020. 10.17954/amj.2019.2298 |
| ISNAD | YILMAZ, NUSRET vd. "Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı". (2020), 112-118. https://doi.org/10.17954/amj.2019.2298 |
| APA | YILMAZ N, Tazegul G, SARI R, altunbas h, BALCI M (2020). Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı. Akdeniz Tıp Dergisi, 6(1), 112 - 118. 10.17954/amj.2019.2298 |
| Chicago | YILMAZ NUSRET,Tazegul Gokhan,SARI RAMAZAN,altunbas hasan,BALCI Mustafa Kemal Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı. Akdeniz Tıp Dergisi 6, no.1 (2020): 112 - 118. 10.17954/amj.2019.2298 |
| MLA | YILMAZ NUSRET,Tazegul Gokhan,SARI RAMAZAN,altunbas hasan,BALCI Mustafa Kemal Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı. Akdeniz Tıp Dergisi, vol.6, no.1, 2020, ss.112 - 118. 10.17954/amj.2019.2298 |
| AMA | YILMAZ N,Tazegul G,SARI R,altunbas h,BALCI M Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı. Akdeniz Tıp Dergisi. 2020; 6(1): 112 - 118. 10.17954/amj.2019.2298 |
| Vancouver | YILMAZ N,Tazegul G,SARI R,altunbas h,BALCI M Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı. Akdeniz Tıp Dergisi. 2020; 6(1): 112 - 118. 10.17954/amj.2019.2298 |
| IEEE | YILMAZ N,Tazegul G,SARI R,altunbas h,BALCI M "Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı." Akdeniz Tıp Dergisi, 6, ss.112 - 118, 2020. 10.17954/amj.2019.2298 |
| ISNAD | YILMAZ, NUSRET vd. "Akromegali Hastalarında Kolonoskopi Bulguları ve Kolon Polipi Sıklığı". Akdeniz Tıp Dergisi 6/1 (2020), 112-118. https://doi.org/10.17954/amj.2019.2298 |
