Gastric Polyps: 3rd Stage Gastroenterology Center Results in the Eastern Mediterranean

INTRODUCTION: To evaluate the demographic data and the characteristics of polyps in patients with gastric polyps in upper gastrointestinal endoscopy.
METHODS: Retrospectively,in 2014-2018,patients with gastroenterology in our department of gastroenterology and upper gis endoscopies were determined from the data recording system.The demographic features of the patients, the localization of polyps,their size,the way the polyp was taken and its complications,histopathological features and malignancy potentials were evaluated.
RESULTS: During this period, a total of 13905 patients had endoscopy.A total of 100 polyps were detected in the stomach of 70 patients included in the study.61% of the patients were women and the average age was 63.1±24.6 years.49% were male and mean age was 61.7±17.3 years.All polyps were removed either by biopsy forceps or polypectomy using cautery.Procedural complications did not develop.The average size of the polyps was 1.87±0.87 cm.Polyps were detected in the antrum in 41.4% patients, in the corpus in 40%,in the fundus in 10%,in the cardia in 5.7%,in pyloria in 2.9%.60% of the polyps are hyperplastic polyps,10% are adenomatous polyps,8.6% fundic gland polyp,7.1% neuroendocrine tumor,5.7% hamartamatous polyp,4.2% inflammatory fibroid polyp was.Low-grade dysplasia was present in 9.5% of hyperplastic polyps.Gastric adenocarcinoma developed in the follow-up of the patient, who was only in the form of tubulovillous adenoma-high-grade dysplasia.
DISCUSSION AND CONCLUSION: In our patients, the most common histology type of gastric polyp was hyperplastic polyps. Stomach polyps were more common in women and middle-advanced ages, most of the gastric epithelial polyps were less than 1 cm long, and were most often localized in the antrum and corpus.

Gastrik Polipler: Doðu Akdenizde 3. Basamak Gastroenteroloji Merkezi Sonuçlarý

GÝRÝÞ ve AMAÇ: Üst gastrointestinal sistem endoskopilerinde mide polibi saptadýðýmýz hastalarýn demografik verileri ve poliplerin özelliklerini deðerlendirmek.
YÖNTEM ve GEREÇLER: Geriye dönük olarak, 2014-2018 yýllarý arasýnda hastanemiz Gastroenteroloji bilim dalýnda, üst gis endoskopilerinde mide polibi saptadýðýmýz hastalar veri kayýt sisteminden tespit edildi. Hastalarýn demografik özellikleri, poliplerin lokalizasyonlarý, büyüklükleri, polibin alýnma þekli ve geliþmiþse komplikasyonlarý, histopatolojik özellikleri ve malignite potansiyelleri deðerlendirildi.
BULGULAR: Bu süre içerisinde toplam 13905 hastaya endoskopi yapýlmýþtý. Çalýþmaya alýnan 70 hastanýn midesinde toplam 100 polip saptanmýþtý. Hastalarýn %61’i kadýn olup yaþ ortalamasý 63,1±24,6 yýl idi. %49 erkek olup yaþ ortalamalarý 61,7±17,3 yýl idi. Polipler biyopsi forsepsiyle ya da koter kullanýlarak polipektomiyle çýkarýlmýþlardý. Ýþleme baðlý komplikasyon geliþmemiþti. Poliplerin ortalama büyüklüðü 1,87±0,87 cm idi. Polipler %41,4 hastada antrumda, % 40 hastada korpusta, % 10 hastada fundusta, %5,7 hastada kardiada, %2,9 hastada pilorda saptanmýþtý. Poliplerin %60’ý hiperplastik polip olup, %10’u adenomatöz polip, %8,6’sý fundik gland polibi, %7,1’i nöroendokrin tümör, %5,7’i hamartamatöz polip, %4,2’i inflamatuar fibroid polip idi. Hiperplastik poliplerin %9,5’unda düþük dereceli displazi mevcuttu. Hastalarýmýzdan sadece tübülovillöz adenom, yüksek dereceli displazi þeklinde olan hastanýn takibinde mide adenokanseri geliþmiþti.
TARTIÞMA ve SONUÇ: Hastalarýmýzda en sýk görülen gastrik polip tipi hiperplastik poliplerdi. Mide polipleri kadýnlarda ve orta ileri yaþlarda daha yaygýndý. Poliplerinin çoðu 1 cm'den küçük olup çoðunlukla antrum ve korpusta lokalize idi.