Yanık Serdar, Akkoca Ayşe Neslin, Özdemir Zeynep Tuba, Sözütek Didem, Yılmaz Edip Erdal, Sayar Süleyman
Department of Patology, İskenderun State Hospital Hatay, Turkey.
Department of Family Medicine, İskenderun State Hospital Hatay.
Int J Clin Exp Med. 2014 Dec 15;7(12):5820-5. eCollection 2014.
The endoscopic examination is widely used and also the the gold standard in lower gastrointestinal system (LGIS) in the diagnosis and treatment of mucosal pathology. Colon and rectum often hosts premalignant lesions and relatively easily accessible organs. Therefore, colorectal cancer (CRC) is a early detectable disease. And to prevent the development of CRC and to capture at early stage the screening tests such as screening endoscopy are used. In our study was aimed to evaluate the biopsy results of the lower gastrointestinal endoscopy.
The lower gastrointestinal endoscopy (LGE) biopsy results of 135 cases and demographic characteristics of the patients were evaluated retrospectively who admitted to Department of Pathology between January 2013-November 2013.
135 patients enrolled in the study, 89 (65.92%) of male and 46 (34.07%) were female. The age of patients were between 15 and 82 with a mean age of 53.00 ± 14.6. 85 of 135 cases (62.96%) were colitis, 3 (2.22%) were hyperplastic polyps, 22 (16.30%) were tubular adenoma, 15 (11.11%) of them tubulovillous adenoma, 1 (0%, 74) of submucosal lipoma, 9 (6.67%) patients were diagnosed with cancer. All of the cancer cases were in adenocarcinoma histology, one of developing from villous adenoma, one of them from tübülovillous adenoma. Cases of adenomas were included to only cancer groups because there is no duplication of data.
Colonoscopy in the detection of both benign and malignant LGIS pathologies is the gold standard method. The upper and lower gastrointestinal endoscopy(LGE) must be remembered as a reliable method in the population, with a low complication rate and high diagnosis rate and when there is clinical necessity gastrointestinal endoscopy should not be avoided as planned.
内镜检查在诊断和治疗下消化道系统（LGIS）黏膜病变方面应用广泛且是金标准。结肠和直肠常存在癌前病变且是相对易于检查的器官。因此，结直肠癌（CRC）是一种可早期检测出的疾病。为预防CRC的发生并在早期发现，采用了诸如筛查性内镜检查等筛查手段。本研究旨在评估下消化道内镜检查的活检结果。
回顾性评估了2013年1月至2013年11月间收治于病理科的135例患者的下消化道内镜检查（LGE）活检结果及患者的人口统计学特征。
135例患者纳入本研究，男性89例（65.92%），女性46例（34.07%）。患者年龄在15至82岁之间，平均年龄为53.00±14.6岁。135例中有85例（62.96%）为结肠炎，3例（2.22%）为增生性息肉，22例（16.30%）为管状腺瘤，其中15例（11.11%）为绒毛管状腺瘤，1例（0.74%）为黏膜下脂肪瘤，9例（6.67%）患者被诊断为癌症。所有癌症病例均为腺癌组织学类型，其中1例由绒毛状腺瘤发展而来，1例由绒毛管状腺瘤发展而来。腺瘤病例仅纳入癌症组，因为无数据重复情况。
结肠镜检查在检测LGIS的良性和恶性病变方面是金标准方法。上下消化道内镜检查（LGE）在人群中必须被视为一种可靠的方法，其并发症发生率低、诊断率高，并且当有临床必要时，不应按计划避免进行胃肠内镜检查。
