Bafandeh Yousef, Yazdanpanah Fereshteh
Division of Gastroenterology, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Gastroenterol Hepatol Bed Bench. 2017 Spring;10(2):90-96.
We conducted a cross-sectional study to estimate the prevalence of CRD in our area in East Azerbaijan, Iran.
Colorectal diseases (CRD) include a broad spectrum that varies from benign lesions to malignant and cancerous masses. CRD can be investigated by colonoscopy. Some of these diseases are highly preventable with timely screening and appropriate planning by the healthcare system.
This is a hospital-based, cross-sectional study by the Gastroenterology Department on patients who underwent colonoscopy between June 2013 and March 2015 in outpatient clinics at private Shahriyar medical center and Imam Reza University Hospital in Tabriz, East Azerbaijan province, Iran. Chi-square analysis and bivariate Pearson correlation coefficient were applied in this study using SPSS 20.
During the study period, we recruited 2300 patients (1230 men, 1070 women) with the mean and median (Standard Deviation=SD) age at presentation of 47.10 (0.338) and 47 (16.195) years. The duration of patients' symptoms ranged from 1 to 480 months, with mean and median (SD) values of 26.99 (0.902) and 12 (40.76) months, respectively. Despite at least 20 types of pathologies seen on colonoscopy, normal cases constituted the majority (32.7%).The most serious diseases in the study were IBD (10.9%), polyps (14.4%) and cancers (4.9%). Colonoscopic findings had a significant correlation with patients' age and gender; also, we detected a significant correlation between patients' chief complaint and colonoscopic findings as well as colonoscopic pathology samples.
Despite the ongoing westernization of lifestyle in our country, the distribution of colorectal diseases in Iran is different from Western population. It is important to recognize the prevalence of these diseases in our area to determine exposure factors for management and planning correctly in health system policies.
我们开展了一项横断面研究，以估算伊朗东阿塞拜疆地区结直肠疾病（CRD）的患病率。
结直肠疾病（CRD）涵盖范围广泛，从良性病变到恶性和癌性肿块不等。CRD可通过结肠镜检查进行排查。其中一些疾病通过医疗系统及时筛查和合理规划是高度可预防的。
这是一项由胃肠病学系开展的基于医院的横断面研究，研究对象为2013年6月至2015年3月期间在伊朗东阿塞拜疆省大不里士的私立沙赫里亚尔医疗中心和伊玛目礼萨大学医院门诊接受结肠镜检查的患者。本研究使用SPSS 20进行卡方分析和双变量Pearson相关系数分析。
在研究期间，我们招募了2300名患者（1230名男性，1070名女性），就诊时的平均年龄和中位数（标准差=SD）年龄分别为47.10（0.338）岁和47（16.195）岁。患者症状持续时间为1至480个月，平均和中位数（SD）值分别为26.99（0.902）个月和12（40.76）个月。尽管结肠镜检查发现了至少20种病理类型，但正常病例占大多数（32.7%）。研究中最严重的疾病是炎症性肠病（IBD，10.9%）、息肉（14.4%）和癌症（4.9%）。结肠镜检查结果与患者年龄和性别显著相关；此外，我们还检测到患者的主要诉求与结肠镜检查结果以及结肠镜病理样本之间存在显著相关性。
尽管我国生活方式在持续西化，但伊朗结直肠疾病的分布与西方人群不同。了解我们地区这些疾病的患病率对于在卫生系统政策中正确确定管理和规划的暴露因素很重要。
