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胃镜检查时偶然发现的胃息肉及随访结果

Gastric Polyps Detected Incidentally during Gastroscopy and Follow-Up Results.

作者信息

Gul Mehmet Onur, Oguz Aslayan Selda, Corbaci Kadir, Selman Aytac, Akcay Emre Berat, Unal Ozdemir Zehra, Ozdemir Hakan, Akyuz Cebrail

机构信息

Surgical Oncology Clinic, Malatya Training and Research Hospital, Malatya 44330, Turkey.

General Surgery Department, Üsküdar State Hospital, Istanbul 34662, Turkey.

出版信息

J Clin Med. 2024 May 26;13(11):3117. doi: 10.3390/jcm13113117.

Abstract

(1) We aimed to identify the possible relationship between various diseases of the upper digestive system and colon polyps by analyzing patients with gastric polyps and evaluating the cancers and diseases accompanying the polyps. (2) Each patient's age; gender; polyp type and size; presence of (), atrophic gastritis, and intestinal metaplasia; status of whether cancer developed during follow-up; status of whether a colonoscopy was performed or not; and colon pathologies detected during colonoscopy were analyzed retrospectively using hospital records. (3) Between the study dates, 19,214 esophagogastroduodenoscopies were performed in the endoscopy unit of our hospital. Gastric polyps were detected in 178 (0.9%) patients. No significant relationship was found between the gastric polyp size and the occurrence of gastric cancer or gastrointestinal system malignancy ( > 0.05). A colonoscopy was performed in 86 of the 178 patients who underwent gastroscopy. The frequency of polyp detection during colonoscopy was statistically significantly higher in patients with gastric polyps than in patients without gastric polyps ( < 0.001). (4) New prospective studies are needed regarding the relationship between gastric polyps and gastrointestinal system diseases. Going forward, a colonoscopy will be required in gastric polyp patients, especially with FGP.

摘要

(1) 我们旨在通过分析胃息肉患者并评估息肉伴发的癌症和疾病,来确定上消化系统的各种疾病与结肠息肉之间可能存在的关系。(2) 使用医院记录对每位患者的年龄、性别、息肉类型和大小、()、萎缩性胃炎和肠化生的存在情况、随访期间是否发生癌症的情况、是否进行结肠镜检查的情况以及结肠镜检查期间检测到的结肠病变进行回顾性分析。(3) 在研究期间,我院内镜科共进行了19214例食管胃十二指肠镜检查。178例(0.9%)患者检测出胃息肉。未发现胃息肉大小与胃癌或胃肠道系统恶性肿瘤的发生之间存在显著关系(>0.05)。在接受胃镜检查的178例患者中,86例进行了结肠镜检查。胃息肉患者结肠镜检查期间息肉检测频率在统计学上显著高于无胃息肉患者(<0.001)。(4) 需要开展关于胃息肉与胃肠道系统疾病之间关系的新的前瞻性研究。未来,胃息肉患者,尤其是伴有FGP的患者,将需要进行结肠镜检查。

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