Adenomatous colorectal polyps in patients referred for colonoscopy in a regional hospital in Kuwait.
Background/Aim: Adenomatous colorectal polyps (ACPs) are known to be the precursor lesions for colorectal cancer. The aim of the study was to determine the prevalence, endoscopic and pathological features of ACPs in patients referred for colonoscopy. Patients and Methods: The endoscopic and histolog...
| Publicado en: | Saudi Journal of Gastroenterology Vol. 16; no. 3; pp. 188 - 194 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
Jul2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105068184&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105068184 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13193767 322P jtl: Saudi Journal of Gastroenterology issn: 13193767 maglogo: N pubinfo: dt: Jul2010 vid: 16 iid: 3 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 105068184 2010731367 10.4103/1319-3767.65194 NLM20616414 105068184 ppf: 188 ppct: 6 formats: tig: atl: Adenomatous colorectal polyps in patients referred for colonoscopy in a regional hospital in Kuwait. aug: au: Al-Enezi SA Alsurayei SA Ismail AE Aly NYA Ismail WA Abou-Bakr AA affil: Department of Medicine, Ministry of Health, Kuwait sug: subj: Colon Colorectal Neoplasms Prevention and Control Polyps Polyps Pathology Rectum Adult Analysis of Variance Chi Square Test Colonoscopy Confidence Intervals Data Analysis Software Equipment and Supplies Female Fisher's Exact Test Human Kuwait Logistic Regression Male Middle Age Polyps Classification Retrospective Design T-Tests Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background/Aim: Adenomatous colorectal polyps (ACPs) are known to be the precursor lesions for colorectal cancer. The aim of the study was to determine the prevalence, endoscopic and pathological features of ACPs in patients referred for colonoscopy. Patients and Methods: The endoscopic and histological reports of adult patients who underwent complete colonoscopy in the gastroenterology unit of a regional Kuwaiti hospital between January 2008 and December 2008 were retrospectively studied. The specimens of polyps were reviewed by an experienced pathologist who was blinded to the clinical or endoscopic information. Non-neoplastic polyps were not included in the analysis. Results: Of 530 eligible patients (mean age, 45 years; male-female ratio, 2:1), 54 (10%) had 103 ACPs. Of the patients with ACPs (mean age, 57 years), 43 (80%) were males and 36 (67%) were Kuwaitis. Histopathological examination of the most significant polyp in each patient revealed that 40 (74%) polyps were tubular adenomas (TAs); 11 (20%), tubulovillous (TV) adenomas; and 3 (6%), villous adenomas. High-grade dysplasia was noticed in 4 (10%) adenomas. Fifteen (2.8%) of the 530 patients had advanced ACPs. Logistic regression analysis of some variables and their association with ACPs found that age (P<0.001; OR, 1.9; CI, 1.5-2.3), history of adenoma (P=0.001; OR, 6.4; CI, .2.1-19.4) and being Kuwaitis (P=0.029; OR, 2.1; CI, 1.1-4.1) to be independently associated with ACPs. Conclusion: The most common histological type of ACPs was tubular adenoma. Advancing age, being Kuwaiti nationals and prior removal of ACPs were significantly associated with the occurrence of ACPs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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