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Volume 16, Issue 1 (2024)
Iran J War Public Health 2024, 16(1): 1001-1014 |
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Received: 2024/04/7 | Accepted: 2024/04/30 | Published: 2024/01/10
Received: 2024/04/7 | Accepted: 2024/04/30 | Published: 2024/01/10
How to cite this article
Hussein Aljabiry A, Abdulkareem Abdullah M, Muhseen Almaliky J. Prevalence of Colorectal Polyps in Relation to Patients’ Age and Polyp Histopathology. Iran J War Public Health 2024; 16 (1) :1001-1014
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1- Karbala Gastroenterology and Hepatology center, Karbala, Iraq
2- Basrah college of Medicine, Basrah, Iraq , muntaderaltememy984@gmail.com
3- Baghdad Gastroenterology and Hepatology teaching hospital, Baghdad, Iraq
2- Basrah college of Medicine, Basrah, Iraq , muntaderaltememy984@gmail.com
3- Baghdad Gastroenterology and Hepatology teaching hospital, Baghdad, Iraq
Abstract (26 Views)
Background: Two-thirds of all colonic polyps are adenomas, which by definition are dysplastic and have potential for malignant transformation.
Objectives : To estimate the prevalence of colorectal polyp and to evaluate its relation with patients’ age and polyp histopathology.
Materials and materials: A cross sectional study conducted retrospectively using colonoscopic and histopathologic reporting database for patients attending Baghdad Gastroenterology and Hepatology Teaching Hospital for the period from January 2020-April 2022. All patients who have described evidence of polyp(s) in their reports were taken. A total of 3,893 colonoscopies were done. After exclusion of poorly prepared or failed colonoscopies for any reason , the number of patients eligible in this study was 3494.
Results: Polyp detection rate (PDR) was 16.3%,increasing with age reaching (46.7%) at age ≥ 60 years old. Adenoma detection rate (ADR) was 5.8% with highest (18.7%) at age ≥ 60 years old, with no difference between male and female. Retention and inflammatory polyps are the commonest finding in patients < 30 years old, while most patients with adenoma were >=30 years old. Younger patients tended to have more distally located lesions, compared with older patients who had lesions at different levels, high grade dysplastic adenoma had more pedunculated morphology (38.6%) and their size ≥ 1cm in 63% of patients.
Conclusion: Increasing age is associated with increase prevalence of colorectal polyp especially adenoma, with male predominance. Tubulovillous adenoma and adenoma with advance pathology are common finding. Size ≥1cm and morphology (pedunculated) polyps are associated with high-grade dysplasia.
Objectives : To estimate the prevalence of colorectal polyp and to evaluate its relation with patients’ age and polyp histopathology.
Materials and materials: A cross sectional study conducted retrospectively using colonoscopic and histopathologic reporting database for patients attending Baghdad Gastroenterology and Hepatology Teaching Hospital for the period from January 2020-April 2022. All patients who have described evidence of polyp(s) in their reports were taken. A total of 3,893 colonoscopies were done. After exclusion of poorly prepared or failed colonoscopies for any reason , the number of patients eligible in this study was 3494.
Results: Polyp detection rate (PDR) was 16.3%,increasing with age reaching (46.7%) at age ≥ 60 years old. Adenoma detection rate (ADR) was 5.8% with highest (18.7%) at age ≥ 60 years old, with no difference between male and female. Retention and inflammatory polyps are the commonest finding in patients < 30 years old, while most patients with adenoma were >=30 years old. Younger patients tended to have more distally located lesions, compared with older patients who had lesions at different levels, high grade dysplastic adenoma had more pedunculated morphology (38.6%) and their size ≥ 1cm in 63% of patients.
Conclusion: Increasing age is associated with increase prevalence of colorectal polyp especially adenoma, with male predominance. Tubulovillous adenoma and adenoma with advance pathology are common finding. Size ≥1cm and morphology (pedunculated) polyps are associated with high-grade dysplasia.
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