Colorectal polyps Clinical, Endoscopic, and Histopathological features
Kerbala Journal of Medicine,
Volume 1, Issue 0, Pages 17-26
AbstractBackground:There are few descriptive studies of colorectal polyps in Iraq
Design: A retrospective study
Setting: Gastroenterology and Hepatology teaching hospital -Baghdad -Iraq
Patients and methods: During the study period (1st of August -2003 to 31 of December -
2004)1905 total colonoscopy and sigmoidoscopy procedure were carried. Total colonoscopy
were carried for 1467(male 867, female 600).135(9.2 %) patients had colorectal polyps .96
patients were included when they fulfilled the including criteria of the study.
Results: One hundred-sixty colorectal polyps (CRP) were identified in 96 patients examined.
Polyps were single in 60(62.5%) and multiple in 36(37.5%) of patients. Polyp were labeled as
sessile in 95 of 160(59%) or pedunculated in 65 of 160 (40.6%), 61.3% were small size
(<1cm), 32.5% were medium size (1-2cm) and 6.3 % were of large size (>2cm). The most
common sites for CRP were rectum and sigmoid .Adenomatous polyp was found to be the most
frequent type of CRP identified in Iraqi patients and tubulovillous adenoma was the most
common adenoma (62.4%). 72.7% of patients who have tubular adenoma have mild dysplasia,
60.7% of patients who have tubulovillous adenoma have moderate-sever dysplasia.Retention
polyps were identified in 19 patients (mean age 12.3 years) fifty Percent were 1-2cm in size.
hyperplastic polyps were identified in 18 patients(Mean age 44.3 years) .
1. Tubulovillous adenoma with moderate-severe dysplasia are common in Iraqi patients
referred to this hospital , with high risk of malignant changes seen in this type of colorectal
polyps ,screening programs should be developed in Iraq
2. Most of colorectal polyps were small size so Barium enema can not be recommended as a
3. Most patients who have tubulovillous adenoma have moderate-sever dysplasia so this
patients need proper follow up .
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