scholarly journals Histopathology of Polyps and Its Clinical Correlation in Sample of Iraqi Patients Undergoing Colonoscopic Examination

2021 ◽  
Vol 13 (4) ◽  
pp. 106
Author(s):  
Khalid Abdulla Al-Khazraji ◽  
Mohammed Kamal Hashim ◽  
Mahmood Kamal Hashim ◽  
Wissam Khudhair Abbas ◽  
Mohammed Mousa Dhahir

BACKGROUND /AIMS: Colorectal cancer is the third most common cancer in 2018, the objective of our study was to describe the types and patterns of colorectal polyps in patients presenting to a tertiary care referral center in Baghdad. We also assessed the polyp detection rate (PDR) and adenoma detection rate (ADR). PATIENTS & METHODS: This is single-institution, descriptive cross-sectional study of consenting 103 patients who had colonoscopy done at the Endoscopy Unit of Baghdad teaching hospital, IRAQ from the 1st of June 2018 to 31st of March 2019 after taking verbal consent, The data collected included: Age, sex, Family history of colorectal malignancies and indication for the current colonoscopy. RESULTS: One thousand and thirty patients were included in the study with a mean age of 44 years (SD = 16), with 560 males representing 54.4% and 470 females representing 45.66%.The polyp detection rate in colonoscopies was 19.4% and the adenoma detection rate was 13.6%. Polyps were found and removed in 200 patients, 40% of the removed polyps were tubular adenomas, tubulovillous adenomas in 20%, villous adenomas in 10%, hyperplastic polyps in 5%. The majority of the polyps were in the distal colon in 80% of patients with polyps. CONCLUSIONS: The polyp detection rate was (19.4%) and adenoma detection rate was (13.6%). The majority of polyps were detected in distal colon.

2011 ◽  
Vol 73 (4) ◽  
pp. AB385-AB386
Author(s):  
Dongil Park ◽  
Young-Ho Kim ◽  
Suck-Ho Lee ◽  
Chang Kyun Lee ◽  
Chang Soo Eun ◽  
...  

2016 ◽  
Vol 83 (5) ◽  
pp. AB540
Author(s):  
Brent Murchie ◽  
Kanwarpreet Tandon ◽  
Shamiq Zackria ◽  
Steven Wexner ◽  
Colin O'Rourke ◽  
...  

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Rajain ◽  
A Adam ◽  
T Amarnath

Abstract Introduction Colorectal cancer is the 3rd most common cancer in the UK. The higher Adenoma Detection Rate during colonoscopy is associated with reduction in the mortality incidence of colorectal cancer. Endoscopists with less than 20% ADR is directly proportional to higher risk of the development of an interval Colorectal cancer. The aim of this study was to calculate the Adenoma Detection Rate and Polyp Detection Rate for each endoscopist to assess the performance of the unit as well as individuals. Method A retrospective analysis was conducted for patients who had colonoscopy in a period of 3 consecutive months at a primary care hospital in England. This study included collecting the data through patient’s histology reports and medical records. The primary outcome was total Adenoma Detection Rate and Polyp Detection Rate and its ratio for each endoscopist. Results 913 colonoscopies were done by 16 different endoscopists out of which 279 patients with polyps were considered for the study. It was observed that half of the total endoscopists were found to have ADR more than 20%. 4 endoscopists had ADR between 15-20% whereas below minimal rate (less than 15%) ADR was recorded by the other 4 endoscopists. Conclusions Lower ADRs are associated with higher rates of interval cancers. An improvement of the ADR of 1% prevents 3% people from colon cancer which can be achieved by maintaining the aspirational adenoma detection rate more than 20%.


2017 ◽  
pp. 36-46
Author(s):  
V. V. Veselov ◽  
A. M. Nechipai ◽  
E. A. Poltoryhina ◽  
A. V. Vasilchenko

Colonoscopy with a forward-viewing camera leaves regions that are not visualized in detail. Thus development of video-enoscopy systems with wide angle of view is needed. Full-spectrum colonoscopes providing image of Ultra HD 4K quality are now available in Russia. MATERIALS AND METHODS. Seventy patents were assessed with a full-spectrum colonoscope. In 51 (72,8°%) of them the procedure was performed also for physician's training purposes. Fifteen (21,4%) patients underwent simultaneous full-spectrum and forward-viewing colonoscopies, while in 4 (5,7%) full-spectrum endoscope was used to visualize lesions that were non-assessable with traditional equipment. RESULTS. Applying Jull-spectrum colonoscopy for diagnosis resulted in detecting 170 polyps in 51 patients (polyp detection rate was 47,1%). Simultaneous use of full-spectrum colonoscope after forward-viewing equipment led to 9 additional polyps detection in one patient and 23 additional polyps in another one. In 7 patents full-spectrum colonoscopy allowed detection of polyps that were not found via forward-viewing equipment. CONCLUSION. During full-spectrum colonoscopy inner colonic surface can be visualized with an angle of view of 330° which is twice more than video-capturing area ofa standard forward-viewing endoscope. The equipment allows to significantly increase adenoma detection rate.


Sign in / Sign up

Export Citation Format

Share Document