Colonoscopy screening for colon polyps: Can it be useful at an earlier age for preventing malignant transformation?
[ X ]
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bayrakol Medical Publisher
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: The aim of this study was to investigate whether colonoscopy screening should be performed at an earlier age than specified in the current guidelines. Material and Methods: Data of 1882 patients who presented to the gastroenterology clinic of our hospital and underwent colonoscopy were retrospectively evaluated. Polyps detected during colonoscopy were excised and sent to the pathology laboratory for histopathological examination. Patients were divided into two groups as <45 years old and >= 45 years old, and the data were compared between the groups. Results: The most common indications for colonoscopy were abdominal pain in 40.6% of the patients, rectal bleeding in 18.6%, constipation in 14.2%, anemia in 10.5%, diarrhea in 3.1%, and other reasons in 6.8%. The rate of polyps was statistically significantly higher in patients aged >= 45 years (43.3%) compared to patients aged <45 years (32.1%). The rate of neoplastic polyps was statistically significantly higher in the group aged >= 45 years compared to the group aged <45 years. The most common localizations of polyps were rectum and sigmoid colon in all age groups. Discussion: Based on our findings, we believe that the onset age of screening for colon polyps should be 45 years, as recommended by the updated guidelines. Also, colonoscopy screening should be performed in young adults without alarm symptoms who present with lower gastrointestinal complaints.
Açıklama
Anahtar Kelimeler
Colon Polyps, Colonoscopy, Neoplastic, Hyperplastic, Age
Kaynak
Annals of Clinical and Analytical Medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
7
