Ferit Çelik
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引用次数: 1

摘要

幽门螺杆菌阳性,存在肠化生,存在萎缩性胃炎,息肉切除术后是否存在并发症。结果:我们对125例息肉中的80例(0.6%)进行了评估。女性54例(67.5%),平均年龄57.5±12.5岁。大多数患者(51.2%)是从其他中心转介的息肉切除术。胃黏膜取样显示幽门螺杆菌阳性占11.3%,肠化生占20%,萎缩性胃炎占21.2%。息肉大小小于10mm的占65.6%。此外,息肉最常见于体部(54.4%)、窦部(22.4%)和眼底(20.8%)。最常见的息肉组织病理学为底腺息肉(42.4%)、增生性息肉(30.4%)和神经内分泌肿瘤(20.8%)。活检钳息肉切除术是最常用的息肉切除术方法(51.2%)。息肉切除术后术中出血作为息肉切除术的并发症发生5例(4%)。结论:本研究胃息肉的发现率与文献一致。由于息肉有时难以在内镜下区分,对于任何可能的息肉,可以安全地进行息肉切除术,并应从邻近的胃粘膜中取样。
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Endoskopik incelemede saptanan mide poliplerinin yerleşimi, histopatolojik tipleri ve tedavi yönetimi
Helicobacter pylori positivity, presence of intestinal metaplasia, presence of atrophic gastritis, and presence or absence of complications after polypectomy. Results: We evaluated 80 out of 125 polyps (0.6%) found in these patients. Fifty-four (67.5%) patients were women and the mean age was 57.5 ± 12.5 years. Most patients (51.2%) were referred from other centers for polypectomy. According to the gastric mucosa sam- pling, 11.3% of the patients had positive Helicobacter pylori, 20% had intestinal metaplasia, and 21.2% had atrophic gastritis. The size of the polyp was less than 10 mm in 65.6% of the cases. Furthermore, polyps were most commonly found in the corpus (54.4%), antrum (22.4%), and fundus (20.8%). The most common histopathology of polyps were fundic gland polyps (42.4%), hyperplastic polyps (30.4%), and neuro-endocrine tumors (20.8%). Polypectomy with biopsy forceps was the most common polypectomy method used (51.2%). Post polypectomy interprocedural bleeding occurred as a complication of polypectomy in 5 (4%) patients. Conclusion: The rate of gastric polyp discovery in our study was consistent with that in the literature. Because polyps can sometimes be difficult to distinguish endoscopically, polypectomy can be safely performed for any possible polyp and samples should be taken from the adjacent gastric mucosa.
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