伊拉克患者结肠息肉和腺瘤的发病率和性质

Sajid Ali Hussein ,, Raghad J Akayashy
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摘要

背景:结肠直肠癌(CRC)是全球第三大常见癌症。结肠息肉是 CRC 的前兆,因此结肠息肉的检测非常重要。 目的检测息肉和腺瘤的发病率。 患者和方法:使用巴格达胃肠病和肝病医院以前对患者进行的内窥镜检查报告进行回顾性研究。 研究结果研究包括 924 次结肠检查,患者平均年龄为 48.1 岁。在 128 次结肠镜检查中发现了息肉。(PDR)为 16.7%。年龄超过 60 岁的患者息肉检出率更高(25%),而 50 - 59 岁年龄组的息肉检出率为(17.7%)。在完成结肠镜检查的患者中,有 7.9% 发现了腺瘤。男性患者的腺瘤检出率(9.2%)高于女性患者(6.2%)。≥60岁年龄组的腺瘤发病率最高(15.9%),而 50 - 59 岁年龄组的腺瘤发病率为(8.2%)。 结论这项研究强调了因不同适应症接受内窥镜检查的患者中息肉(16.7%)和腺瘤(7.9%)的发病率,让我们了解了伊拉克儿童癌症筛查的情况以及应在哪个年龄段开始筛查。
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Prevalence and Property of Colonic polyp and Adenoma among Iraqi Patients
Background: Colorectal cancer (CRC) is the third common diagnosed. ‎cancer in the world, so that colonic polyp detection is important because colonic polyp  is a precursor to CRC. Objective: To detect the prevalence of polyp and adenoma. Patients and Methods: A retrospective study was done  using  reports of endoscopic examination done previously for patients seen at gasteroenterology and hepatology hospital in Baghdad. Results: The study included 924 examination of colon, mean age of patients was 48.1 years. Polyps was detected in 128 colonoscopies. (PDR) was 16.7 %. The PDR was higher in patients ≥ 60 years old (25 %), while polyp detection rate was ( 17.7 % ) in those 50 – 59 years age group. Adenoma was found in 7.9 % of those with completed colonoscopies. It was higher in male patients (9.2 % ) than female patients (6.2%). It was highest in age group ≥ 60 years old (15.9%), while adenoma was found in (8.2 %) of those with age group of 50 – 59 years old. Conclusion: This study highlight on the prevalence of polyp (16.7%) and adenomas (7.9%) in patients underwent endoscopy for different  indications, and give us an idea about screening for CRC in Iraq  and at which age it should be started.
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