- All Journals
- Al-Qadisiyah University
- Basrah University
- Kirkuk University
- Mosul University
- The Iraqi Borad for Medical Specialization
- University of Anbar
- University of Technology
- Al Mustafa University
- Al-Zahraa University for Women
- Alnoor University
- Kunooz University
- Misan University
- Ninevah University
- Tikrit University
- University of Al-Hamdaniya
- University of Kerbala
Distal Colorectal Polyp as a Predictive | ||
| Kerbala Journal of Medicine | ||
| Article 5, Volume 1, Issue 1, 2007, Pages 138-144 PDF (0 K) | ||
| Author | ||
| Hadi A. Sayah | ||
| Abstract | ||
| Background: Currently there are conflicts about the prevalence of proximal colorectal polyp/s among patients with distal colorectal polyp/s discovered by sigmoidoscopy. 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) all patients who underwent total colonoscopy procedure were involved in this study. Out of patients with different polyps, 96 patients were included when they did not have the Exclusion criteria. Results: This study included ninety-six patients, (Male= 67(69.8%), Female= 29(30.2%)) mean age of patients 51.5 year. Forty two (62.7%) of male patients had distal colorectal polyp (CRP), 30.9 %( 13 of 42) had proximal one (combined), while in female patients 21 patients had distal CRP, 14.3% (3 of 21) had combined CRP. For adult patients with distal CRP, 26.8% (11 of 41) had combined CRP, all pediatric patients had distal CRP, and 22.7% of them had combined CRP. Seven (14.6%) patients with distal single CRP had combined one, while in patients with multiple CRP, 60 %( 9 of 15) of patients with distal multiple CRP had combined one. With regard to the size of polyps, 26 %( 13 of 50) of patients with distal small CRP (<1cm) had combined one, while in those patients who had distal CRP ≥ 1 cm, 23.1 %( 3 of 13) had combined one, 32.3 %( 10 of 31) of patients with distal neoplastic CRP had combined one, while in patients with distal non- Neoplastic CRP, 18.8%(6 of 32) had combined CRP. Conclusions and recommendations: 1. All patients with distal colorectal polyp/s discovered during sigmoidoscopy should undergo total colonoscopy. 2. Colonoscopy should be used as a screening procedure instead of sigmoidoscopy. 3. Sigmoidoscopy can be used as a screening procedure in pediatric patients | ||
|
Statistics Article View: 209 PDF Download: 96 |
||