Endoscopic and histopathological features of the upper gastrointestinal system polyps: evaluation of 12.563 procedures
Hüseyin Çiyiltepe1, Durmuş Ali Çetin1, Ebubekir Gündeş1, Ulaş Aday1, Aziz Serkan Senger1, Selçuk Gülmez1, Sabiye Akbulut2, Mustafa Duman1
1Clinic of Gastroenterological Surgery, Kartal Kosuyolu High Specialization Health Application and Research Center, Istanbul, Turkey
2Clinic of Gastroenterology, Kartal Kosuyolu High Specialization Health Application and Research Center, Istanbul, Turkey
Abstract
Objective: With the widespread use of esophagogastroduodenoscopy (EGD) in recent years, upper gastrointestinal system polyps have started to be encountered more often. Although most patients with gastric polyps are asymptomatic, these are important due to their malign potential, and gastric cancer may develop if left untreated.
Material and Methods: Records of 12.563 patients who underwent EGD at Kartal Kosuyolu High Specialization Health Application and Research Center for any reason between January 2013 and June 2016 were reviewed retrospectively. Patients with at least 1 histopathologically proven polyp were included in this study.
Results: A total of 12.563 endoscopic procedures of the upper gastrointestinal system were investigated and 353 (2.8%) polypoid lesions were detected. Mean age of these patients was 56.3 years and 241 (68.3%) of the patients were female. Gastric polyps were found most commonly in the antrum (50.1%) and of all gastric polyps, 245 (69.5%) were less than 1 cm. Histopathological evaluation showed that hyperplastic polyp (HP) (n= 151, 42.8%) was the most common polyp type, followed by fundic gastric polyp (FGP) (n= 51, 14.4%). Non-polyp gastric mucosa evaluation of 298 patients revealed that 34.9% of the cases were Helicobacter pylori positive, 19.4% had intestinal metaplasia, and 11.4% had atrophic gastritis.
Conclusion: Polyps of the upper gastrointestinal system are generally detected coincidentally as they have no specific symptoms. Polypectomy is required for gastric polyps because of their potential for malign transformation according to medical evidence.
Keywords: Upper gastrointestinal system, polyp, endoscopy, hiperplastic polyp, fundic gastric polyp
Cite this article as: Çiyiltepe H, Çetin DA, Gündeş E, Aday U, Senger AS, Gülmez S, et al. Endoscopic and histopathological features of the upper gastrointestinal system polyps: evaluation of 12.563 procedures. Turk J Surg 2019; 35 (2): 98-104
Ethics committee approval was received for this study from the Ethics Committee of Kartal Dr. Lutfi Kirdar Training and Research Hospital (2016.4/3-14).
Informed consent was not received due to the retrospective nature of the study.
Externally peer-reviewed.
Consept - H.Ç.; Design - H.Ç., U.A.; Supervision - M.D., S.A.; Data Collection and/or Processing - S.G., A.S.S.; Analysis and Interpretation - E.G.; Literature Search - D.A.Ç., H.Ç.; Writing Manuscript - H.Ç., E.G.; Critical Reviews - U.A., M.D.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.