Correlation analysis of colon polyps'size,dysplasia and intestinal metaplasia
10.19405/j.cnki.issn1000-1492.2019.02.036
- VernacularTitle:结肠息肉大小、异型增生与胃发生肠上皮化生的相关性分析
- Author:
Zhi GAO
1
;
Yawei QU
;
Haifeng LIU
Author Information
1. 安徽医科大学研究生院
- Keywords:
Helicobacter pylori;
intestinal metaplasia;
colonic polyps;
early gastric cancer
- From:
Acta Universitatis Medicinalis Anhui
2019;54(2):333-336
- CountryChina
- Language:Chinese
-
Abstract:
The patients undergoing gastroscope and enteroscopy examination were respectively divided into gastric intestinal metaplasia group (n = 397) and non gastric intestinal metaplasia group (n = 360),and the differences in size,number,location and dysplasia of colonic polyps between the two groups were compared. In GIM group,the polyps incidence after classification of polyp size and colonic dysplasia was significantly higher than that in non GIM group (P < 0. 05),while the number and location of colonic polyps were no significant difference between two groups. By the logistic regression analysis,more than 50 years old of age,male,HP infection,the diameter of polyps are larger than 2. 0 cm,or dysplasia showed high possibility to appear gastric intestinal metaplasia (OR > 1,P< 0. 05),the diameter of colonic polyps are 1. 0 ～ 2. 0 cm which showed high possibility to non intestinal metaplasia (OR < 1,P < 0. 05),and there was no significant difference between the two groups in the incidence of GIM in colonic polyps less than 0. 5 cm or 0. 5 ～ 1. 0 cm in diameter. Not only age,gender and HP infection were related to the occurrence of IM,but the risk of GIM increased in patients with colonic polyps' diameter more than 2. 0 cm and dysplasia. Those who found colonic polyps > 2. 0 cm in diameter and polyps with dysplasia were suggested to undergo gastroscopy in order to find GIM early and follow up to improve the detection rate of early gastric cancer.
