A Three-Year Review of the Clinical and Pathologic Profile of Patients with Colonic Polyps in a University Hospital in Metro Manila (2014-2016)
10.35460/2546-1621.2017-0081
- Author:
Gregory Allan C CO
1
;
Rolando A LOPEZ
2
Author Information
1. Resident Physician, Departments of Anatomic and Clinical Pathology, University of Santo Tomas Hospital
2. Consultant, Department of Anatomic Pathology, University of Santo Tomas Hospital
- Publication Type:Review
- Keywords:
Colorectal Polyp;
University of Santo Tomas Hospital, Metro Manila
- MeSH:
Colonoscopy
- From:
Journal of Medicine University of Santo Tomas
2018;2(1):201-213
- CountryPhilippines
- Language:English
-
Abstract:
Background :The data on the prevalence and distribution of polyps in Asians is limited with conflicting data about the most common type.
Objective:To obtain recent data about the histologic types of endoscopically labeled as polyps by
colonoscopy and correlate with the clinico-pathologic profile
Method:Retrospective cross-sectional review of histopathologic and endoscopic reports of colonoscopy with biopsy of colonic polyps of patients in the
University of Santo Tomas Hospital (January 2014-
December 2016).
Results:3910 colonoscopies were performed and
a total of 302 patients were retrieved and 500 polyps were resected. The most common indication was
hematochezia and hemorrhoids. The colonic polyps
were solitary in 36% of the cases. Majority were seen
in 50-69 years old, left sided region (78%), particularly the sigmoid (37%), and sessile (77.3%). The
most common type is tubular adenoma (45%) and
majority of the adenomatous polyps were seen in
the sigmoid. There is significant association between
age and presence of an adenomatous polyp where
≥70 years old are about 2.5 times more likely to
have adenomatous polyp and pedunculated polyps
are 2 times more likely to be adenomatous. There is
no significant association between presence of an
adenomatous polyp and polyp size and gender.
Conclusion:The type and distribution of colorectal
polyps are similar with others and vigilant approach
of the left side should be exercised. Absence of any
significant difference between size and adenomatous nature necessitate the need for early identification and removal of colorectal polyp in preventing
morbidity and mortality from cancer.
- Full text:JMUST 011.pdf
