Purpose: To investigate the relationship of clinical sign and endoscopic-pathological features
September 6, 2017
Purpose: To investigate the relationship of clinical sign and endoscopic-pathological features of colorectal polyps. = 0.001) and contains more villous element compared to the constipation individuals (P = 0.005). Summary: Almost fifty percent of colorectal polyp individuals usually do not complain of colon symptoms, the male especially. Colorectal polyp individuals have bowel habit alteration a lot more than stomach pain commonly. Half of individuals with colon habit alteration demonstrate diarrhea. The hematochezia patients are more vunerable to advanced adenomas compared to the diarrhea and constipation ones. value was modified based on the likened counts. From January 2007 to TRUNDD Oct 2013 Outcomes Recognition price of colorectal polyps Through the period, there have been 22,614 individuals received colonoscopy, and 6,161 colorectal polyp instances were recognized, with detection price of 27%. There have been 1,295 colorectal polyp instances admitted in a healthcare facility, that 15 poor colon preparation instances and 46 co-exist with CRC instances had been excluded because their features such as for example polyp number, form, area and size cannot accurately end up being described. Consequently, 1,234 consecutive individuals (aged 54.412.4 years) were included. The facts of them had been referred to in (Table 1). Table 1 General and endoscopic-pathological characteristics of colorectal polyp individuals Assessment between asymptomatic and symptomatic organizations The distribution of general characteristics and polyp characteristics relating to symptoms were summarized in Table 2. In this study, 568 individuals (46.0%) were asymptomatic, and 666 individuals (54.0%) were symptomatic, with sex percentage (woman : male) of 2.23:1 and 1.74:1, respectively (P = 0.048). The mean polyp size in symptomatic group was significantly larger than asymptomatic group [7.65.1 mm (95% CI: 7.2, 8.0) 6.33.7 mm (95% CI: 6.0, 6.6), P < 176708-42-2 IC50 0.001]. Multiple polyps, and Yamada III and IV type shape were more common in symptomatic group. The returned pathological data 176708-42-2 IC50 showed that, the tubu-villous polyp and villous polyp occurred more frequently in symptomatic group, compared with asymptomatic group (P = 0.002). However, no significant difference of age or lesion location between two organizations (P > 0.05). Table 2 Distribution of general and endoscopic-pathological characteristics relating to symptoms [n (%)] Assessment between abdominal pain and bowel habit alteration in symptomatic group In symptomatic group, 37.4% (294/786) individuals complained of abdominal pain, and 62.6% (492/786) individuals complained of bowel habit alteration. Except the polyp quantity in abdominal pain group was larger than bowel habit alteration group (P = 0.036), no statistical difference was found in the gender, age, polyp size, shape, location or histology between two organizations. The details were described in Table 3. Table 3 Distribution of general and endoscopic-pathological characteristics according to bowel symptoms [n (%)] Assessment among diarrhea, constipation and hematochezia in bowel habit alteration Three major symptoms of bowel habit alteration were diarrhea, constipation and hematochezia, with proportion of 54.2% (278/513), 27.7% (142/513) and 18.1% (93/513), respectively. Females tended to become recognized with constipation while the males tended to become recognized with diarrhea or hematochezia (P = 0.019). The constipation group was elder than the additional two organizations (P = 0.001), while the hematochezia group had more Yamada III and IV instances (P = 176708-42-2 IC50 0.005), with larger polyp size than diarrhea group (P = 0.001), and consisted of much more villous component than constipation group (P = 0.005). However, no significant difference was found among three organizations with respect to polyp number, location or adenoma proportion (Table 4). Table 4 Distribution of general and endoscopic-pathological characteristics according to bowel habit alteration [n (%)] Conversation As an acknowledged premalignant disorder of CRC, the colorectal polyps have an increasing detection rate in recent years. In this study, you will find 22,614 individuals receiving colonoscopy, and 6,161 polyp instances are recognized. The detection rate is 27%, which is definitely higher than the results in.