Study of prevalence and analysis of gastro intestinal polyps in a tertiary care centre

Kani Shaikh Mohamed., Rabindranath Eswaran., Premkumar Karunakaran and Ratnakar Kini

Aim: To study the incidence and prevalence of gastrointestinal polyps with a clinical, endoscopic and histopathologic correlation.
Material and methods: Patients with family history of GI polyps and those found to have GI polyps on routine endoscopy were taken up for the study. All 50 selected cases underwent either colonoscopy or upper GI Endoscopy or both as applicable. Biopsy of the polyps and histopathological assessment of the biopsied polyps were performed.
Results: Out of the 50 cases studied, 33 were male and 17 female patients. Mean age was 55.6 years for male cases, 49.1 years for female cases. Polyps distribution was found to be 4 (8%) esophageal, 14 (28%) gastric, 4 (8%) duodenal and 28 (56%) colonic in location. Types of polyps were 25 sessile polyps (50%), 8 pedunculated polyps (10%), 16 polypoidal mass (32%) and 1 pseudo polyp (2%). Histopathology variations were inflammatory polyps in 11 (22%), hyperplastic polyps in 18 (36%), tubular adenoma in 8 (16%), villous adenoma in 2 (4%), adeno carcinoma in 8 (16%), lympho proliferative disorder in 1 (2%), fibro epithelial polyp in 2 (2%) and Peutz Jeghers polyps in 1 (2%). In two cases which appeared non malignant in histopathological examination, other investigations detected malignancy and underwent curative resection.
Conclusion: Detection of polyps by proper screening during GI endoscopies is important, so that these cases are identified and included in regular surveillance programmes. Patients with polyps should be offered proper treatment options like polypectomy and thorough examination.

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