Types and Patterns of Colonic Polyps Encountered at a Tertiary Care Center in a Developing Country in South Asia
Purpose. To identify the prevalence, types, and patterns of colonic polyps in a cohort of patients presenting to a tertiary care referral center in Sri Lanka. Methods. Endoscopy and pathology reports of a single unit from 2006 to 2013 were analyzed retrospectively. Spearman’s correlation coefficient...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Analytical Cellular Pathology |
| Online Access: | http://dx.doi.org/10.1155/2014/248142 |
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| author | Dakshitha Praneeth Wickramasinghe Sanjeev F. Samaranayaka Chamila Lakmal Sashi Mathotaarachchi Chula Kanishka Lal Chathuranga Keppetiyagama Dharmabandhu Nandadeva Samarasekera |
| author_facet | Dakshitha Praneeth Wickramasinghe Sanjeev F. Samaranayaka Chamila Lakmal Sashi Mathotaarachchi Chula Kanishka Lal Chathuranga Keppetiyagama Dharmabandhu Nandadeva Samarasekera |
| author_sort | Dakshitha Praneeth Wickramasinghe |
| collection | DOAJ |
| description | Purpose. To identify the prevalence, types, and patterns of colonic polyps in a cohort of patients presenting to a tertiary care referral center in Sri Lanka. Methods. Endoscopy and pathology reports of a single unit from 2006 to 2013 were analyzed retrospectively. Spearman’s correlation coefficient and chi-square test were used to identify correlations. Results. There were a total of 158 patients (M : F, 10 : 57) who had polyps encountered on colonoscopy (n=1408) and flexible sigmoidoscopy (n=2402) with an incidence of 4.1%. Mean age was 56.5 years (SD 16.4) and the incidence of polyps increased with age. The majority (81.6%) had one polyp. A total of 188 polyps were assessed and most were seen in the rectum (33.5%) followed by sigmoid colon (22.9%). The commonest histological type was tubulovillous adenoma (33.5%) followed by tubular adenoma (24.5%). Most polyps were benign (91.5%). There was no statistically significant correlation with age or gender with malignancy, site, or histology. Discussion and Conclusion. The incidence of colorectal polyps was lower than the values reported in the west. More polyps were identified in males. There was no statistically significant association between age, gender, or multiplicity and malignant change in the polyps. |
| format | Article |
| id | doaj-art-766e4daf9d88443994c8ffd1b06050f7 |
| institution | Kabale University |
| issn | 2210-7177 2210-7185 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Analytical Cellular Pathology |
| spelling | doaj-art-766e4daf9d88443994c8ffd1b06050f72025-08-20T03:35:32ZengWileyAnalytical Cellular Pathology2210-71772210-71852014-01-01201410.1155/2014/248142248142Types and Patterns of Colonic Polyps Encountered at a Tertiary Care Center in a Developing Country in South AsiaDakshitha Praneeth Wickramasinghe0Sanjeev F. Samaranayaka1Chamila Lakmal2Sashi Mathotaarachchi3Chula Kanishka Lal4Chathuranga Keppetiyagama5Dharmabandhu Nandadeva Samarasekera6Department of Surgery, Faculty of Medicine, University of Colombo, 00800 Colombo, Sri LankaProfessorial Surgical Unit, The National Hospital of Sri Lanka (NHSL), 00800 Colombo, Sri LankaDepartment of Surgery, Faculty of Medicine, University of Colombo, 00800 Colombo, Sri LankaDepartment of Surgery, Faculty of Medicine, University of Colombo, 00800 Colombo, Sri LankaProfessorial Surgical Unit, The National Hospital of Sri Lanka (NHSL), 00800 Colombo, Sri LankaProfessorial Surgical Unit, The National Hospital of Sri Lanka (NHSL), 00800 Colombo, Sri LankaDepartment of Surgery, Faculty of Medicine, University of Colombo, 00800 Colombo, Sri LankaPurpose. To identify the prevalence, types, and patterns of colonic polyps in a cohort of patients presenting to a tertiary care referral center in Sri Lanka. Methods. Endoscopy and pathology reports of a single unit from 2006 to 2013 were analyzed retrospectively. Spearman’s correlation coefficient and chi-square test were used to identify correlations. Results. There were a total of 158 patients (M : F, 10 : 57) who had polyps encountered on colonoscopy (n=1408) and flexible sigmoidoscopy (n=2402) with an incidence of 4.1%. Mean age was 56.5 years (SD 16.4) and the incidence of polyps increased with age. The majority (81.6%) had one polyp. A total of 188 polyps were assessed and most were seen in the rectum (33.5%) followed by sigmoid colon (22.9%). The commonest histological type was tubulovillous adenoma (33.5%) followed by tubular adenoma (24.5%). Most polyps were benign (91.5%). There was no statistically significant correlation with age or gender with malignancy, site, or histology. Discussion and Conclusion. The incidence of colorectal polyps was lower than the values reported in the west. More polyps were identified in males. There was no statistically significant association between age, gender, or multiplicity and malignant change in the polyps.http://dx.doi.org/10.1155/2014/248142 |
| spellingShingle | Dakshitha Praneeth Wickramasinghe Sanjeev F. Samaranayaka Chamila Lakmal Sashi Mathotaarachchi Chula Kanishka Lal Chathuranga Keppetiyagama Dharmabandhu Nandadeva Samarasekera Types and Patterns of Colonic Polyps Encountered at a Tertiary Care Center in a Developing Country in South Asia Analytical Cellular Pathology |
| title | Types and Patterns of Colonic Polyps Encountered at a Tertiary Care Center in a Developing Country in South Asia |
| title_full | Types and Patterns of Colonic Polyps Encountered at a Tertiary Care Center in a Developing Country in South Asia |
| title_fullStr | Types and Patterns of Colonic Polyps Encountered at a Tertiary Care Center in a Developing Country in South Asia |
| title_full_unstemmed | Types and Patterns of Colonic Polyps Encountered at a Tertiary Care Center in a Developing Country in South Asia |
| title_short | Types and Patterns of Colonic Polyps Encountered at a Tertiary Care Center in a Developing Country in South Asia |
| title_sort | types and patterns of colonic polyps encountered at a tertiary care center in a developing country in south asia |
| url | http://dx.doi.org/10.1155/2014/248142 |
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