Polypectomy Technique and Histopathological Evaluation in Colon Polyps According to Paris Classification

Authors : Aysun Yakut, Şeyma Büyücek, Mehmet Özcan, Mustafa Nacir

Pages : 143-152

Doi:10.52827/hititmedj.1457092

View : 64 | Download : 52

Publication Date : 2024-06-30

Article Type : Research Paper

Abstract :Objective: Colorectal cancers are in third place in terms of incidence and second in terms of mortality. This study aims to type the polyps detected during colonoscopy according to the Paris classification, perform polypectomy with the appropriate technique, classify them as histopathological, determine the presence of dysplasia, and review the risk status of colorectal cancer. Material and Method: Our study is a retrospective study presented as a one-year review of 124 patients who were found to have colonic polyps due to colonoscopy, who underwent polypectomy with the appropriate technique, and whose histopathological determination was completed. Results: The study was conducted between 2021 and 2022 with a total of 124 cases, 37.9% female and 62.1% male. The mean age of the cases was 58.58 ± 14.40 years. The way the polyps were removed was determined according to the polyp size and the Paris classification. Polypectomy was performed with biopsy forceps for <5 mm polyps. For ≥5 mm polyps, polypectomy was performed with a hotsnare after mucosal separation with saline-methylene blue-adrenaline. A piecemeal polypectomy was performed for two very large polyps. The most important factor in determining CRC surveillance and the presence of dysplasia was polyp diameter. The dysplasia rate in polyps removed with biopsy forceps was lower than in the polypectomy group with a hot snare. Conclusion: Colorectal cancers are multifactorial, the initial architecture is polyps. The increase in the diameter of these polyps rather than the removal techniques was significant in terms of colorectal cancer risk.
Keywords : Kolon polibinde displazi varlığı, kolon polipleri, kolorektal kanser sürveyansı, polipektomi, polipektomi tekniği

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