Obiekt

Tytuł: Analysis of selected risk factors for adenoma recurrence in patients after endoscopic polypectomy of the large intestine

Abstrakt:

In certain patients despite of the removal of all adenomas new lesions appear. Additionally there is a group of patients at a greater risk of developing new polyps. The aim of this study was to analyse recurrence rate of new adenomas in surveillance colonoscopy in patients after polypectomy. A group of 184 patients who underwent endoscopic polypectomy and surveillance colonoscopy were involved in the analysis. Histopathological features of primarily removed adenomas as well as recurrent polyps were evaluated. Further aspect of the study was the identification of risk factors that may have led to increased recurrence rate of adenomas. The most common pathomorphological type of removed adenomas was tubular with medium grade dysplasia. Average size of polyps was 9,6 mm. Primary lesions were mostly found in the sigmoid and rectum. Reappearance of new colorectal polyps was 38%. In the majority of cases recurrent adenomas were smaller (6,1mm) than the initial ones. Most of them were of tubular type with low-grade dysplasia. They were more commonly seen in the proximal parts of the colon. Male gender, smoking, statins, removal of more than one polyp, initial lesions in the proximal colon, size over 10mm, high-grade dysplasia or advanced adenoma seemed to influence the risk of recurrence. In our opinion patients with the before mentioned characteristics are at increased risk of polyp r ; ecurrence.

Miejsce wydania:

Kraków

Stopień studiów:

2 - studia doktoranckie

Dyscyplina:

chirurgia

Instytucja nadająca tytuł:

Wydział Lekarski

Promotor:

Rembiasz, Kazimierz ; Matłok, Maciej

Data wydania:

2013

Identyfikator:

oai:dl.cm-uj.krakow.pl:3633

Sygnatura:

ZB-119113

Język:

pol

Prawa dostępu:

nieograniczony

Kolekcje, do których przypisany jest obiekt:

Data ostatniej modyfikacji:

26 cze 2023

Data dodania obiektu:

12 lis 2013

Liczba wyświetleń treści obiektu:

639

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121

Wszystkie dostępne wersje tego obiektu:

http://dl.cm-uj.krakow.pl:8080/publication/3633

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Nazwa wydania Data
ZB-119113 26 cze 2023
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