Endoscopic manifestations and pathological analysis of pedunculated colonic polyps in 255 patients

ZHANG Qi; ZHANG Shuyi; TIAN Zhenggang; LI Wen

doi:10.7619/jcmp.20220417

Journal of Clinical Medicine in Practice > 2022 > 26(12): 76-79. > DOI: 10.7619/jcmp.20220417

ZHANG Qi, ZHANG Shuyi, TIAN Zhenggang, LI Wen. Endoscopic manifestations and pathological analysis of pedunculated colonic polyps in 255 patients[J]. Journal of Clinical Medicine in Practice, 2022, 26(12): 76-79. DOI: 10.7619/jcmp.20220417

Citation:

PDF (1572 KB)

Endoscopic manifestations and pathological analysis of pedunculated colonic polyps in 255 patients

the Second Department of Gastroenterology, Tianjin People′s Hospital, Tianjin, 300000

More Information

Received Date: February 10, 2022
Available Online: June 21, 2022

Graphical Abstract

Abstract

Abstract

Objective
To analyze the endoscopic findings and pathological results of pedunculated colonic polyps, and to discuss the risk factors for high-risk polyps.
Methods
A total of 297 pedunculated colonic polyps in 255 patients in the Endoscopic Diagnosis and Treatment Center of Tianjin People′s Hospital were retrospectively analyzed. The clinical characteristics, endoscopic manifestations and pathological results were analyzed. Multivariate Logistic regression analysis was used to study the risk factors of high risk polyps of pedunculated colonic polyps.
Results
There were no significant differences in proportions of high-risk polyps in different gender and age (P > 0.05), but there were significant differences in the proportions of high-risk polyps in patients with colorectal cancer history, differed locations, surface with or without complete congestion, different pedicle length and different tip size (P < 0.05 or P < 0.01). Multivariate Logistic regression analysis showed that the tip diameten of polyps > 1~ < 2 cm, ≥2 cm and the history of colorectal cancer were independent risk factors for high risk polyps of pedunculatedcolonic polyps.
Conclusion
Patients with larger tips of polyps and complicating with colorectal cancer history have higher risk of high-risk polyps and the higher cancerous potential risk, so endoscopic resection should be performed as early as possible.
- pedunculated colonic polyps,
- high-risk polyps,
- endoscopic manifestations,
- pathological features,
- risk factors,
- polyps congestion

FullText(HTML)

References (12)

References

[1]	许丽亚, 殷评, 闵海阳, 等. 结肠息肉内镜表现及病理结果分析[J]. 现代消化及介入诊疗, 2020, 25(1): 117-120. doi: 10.3969/j.issn.1672-2159.2020.01.028
[2]	TAGAWA T, YAMADA M, MINAGAWA T, et al. Endoscopic characteristics influencing postpolypectomy bleeding in 1147 consecutive pedunculated colonic polyps: a multicenter retrospective study[J]. Gastrointest Endosc, 2021, 94(4): 803-811. doi: 10.1016/j.gie.2021.03.996
[3]	王群英, 董文珠, 苑刚, 等. 195例不同年龄段结肠息肉患者肠镜下表现及病理特征[J]. 现代消化及介入诊疗, 2020, 25(9): 1168-1170, 1175. doi: 10.3969/j.issn.1672-2159.2020.09.007
[4]	HORNICK J L, ODZE R D. Polyps of the large intestine. Surgical pathology of the GI tract, liver, biliary tract, and pancrea[M]. 3rd. Philadelphia: Elsevier/Saunders, 2015: 621-642.
[5]	陈求招, 钟名荣, 黄文忠, 等. 内镜下治疗246例大肠有蒂大息肉的临床分析[J]. 中国内镜杂志, 2021, 27(4): 7-13. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ202104003.htm
[6]	SIEGEL R L, MILLER K D, GODING SAUER A, et al. Colorectal cancer statistics, 2020[J]. CA Cancer J Clin, 2020, 70(3): 145-164. doi: 10.3322/caac.21601
[7]	郝其源, 董宁宁, 李鹏, 等. 结直肠息肉的治疗: 内镜进展[J]. 中国医刊, 2021, 56(12): 1277-1281, 1270. doi: 10.3969/j.issn.1008-1070.2021.12.001
[8]	班丽, 拓小华. 肠镜下结肠息肉摘除术中的快速康复护理[J]. 实用临床医药杂志, 2020, 24(7): 91-94. doi: 10.7619/jcmp.202007026
[9]	李鹃, 岳文杰, 刘懿, 等. 结肠息肉1239例内镜及病理分析[J]. 上海医学, 2010, 33(6): 585-588. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYX201006031.htm
[10]	BAROSA R, MOHAMMED N, REMBACKEN B. Risk stratification of colorectal polyps for predicting residual or recurring adenoma using the Size/Morphology/Site/Access score[J]. United Eur Gastroenterol J, 2018, 6(4): 630-638. doi: 10.1177/2050640617742485
[11]	韦小兰, 骆子义, 邱智辉, 等. 740例结直肠息肉内镜、病理表现和临床特征分析[J]. 胃肠病学, 2017, 22(2): 100-102. https://www.cnki.com.cn/Article/CJFDTOTAL-WIEC201702008.htm
[12]	唐保东, 陈志娜, 孙玉立. 大肠息肉824例发病情况及内镜特点分析[J]. 实用医学杂志, 2013, 29(4): 569-571. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYZ201304026.htm

[1]	WANG Jili. Effect of retention enema with Wubei Zi and Wumei Decoction of Chinese medicine in preventing recurrence of intestinal polyps after endoscopic polypectomy[J]. Journal of Clinical Medicine in Practice, 2019, 23(23): 55-57. DOI: 10.7619/jcmp.201923016
[2]	WANG Jing, YE Xiaofeng, JU Lingyun, QIAN Xin, TAO Yili, GAO Feng. Clinical analysis of endoscopic submucosal dissectionfor giant wide-pedicled polyp in large intestine[J]. Journal of Clinical Medicine in Practice, 2019, 23(21): 48-50. DOI: 10.7619/jcmp.201921014
[3]	YAO Qinggen, CHU Juncai, WANG Hui. Effect observation of transnasal endoscopic reoperation on treatment of patients with recurrent sinusitis and nasal polyps[J]. Journal of Clinical Medicine in Practice, 2018, (9): 98-100. DOI: 10.7619/jcmp.201809027
[4]	YUAN Xifeng. Nursing of colorectal polyps treated by colonoscopy[J]. Journal of Clinical Medicine in Practice, 2018, (6): 47-49. DOI: 10.7619/jcmp.201806014
[5]	PANG Jian, GE Yueming. Clinical efficacy and surgical management of self-retaining laryngoscope in treatment of vocal cord polyps[J]. Journal of Clinical Medicine in Practice, 2016, (13): 87-89. DOI: 10.7619/jcmp.201613025
[6]	CHU Hongmei, WANG Gaojun, YANG Xi. Application of standardized quality nursing in treatment of patients with vocal cord polyp surgery[J]. Journal of Clinical Medicine in Practice, 2016, (10): 151-153. DOI: 10.7619/jcmp.201610048
[7]	CHEN Dongyun, HUANG Dajun. Influence and safety of milinong and nitrate yamanashi ester on cardiac function of patients with congestive heart failure[J]. Journal of Clinical Medicine in Practice, 2014, (13): 94-96. DOI: 10.7619/jcmp.201413031
[8]	ZHANG Qiuqin, ZUO Yan, LIU Yi. Effect of endoscopic high-frequency electrocogulation therapy on treatment of patients with gastrointestinal polyps[J]. Journal of Clinical Medicine in Practice, 2014, (11): 82-83. DOI: 10.7619/jcmp.201411025
[9]	WANG Jie, XIANG Shuangrong, YANG Hua. Research on effect of optimized nursing model in improving sleep quality and emotional state of patients with congestive heart failure[J]. Journal of Clinical Medicine in Practice, 2014, (10): 10-12. DOI: 10.7619/jcmp.201410004
[10]	SHEN Min, WAN Lijia, YI Dao. Efficay and safety of nasal polypectomy combined with intranasal ethmoidectomy in treatment of patients with nasal polyp[J]. Journal of Clinical Medicine in Practice, 2014, (5): 73-75. DOI: 10.7619/jcmp.201405024

Cited By

Cited by

Periodical cited type(1)

郭秀兰，杨燕琼，侯雅真，石洁，陈琛. NRS2002与MUST结合评估辅助个体化营养支持对淋巴瘤化疗患者营养状态与并发症的影响. 中外医学研究. 2024(24): 91-94 .

Other cited types(0)

Get Citation

PDF

XML

Article views (242) PDF downloads (18) Cited by(1)

Turn off MathJax

Article Contents

Abstract

References

Endoscopic manifestations and pathological analysis of pedunculated colonic polyps in 255 patients