TY - JOUR ID - TI - Colorectal polyps Clinical, Endoscopic, and Histopathological features AU - Hadi A. Sayah, AU - Deyar A. Talabani AU - Amira H. Shubber AU - Nawal M. AL-Khalidi AU - Sadiq Jarallah PY - 2006 VL - 1 no. 1 IS - SP - 17 EP - 26 JO - Karbala Journal of Medicine مجلة كربلاء الطبية SN - 19905483 29580889 AB - Background:There are few descriptive studies of colorectal polyps in IraqDesign: A retrospective studySetting: Gastroenterology and Hepatology teaching hospital -Baghdad -IraqPatients and methods: During the study period (1st of August -2003 to 31 of December -2004)1905 total colonoscopy and sigmoidoscopy procedure were carried. Total colonoscopywere carried for 1467(male 867, female 600).135(9.2 %) patients had colorectal polyps .96patients were included when they fulfilled the including criteria of the study.Results: One hundred-sixty colorectal polyps (CRP) were identified in 96 patients examined.Polyps were single in 60(62.5%) and multiple in 36(37.5%) of patients. Polyp were labeled assessile in 95 of 160(59%) or pedunculated in 65 of 160 (40.6%), 61.3% were small size(<1cm), 32.5% were medium size (1-2cm) and 6.3 % were of large size (>2cm). The mostcommon sites for CRP were rectum and sigmoid .Adenomatous polyp was found to be the mostfrequent type of CRP identified in Iraqi patients and tubulovillous adenoma was the mostcommon adenoma (62.4%). 72.7% of patients who have tubular adenoma have mild dysplasia,60.7% of patients who have tubulovillous adenoma have moderate-sever dysplasia.Retentionpolyps were identified in 19 patients (mean age 12.3 years) fifty Percent were 1-2cm in size.hyperplastic polyps were identified in 18 patients(Mean age 44.3 years) .Conclusion1. Tubulovillous adenoma with moderate-severe dysplasia are common in Iraqi patientsreferred to this hospital , with high risk of malignant changes seen in this type of colorectalpolyps ,screening programs should be developed in Iraq2. Most of colorectal polyps were small size so Barium enema can not be recommended as ascreening test3. Most patients who have tubulovillous adenoma have moderate-sever dysplasia so thispatients need proper follow up .

ER -