ĐẶC ĐIỂM LÂM SÀNG VÀ NỘI SOI TỔN THƯƠNG POLYP ĐẠI TRÀNG PHÁT HIỆN TẠI TRUNG TÂM NỘI SOI TIÊU HOÁ - GAN MẬT, BỆNH VIỆN BẠCH MAI

Abstract

Objectives: To describe the clinical characteristics and endoscopic images of colorectal polyps of patients who were endoscopically detected polyps at the Gastroenterology - Hepatobiliary Center, Bach Mai Hospital. Subjects and methods: Design a descriptive study on clinical features and images of colorectal polyps through endoscopic examination of 339 patients with 490 colorectal polyps from January 2021 to April 2022. Patients who met the inclusion and exclusion criteria were interviewed for basic information (age, gender, occupation, education...), information on clinical signs. Patients undergoing colonoscopy often detect polyps and evaluate characteristics such as location, size, and morphology of polyps. Results: The rate of colorectal polyps of men/women = 1.5/1 and the rate of patients over 40 years old in the study was 97.4%. Common clinical symptoms are abdominal pain, loose stools with the proportion of 59.3% and 23.9%, respectively. Polyps were detected the most in the sigmoid colon with the rate of 32.4%. Small polyps under 10 mm accounted for the majority with the rate of 80.2%. Paris polyps type 0-I accounted for 93.9% (of which Paris type Isp polyps accounted for 71.8%). Conclusion: The most common clinical symptom in patients with colorectal polyps was abdominal pain, loose stools with the respective rate of 59.3% and 23.9%. Polyps were detected in the entire colon, of which the most common was in the sigmoid colon (32.4%). Polyp Paris type 0-I accounted for 93.9%.