CC BY 4.0 · Journal of Digestive Endoscopy 2024; 15(01): 059-104
DOI: 10.1055/s-0044-1786342
Abstracts of presentation during ENDOCON 2024, New Delhi

Clinical, Endoscopic and Pathological Characteristics of Colorectal Polyps in a Tertiary Care Center In Kerala: An Interim Analysis

C. Hari Mangalath
1   VPS Lakeshore Hospital, Cochin, India
,
Roy J. Mukkada
2   Department of Medical Gastroenterology, VPS Lakeshore Hospital, Cochin, India
,
Antony Paul Chettupuzha
2   Department of Medical Gastroenterology, VPS Lakeshore Hospital, Cochin, India
,
Pradeep G. Mathew
2   Department of Medical Gastroenterology, VPS Lakeshore Hospital, Cochin, India
,
Abraham Koshy
2   Department of Medical Gastroenterology, VPS Lakeshore Hospital, Cochin, India
,
Maya Peethambaran
2   Department of Medical Gastroenterology, VPS Lakeshore Hospital, Cochin, India
,
Shelly Chireyath Paul
2   Department of Medical Gastroenterology, VPS Lakeshore Hospital, Cochin, India
,
Ebin Thomas
1   VPS Lakeshore Hospital, Cochin, India
,
Jerry Abraham
1   VPS Lakeshore Hospital, Cochin, India
,
Kiran Revankar
1   VPS Lakeshore Hospital, Cochin, India
› Author Affiliations
› Further Information
 

Background: Colorectal polyps, though often noncancerous, pose a risk of developing into adenomas and potentially cancerous conditions. The study focuses on investigating the clinical, endoscopic, and pathological characteristics of colorectal polyps larger than 0.5 cm in Indian patients at VPS Lakeshore Hospital, Kerala.

Methods: Analysis included 109 polyps larger than 0.5 cm, examining baseline characteristics, indications for colonoscopy, and patients' medical conditions. Colonoscopy standards were evaluated using the Boston Bowel Preparation Score (BBPS) and Scope Withdrawal Time. Gastroenterologists classified polyps based on Paris, NICE, and JNET systems, correlating findings with histopathology. Additional features like size and site were assessed, and management techniques and post-polypectomy complications were analyzed.

Results: Out of 109 analyzed polyps, 69 were in men, 40 in women, and 83 occurred in patients aged over 50. Constipation was the predominant indication for colonoscopy (62.4%). Elevated CEA was found in 21 out of 49 patients. Most polyps were classified as NICE II (99) and JNET IIA (93), correlating with histopathology reports. The majority were located in the caecum (53). Polyps were removed using various techniques, with post-polypectomy bleed occurring in only one case, managed successfully with hemoclip. Histopathology identified adenomas with low-grade dysplasia in 73 polyps, adenomas with high-grade dysplasia in 13, focal adenocarcinoma in 3, and sessile serrated morphology in 3 polyps.

Conclusion: This interim analysis reveals a comprehensive profile of colorectal polyps in Indian patients, emphasizing the importance of adhering to colonoscopy standards. The findings underscore the need for meticulous evaluation and management, particularly in elderly patients, and provide insights for further research and clinical practice in colorectal health care.



Publication History

Article published online:
22 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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