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GERİATRİK YAŞ GRUBUNDA ALT GASTROİNTESTİNAL SİSTEM BİOPSİ SONUÇLARININ DEĞERLENDİRİLMESİ
2015
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Aim: Endoscopic procedures are used in the evaluation of the gastrointestinal lystem (GIS) at all ages. It can be used both for diagnostic and therapeutic purposes and it’s advantage is to be less invasive. We know that nearly 500,000 patients die due to colorectal cancer (CRC) every year worldwide. So endoscopic procedures are recommended for screening in the early diagnosis of gastrointestinal malignancies. As the elderly population increasing everyday we aimed to evaluate lower GIS biopsy results in elderly patients. Material and Methods:Definitive diagnosis of lower GIS biopsy results of 65 elderly patients from totally 406 cases and demographic characteristics of the patients were evaluated retrospectively between January 2011-November 2013.Results: Total of 65 patients were enrolled in thes tudy, 41 of (63.08%) were men and 24 (36.92%) of them were women. Cases were between the ages of 65 and 92 with a mean age of 72.82 ± 5.89. According to the endoscopic biopsy results ; 19 of our cases (29.23%) were colitis, 1 (1.54%) of was hyperplastic polyp, 16 (24.62%) were tubular adenoma, 21 (32.30%) of them tubulovillous adenoma, 8 (12.31%) of them were diagnosed as carcinoma. All of the cancer cases were in adenocarcinoma histology, one of origined from villous adenoma , one from tubulovillous adenoma. Cases of adenomas were included to carcinoma group because there was no duplication of data.Conclusion:We think that the upper and LGE is an effective method in the elderly population with a low complication rate and high diagnosis rate and it is a reliable examination. When there is clinical necessity gastrointestinal endoscopy should not be avoided as planned in the elderly population

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Evaluation of the results of the low gastrointestinal system biopsy in the geryatric age group
2015
Yazar:  
Özet:

Endoscopic procedures are used in the evaluation of the gastrointestinal lystem (GIS) at all ages. It can be used both for diagnostic and therapeutic purposes and it’s advantage is to be less invasive. We know that 500,000 patients die due to colorectal cancer (CRC) every year worldwide. So endoscopic procedures are recommended for screening in the early diagnosis of gastrointestinal malignities. As the elderly population increasing everyday we aimed to evaluate lower GIS biopsy results in elderly patients. Material and Methods:Definitive diagnosis of lower GIS biopsy results of 65 elderly patients from total 406 cases and demographic characteristics of the patients were evaluated retrospectively between January 2011-November 2013. Results: Total of 65 patients were enrolled in that tudy, 41 of (63.08%) were men and 24 (36.92%) of them were women. Cases were between the ages of 65 and 92 with an average age of 72.82 ± 5.89. According to the endoscopic biopsy results ; 19 of our cases (29.23%) were colitis, 1 (1.54%) of was hyperplastic polyp, 16 (24.62%) were tubular adenoma, 21 (32.30%) of them tubulovillous adenoma, 8 (12.31%) of them were diagnosed as carcinoma. All of the cancer cases were in adenocarcinoma histology, one of originated from villous adenoma, one from tubulovillous adenoma. Cases of adenomas were included to carcinoma group because there was no duplication of data. Conclusion:We think that the upper and LGE is an effective method in the elderly population with a low complication rate and high diagnosis rate and it is a reliable examination. When there is clinical necessity gastrointestinal endoscopy should not be avoided as planned in the elderly population

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