Özet:

Objective: Gastrointestinal tract malignancies comprise essential morbidity and mortality reasons in east Anatolia. The data regarding the incidences and clinical symptoms of these malignancies in this region are scarce. Method: All endoscopic interventions and obtained biopsies between July 2014 and August 2015 were reviewed retrospectively. Age-adjusted and crude incidences were calculated according to the mid-  population number in 2014 given by the regional governorship. Results: A total of 1176 endoscopic interventions (927 (78.8%) upper endoscopy and 249 (21.2%) colonoscopy) were performed within 12 months of time interval. As a result of these endoscopic interventions, 14 (19.1%) esophageal cancers, 49 (67.1%) gastric cancers, and 10 (13.6%) colorectal cancers were diagnosed. Crude incidences per 100.000 individuals for esophageal cancer were 2.4 and 2.6, for gastric cancer were 9.1 and 8.3, and for colorectal cancer were 2.8 and 0.7 for men and women, respectively. Gender and age-adjusted esophageal cancer rates per 100.000 individuals for men between 30-34 years was 0.34 and for women between 40-44 years was 3.03. While weight loss was more common in upper gastrointestinal malignancies (49.2% vs. 10%, p<0.001), anemia was more common in colorectal malignancies (90% vs. 15.8%, p=0.02). Conclusions: When age-adjusted cancer rates were taken into consideration, the esophageal cancer rate in young men and women was shown to be increased in Ağrı province, contrary to Turkey’s general. Despite an increase in the crude incidence of gastric cancer, when adjusted to age, the incidence seems to be in accordance with the general tendency. 

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