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CC BY-NC-ND 4.0 · Journal of Coloproctology 2022; 42(04): 290-295
DOI: 10.1055/s-0042-1757773
Original Article

Sporadic Rectocolic Polyps Prevalence and Management

Samir Mrabti
1   Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
,
Asmae Sair
1   Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
,
Ahlame Benhamdane
1   Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
,
Tarik Addajou
1   Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
,
Réda Berrida
1   Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
,
Sara Sentissi
1   Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
,
Ilham Koti
1   Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
,
Fedoua Rouibaa
1   Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
,
Ahmed Benkirane
1   Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
,
Hassan Seddik
1   Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
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Abstract

Objective To evaluate the prevalence of polyps and their treatments.

Materials and Method This is a retrospective study conducted in our department over 20 years and 3 months between January 2000 and March 2021. All patients with colorectal polyps who underwent endoscopic resection were included. We evaluated the resection techniques and the management of complications.

Results The total number of patients was 273, with a mean age of 57.26 ± 14.058 (18–90) and a M/W sex ratio of 2. The prevalence was 3.35% and the mean number of polyps was 1.33 ± 0.69. The most frequent symptoms were rectal bleeding (23.5%) and constipation (12.1%). The median size was 6 mm (4–12 mm). The left colonic location was the most frequent site (43%). All polyps were classified according to the Paris classification, with a predominance of sessile polyps in 45.75%, followed by pedunculated polyps, representing 42.4%. Endoscopic resection was performed either by biopsy forceps, polypectomy, or mucosectomy in 30.2%, 27.4%, and 25.4% of cases, respectively. Our study noted immediate bleeding in 1.5% of cases, and no perforations or late complications. All complications were treated endoscopically, and no patient required blood transfusion or surgical intervention.

Conclusion Endoscopic resection of rectocolic polyps is the ideal treatment for these lesions. In our department, the prevalence was 3.35%, the most used resection techniques were forceps resection and polypectomy, and the complication rate was 1.5%.

Keywords

polyp - colonoscopy - prevalence - resection - complications


Publication History

Received: 04 August 2022

Accepted: 15 September 2022

Article published online:
22 December 2022

© 2022. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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