Epidemiology of Colorectal Polyps in Iraqi Patients

Abstract

Background:A colorectal polyp (CRP) is a growth on the lining of the colon or rectum. The incidence of CRPs is rapidly increasing with age. They are most often benign. The rectum is the most commonly affected site. Objectives:To determine the incidence, clinical presentation, and histopathologic types of CRP in Iraqi patients. Materials and Methods:It is a cross-sectional screening study conducted in the medical city of Baghdad,Iraq. The total number of colonoscopies done in the medical city/GIT center was 2658 from May 2020–September 2022, where 100 patients with the diagnosis of CRP has collected. The males comprised 60/100 and their ages ranged from 4 to 75 years. Results:The most common age group affected was 46–59 years. There was a significant relationship between site and types of CRP, where the rectum showed 48% involvement, followed by the sigmoid colon at 34%. The villous adenomatous polyps look of large size ranging from 1.5 to 4 cm. The tubulovillous adenoma is the most common type, 25%. Lower gastrointestinal bleeding is the most common presentation, 25%. Conclusion:The most common age group affected was 46–59 years, with male-to-female ratio is 1.17. The most common site affected by CRPs was the rectum 48%, villous adenoma has the most significant size among all types (1.5–4 cm). No dysplasia was the most common finding (45%), and lower GIT bleeding and positive family history were the most common clinical presentation.

Keywords

• clinical presentation
• colorectal polyps
• iraq