You are here

Home » Content

Tanısal Sigmoidoskopi Olgularımızın Değerlendirilmes

Evaluation of Our Sigmoidoscopy Cases

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 1999

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In this study, we aimed to investigate the prevalance of anorectal lesions in our symptomatic patients and to compare the efficacy of rigid and flexible sigmoidoscopy in the diagnosis of rectosigmoid tumors. We evaluated sigmoidoscopic findings of our 1023 cases referred to our department between June 1995-July 1998, retrospectively. Repetitive examinations of the same patient were excluded in the analysis of lesion distribution. Heine™ rigid sigmoidoscope (30 cm) was used in rigid sigmoidoscopy and Fujinon SIG GP™ fiberoptic flexible sigmoidoscope (65 cm) was used in flexible sigmoidoscopy. The mean insertion depth was 16.0±4.7 cm in rigid and 39.7±15.9 cm in flexible sigmoidoscopy (p<0.001). Anoscopy findings were normal in 265 (26.9 %) cases. In the rest, 742 anal lesions were detected. The distribution of the anal lesions were as follows: internal hemorrhoids (93.5 %), hyperthrophic anal papilla (6.2 %), and anal polyps (0.3 %). Rectosigmoid mucosa and lumen were found normal in 856 (86.8 %) cases. Total number of rectosigmoid lesions were 135. Most commmon lesion of rectosigmoid colon was nonspecific rectitis (31.1 %). Polyp detection ratios were 1.9 % by rigid sigmoidoscopy and 6.3 % by flexible sigmoidoscopy (p<0.001). Also, diagnosis rate of cancer in flexible sigmoidoscopy was observed higher than that of rigid sigmoidoscopy (p<0.01). We concluded that hemorrhoids were most commonly seen problem in our patient group and flexible sigmoidoscopy was found to be significantly more efficacious procedure in diagnosis of rectosigmoid tumor.
Bookmark/Search this post with
Abstract (Original Language): 
Bu çalışmada, bölgemizdeki semptomatik olgularda anorektal lezyonların sıklığım araştırmayı ve rektosigmoid tümörlerin tanısında rijit ve fleksibl sigmoidoskopinin performansını değerlendirmeyi amaçladık. Endoskopi ünitemizde Haziran 1995-Temmuz 1998 arasında, sigmoidoskopi yapılan 1023 olgunun bulguları retrospektif olarak değerlendirilmiş, lezyon dağılımının belirlenmesinde aynı kişide tekrarlanan incelemeler hesaba katılmamıştır. Rijit sigmoidoskopi 30 cm uzunluğundaki Heine™ rijit rektosigmoidoskop ile, fleksibl sigmoidoskopi 60 cm uzunluğundaki Fujinon SIG-GP™ fiberoptik fleksibl sigmoidoskopla gerçeldeştirilmiştir. Rijit sigmoidoskopun giriş uzunluğu ortalama 16.0t4.7 ve fleksibl sigmoidoskopun giriş uzunluğu 39.7^.15.9 cm'dir (p<0.001). Anoskopi 265 (% 26.9) olguda normal bulunmuştur. Kalan olgularda toplam 742 lezyon tespit edilmiştir ve bu lezyonların % 93.5'i iç hemorroid, % 6.2'si hipertrofik anal papilla, % 0.3 'ü anal polip'tir. Olguların 856'sında (% 86.8) rektosigmoid mukoza ve lümen normaldir. Diğer olgularda toplam lezyon sayısı 135 'tir. Bu lezyonların, kendi içindeki dağılım incelendiğinde, % 31.1 ile nonspesifik rektit en sık görülenidir. Polip saptanan hasta oranları rijit sigmoidoskopide % 1.9, fleksibl sigmoidoskopide % 6.3'tür (p<0.001). Kanser saptanan hasta oranları da fleksibl sigmoidoskopide anlamlı olarak fazla bulunmuştur (p<0.01). Hasta grubumuzda hemorroid sıktır ve rektosigmoid tümörlerin tanısında fleksibl sigmoidoskopinin anlamlı olarak daha etkin bir yöntem olduğu sonucuna varılmıştır.
FULL TEXT (PDF): 
PDF icon arastirmax-tanisal-sigmoidoskopi-olgularimizin-degerlendirilmes.pdf
  • 3
11-15
  • Turkish

REFERENCES

References: 

1-Harper MB, Pope JB. Office procedures. Flexible
sigmoidoscopy. Prim Care 1997; 24(2): 341-57.
2- Winawer SJ, Miller C, Lightaale C, Herbert E,
Ephram RC, Gordon L, Miller D. Patient response
to sigmoidoscopy. A randomized, controlled trial of
rigid and flexible sigmoidoscopy. Cancer 1987;
60(8): 1905-8.
3-Rosevelt J, Frankl H. Colorectal cancer screening
by nurse practitioner using 60-cm flexible fiberoptic
sigmoidoscope. Dig Dis Sci 1984; 29(2): 1061-3.
4- Caujfman JG, Hara JH, Rasgon M, Clark VA.
Flexible sigmoidoscopy in asymptomatic patients
14 SDÜ Tıp Fakültesi Dergisi 1999; 6 (3): 11-15
Tanısal Sigmoidoskopi/îşler, Koçer, Bahçeci, özelsancak, Aygündüz
with negative fecal occult blood tests. J Fam Pract 1992; 34(3); 281-6.
5- Theodore RS. Examination of the anorectum, rigid sigmoidoscopy, flexible sigmoidoscopy, and diseases of the anorectum. In: Sleisenger MB, Fordtran JS (eds.): Gastrointestinal Disease-Pathophysiology Diagnosis Management, Vol 2, 4th ed, Philadelphia: WB Saunders, 1989:1570-91.
6-Hogan WJ. Flexible sigmoidoscopy versus colonoscopy-when to use which instrument. GastrointestEndosc 1983; 29(2): 126-8.
7- Taffinder NJ, Gould SW, Wan AC, Taylor P, Darzi A. Rigid videosigmoidoscopy vs conventional sigmoidoscopy. A randomized controlled study. SurgEndosc 1999; 13(8): 814-6.
8- Wilking Nr Petrelli NJ, Herrera-Ornelas L, Walsh D, Mittelman A. A comparison of the 25-cm rigid proctosigmoidoscope with the 65-cm flexible endoscope in the screening ofpatients for colorectal carcinoma. Cancer 1986; 57(3): 669-71.
9- Yilmaz M, Özütemiz Ö, Akarca U ve ark. Rijid proktosigmoidoskopi sonuçlarımız: 5389 olgunun irdelenmesi. Turk J Gastroenterol 1996; 7 (Suppl 1): B112, (abstract).
10-Smith LE. Symposium on outpatient anorectal procedures. Flexible fiberoptic sigmoidoscopy: an office procedure. Can J Surg 1985; 28(3): 233-6.
11
-Bahçecioğlu IH, Güzel Z, Çelebi H, Karaoğlu A, Dönder E. 1990-1995 yılları arasında kliniğimizde yapılan rektoskopi ve kolonoskopi sonuçlarının değerlendirilmesi. Turk J Gastroenterol 1996; 7 (Suppl 1): B107, (abstract).
1
2-Süleymanlar î, Ertuğrul C, Işıtan F. Tanısal rektosigmoidoskopik incelemenin değerlendirilmesi. Turk J Gastroenterol 1997; 8 (Suppl 1): 28, (abstract).
13-Jonsson JS, Jonasson A, Leppert J. Proctosigmçido-
scopy in primary health care. Scand J Prim Health Care 1990; 8(3): 183-6.
14- You YT, Wang JY, Changchien CR, et al. The clinic diagnostic value of the rigid sigmoidoscopy. Chang Keng I Hsueh Tsa Chih 1991; 14(1): 22-7.
15- Helzberg JH, McCallum RW. Flexible sigmoidoscopy: safety and usefulness in the geriatric patient. Geriatrics 1985; 40(5): 105-7, 111.
16- Vellacott KD, AmarSS, Hardcastle JD. Comparison of rigid and flexible fibreoptic sigmoidoscopy with double contrast barium enemas. Br J Surg 1982; 69(7): 399-400.
17- Yarborough GW, Waisbren BA Sr. The benefits of systematic fiberoptic flexible sigmoidoscopy. Arch Intern Med 1985; 145(1): 95-6.

Thank you for copying data from http://www.arastirmax.com