Taxa de detecção de adenoma no serviço de endoscopia digestiva em um hospital de Curitiba / Adenoma detection rate in the digestive endoscopy service of a hospital in Curitiba
Rev. méd. Paraná
;
78(2): 33-40, 2020.
Article
in Portuguese
| LILACS
| ID: biblio-1222638
RESUMO
OBJETIVOS:
Estabelecer a taxa de detecção de adenoma (TDA) no serviço de endoscopia digestiva do Hospital Universitário Evangélico Mackenzie (HUEM), e analisar as condições de preparo intestinal e as características dos pólipos.MÉTODOS:
Trata-se de um estudo descritivo, transversal e retrospectivo realizado com base nos dados contidos em prontuários de pacientes submetidos a colonoscopia de rastreio entre os anos de 2015 a 2018.RESULTADOS:
A TDA masculina foi de 30,5% e a feminina de 23,7%. Os exames foram completos em 86,1% das colonoscopias e o preparo intestinal foi adequado em 84,8%. Displasia de baixo grau foi encontrada em 21,8% dos pacientes, e displasia de alto grau em 5,9%. Os adenomas foram mais frequentes no cólon distal e o tamanho elevado do pólipo foi associado à displasia de alto grau.CONCLUSÃO:
A TDA do HUEM foi dentro do preconizado tanto pela Sociedade Americana de Endoscopia Gastrointestinal quanto o Colégio Americano de Gastroenterologia.ABSTRACT
OBJECTIVE:
establish the adenoma detection rate (ADR) in the endoscopy serjvice at Hospital Universitário Evangélico Mackenzie (HUEM), analyze the intestinal preparation conditions and the polyps characteristics.METHOD:
this is a descritive, transversal and retrospective study based on the data contained in the medical records of the patients who underwent through screening colonoscopy between years 2015 and 2018.RESULTS:
the male ADR was 30,5% and the female 23,7%. 86,1% of the colonoscopies were complete and the intestinal preparation was appropriate in 84,8% of them. Low grade dysplasia was found in 21,8% of the patients, and high grade dysplasia in 5,9%. The adenomas were more frequently in the distal colon and the high size polyps were correlated with high grade dysplasia.CONCLUSION:
the ADR at HUEM complies with the recommended both by the American Gastrointestinal Endoscopy Association and American College of Gastroenterology.
Full text:
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Index:
LILACS (Americas)
Main subject:
Adenoma
/
Mass Screening
/
Endoscopy, Gastrointestinal
/
Colonoscopy
/
Colon
/
Hospitals, University
Type of study:
Diagnostic study
/
Evaluation studies
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Humans
Language:
Portuguese
Journal:
Rev. méd. Paraná
Journal subject:
Medicine
Year:
2020
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Faculdade Evangelica Mackenzie do Parana/BR
/
Hospital Universitário Evangélico de Curitiba/BR
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