Original Article

Is there any association between colonic polyps and gastric intestinal metaplasia?

Volume 27 · Issue 3 Publish Date: May 15, 2016
Gülhan Kanat Ünler Gülsüm Teke Özgür Hüseyin Savaş Göktürk Hüseyin Korkmaz Özgür Hilal Erinanç
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Published In

Turkish Journal of Gastroenterology

Volume 27 · Issue 3

Pages: 221-226

History

Published Online: May 15, 2016

Copyright © 2016 Gülhan Kanat Ünler, Gülsüm Teke Özgür, Hüseyin Savaş Göktürk, Hüseyin Korkmaz, Özgür Hilal Erinanç

Gülhan Kanat Ünler
Department of Gastroenterology, Başkent University School of Medicine, Konya, Turkey
Gülsüm Teke Özgür
Department of Family Medicine, Başkent University School of Medicine, Konya, Turkey
Hüseyin Savaş Göktürk
Department of Gastroenterology, Başkent University School of Medicine, Konya, Turkey
Hüseyin Korkmaz
Department of Gastroenterology, Başkent University School of Medicine, Konya, Turkey
Özgür Hilal Erinanç
Department of Pathology, Başkent University School of Medicine, Konya, Turkey
Kanat Ünler, G., Teke Özgür, G., Göktürk, H. S., Korkmaz, H., & Erinanç, Özgür H. (2016). Is there any association between colonic polyps and gastric intestinal metaplasia?. Turkish Journal of Gastroenterology, 27(3), 221–226. https://doi.org/10.5152/tjg.2016.15212
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Abstract

Abstract Background/Aims: Chronic gastritis progression is a multistep process of atrophy, intestinal metaplasia (IM), and dysplasia, which may lead to invasive carcinoma. In this study, we identified an association of colonic polyps with gastric IM in patients undergoing colonoscopy. Materials and Methods: This retrospective case-control, cross-sectional study was conducted in a tertiary-care institution in Turkey. Pathology and endoscopy reports were reviewed. The study group comprised 400 patients with colonic adenomatous polyps, and the control group comprised 360 patients without colonic adenomatous polyps on colonoscopy. Results: The risk of gastric IM was 1.42-fold higher in the study group (p<0.05). The risk of IM in patients aged ≥50 years with colonic polyps was 3.35-fold higher than in those aged <50 years (p<0.05). The risk of Helicobacter pylori infection in the study group was 1.07-folder higher than that in the control group (p<0.05). H. pylori infection prevalence was higher only in patients with high-grade colonic polyp dysplasia (p<0.05). There were no statistically significant differences in the proportion of incomplete IM between the groups (p<0.05). Conclusion: This study observed increased rates of gastric IM with colonic polyps. An increased risk of gastric IM was associated with higher grades of polyp dysplasia.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 27 · Issue 3
Pages 221-226
DOI 10.5152/tjg.2016.15212
History
Published Online May 15, 2016
Copyright
Copyright (c) 2016 Gülhan Kanat Ünler, Gülsüm Teke Özgür, Hüseyin Savaş Göktürk, Hüseyin Korkmaz, Özgür Hilal Erinanç
Affiliations
Gülhan Kanat Ünler
Department of Gastroenterology, Başkent University School of Medicine, Konya, Turkey
Gülsüm Teke Özgür
Department of Family Medicine, Başkent University School of Medicine, Konya, Turkey
Hüseyin Savaş Göktürk
Department of Gastroenterology, Başkent University School of Medicine, Konya, Turkey
Hüseyin Korkmaz
Department of Gastroenterology, Başkent University School of Medicine, Konya, Turkey
Özgür Hilal Erinanç
Department of Pathology, Başkent University School of Medicine, Konya, Turkey
Cite this Article
Kanat Ünler, G., Teke Özgür, G., Göktürk, H. S., Korkmaz, H., & Erinanç, Özgür H. (2016). Is there any association between colonic polyps and gastric intestinal metaplasia?. Turkish Journal of Gastroenterology, 27(3), 221–226. https://doi.org/10.5152/tjg.2016.15212
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