Hallazgos histológicos en pólipos colónicos en pacientes del servicio de gastroenterología del Hospital General del Norte de Guayaquil IESS Los Ceibos periodo enero 2019 - enero 2022.

Abstract

Introduction: A percentage of colonic polyps are precursors of colorectal cancer. The prevalence of colonic polyps in Latin America is 35% and adenomatous polyps are found, which are the ones that tend to become neoplastic in 18.5%. Polyps are classified according to their macroscopic appearance:hyperplastic, adenomatous or inflammatory, morphology: pedicled, sessile and histological lineage: hyperplastic, adenomatous, villous or villous tubule with low, moderate or high degree of dysplasia. For this reason, screening and endoscopic follow-up at established intervals are recommended so thatit favors populations at risk. Methodology: It is a cross-sectional study (observational, descriptive and analytical). The documentation technique will be applied, through the review of medical records and complementary tests registered in the database of the General Hospital of the North of Guayaquil IESS Los Ceibos. The study will be carried out with patients diagnosed with colonic polyps, and the HGNG data will becollected. IESS Los Ceibos, during the period of time January 2019- January 2022 Results: The average age of patients diagnosed with colonic polyps at the HGNG is 68 years. 1% areunder 40 years old, between 40 and 49 years old they were evident in only 2% The female sex showed to be predominant in the diagnosis of colonic polyps, with 54%. Themacroscopic appearance hyperplastic type polyp was the most common, found in 59%. Within this study, non-cancerous polyps predominated in 86% Conclusion: Hyperplastic polyps were the most commonly found polypoid lesions in patients treatedbytheGastroenterology service at IESS Los Ceibos Hospital during theperiod January 2019 to January2022, presenting in 43.7%. On the other hand, of the total of 293 colonic polyps, 86% were not cancerous. Of the polyps that became cancerous, the majority were those with an adenomatous appearance, showing up in 32%.