Preliminary Analysis Of The Correlation Between Gastric Polyps And Colorectal Polyps

Background and objective: Gastrointestinal polyps are a common disease of digestive system,often found in internal examination.Since gastric polyps and colorectal polyps may occur malignant changes,it can effectively reduce the occurrence of digestive tract tumors by timely detection,clear diagnosis and timely treatment of gastrointestinal polyps in clinical work.At present,the pathogenesis of gastric polyps and colorectal polyps is not clear,and there is a controversy whether the relationship between them is relevant.Through multidimensional comparative analysis,this paper compares whether there is a difference in the detection rate of colorectal polyps between patients with and without gastric polyps,further studies the risk factors of gastric polyps combined with colorectal polyps,so as to screen the population with related risk factors,discover potential polyps in time,and reduce the possibility of their transformation into malignant tumors.Data and methods: Clinical data of 434 patients hospitalized in gastroenterology department of Dalian Central Hospital from September 2020 to September 2021 were selected for retrospective analysis.Among them,157 patients with gastric polyps were set as the case group,and 277 patients without gastric polyps were set as the control group.All patients listed within the study underwent each gastroscopy and colonoscopy throughout hospitalization.The diagnostic criteria for gastrointestinal polyps are to be conducted simultaneously by gastroenteroscopy and histopathological examination.Results: 1.General knowledge statistics: 157 patients were included in the case group,including 43 male patients,114 female patients,aged between 23 and 78 years,with an average age of 57.48±1.76 years.The control group included 277 people,including 134 men and 143 women,aged 18 to 85 years,with a median age of 56.88±1.36 years.2.The detection rate of colorectal polyps in the case group was 47.1%,and the detection rate of colorectal polyps in the control group was 34.3%,and the distinction was statistically significant(P<0.05).3.After being divided into subgroups by gender(male/female),age(young/middle-aged/elderly),Body Mass Index(Body Mass Index,BMI)(not overweight/overweight),there was a significant difference in the detection rate of colorectal polyps in gender,age and BMI(P<0.05).4.The detection rate of colorectal polyps in patients with single gastric polyp was high,and the distinction was statistically significant(P<0.05).5.In the pathological classification of gastric polyps,the detection rate of colorectal polyps containing only hypertrophic polyps and inflammatory polyps was higher than that of the control group,and the difference was statistically important(P<0.05).6.In univariate analysis of gastric polyps combined with large intestine polyps,there were statistically significant differences in gender(male),Helicobacter pylori infection and hypertension(P < 0.05),but no statistically significant differences in age(≥60 years old),BMI,smoking history,drinking history,diabetes mellitus and coronary heart disease(P > 0.05).7.After multivariate regression analysis,it was suggested that gender and hypertension were the risk factors for gastric polyps complicated with large intestine polyps.The risk of large intestine polyps in male patients with stomach polyps was2.645 times higher than that in female patients(OR=2.645,95%CI: 1.237-5.655,P <0.05),the risk of large intestine polyps in hypertensive patients was 2.733 times higher than those without hypertension(OR=2.733,95%CI: 1.242-6.016,P < 0.05).Conclusion:1.The detection rate of large intestine polyps in patients with gastric polyps was higher,suggesting that gastric polyps were correlated with the occurrence of large intestine polyps to some extent,and were correlated with gender,age and BMI.2.The detection rate of colorectal polyps with single gastric polyp is higher,and the detection rate of colorectal polyps with only hypertrophic gastric polyps and inflammatory gastric polyps is higher.Therefore it is recommended that patients with the above types of gastric polyps should actively perform colonoscopy.3.Helicobacter pylori infection is associated with gastric polyps complicated with large intestine polyps.Gender and hypertension are risk factors for gastric polyps complicated with large intestine polyps.