Objective To analyze the related risk factors and pathological features of gastric polyps complicated with intestinal polyps,thus providing basis for the selection of endoscopic examination,the formulation of relevant prophylactic-therapeutic measures,and the conservation of medical resources in high-risk people.Methods One hundred patients with gastric polyps complicated with intestinal polyps diagnosed by gastroscopy and colonoscopy in the department of gastroenterology of our hospital from January 2021 to may 2022 were enrolled(the case group),and 100 patients with simple intestinal polyps diagnosed by colonoscopy were selected(the control group).Relevant data of patients were collected and recorded.Correlation between high-risk factors and pathological features in patients with gastric polyps complicated with intestinal polyps was analyzed by comparing the differences in relevant data.Results There was no significant difference in gender,age,body mass index(BMI),life history,history of biliary diseases,fatty liver,hypertriglyceridemia,hypercholesterolemia,hyperuricemia,elevated carcinoembryonic antigen(CEA),carbohydrate antigen 19-9(CA199)and cancer antigen 125(CA125)between the two groups(P>0.05).The infection rate of helicobacter pylori(H.Pylori)in the case group was significantly higher than that of the control group(P<0.05).There was no significant difference in the number,location,diameter and pathological type of polyps between groups(P>0.05).The result from the correlation between the pathological characteristics and high-risk factors indicated that patients with multiple polyps had statistical significance in terms of age≥60 years,H.Pylori infection,smoking history,drinking history and high CA199 compared with those with single polyps(P<0.05).The H.Pylori infection of patients with polyp diameter<10mm was statistically significant compared with those with polyp diameter>10mm(P<0.05).Patients with adenomatous polyps had statistical significance in H.Pylori infection and CA199 increase relative to those with non-adenomatous polyps(P<0.05).Conclusion The main risk factor of gastric polyps complicated with intestinal polyps is H.Pylori infection,and their pathological characteristics are associated with old age,H.Pylori infection,smoking,drinking and CA199 level.Therefore,the eradication of H.pylori,improvement of living habits,regular screening of tumor markers,and endoscopy should be carried out to detect lesions and intervene early.
gastric polyps complicated with intestinal polypsrisk factorspathological features
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