Demographic and Clinical Profile of Patients with Colorectal Polyp — An Observational Study

Abstract

Inteoduction: Colorectal polyps are common findings during routine colonoscopies. Colorectal polyps represent a significant risk factor for the development of colorectal carcinoma. Comprehensive knowledge of the demographic and clinical characteristics of patients with these polyps is essential for effective management and the prevention of colorectal cancer. Aim of the study: This study aimed to investigate the demographic and clinical profile of patients with colorectal polyps. Methods and materials: This cross-sectional observational study was conducted at the Department of Pathology, Sir Salimullah Medical College, Dhaka, Bangladesh from March 2021 to February 2023. A total of 71 histopathologically diagnosed cases of colorectal polyp were purposively enrolled as study subjects. Data collection utilized a semi-structured, pre-designed questionnaire, and MS Office tools were employed for data analysis. Results: In this study with 71 patients, the median age was 50.0 years, and 56.3% were male. Colorectal polyps were histopathologically analyzed, revealing 43.7% adenomatous, 21.12% hyperplastic, and 19.7% juvenile polyps. Most cases (87.3%) had no significant associated diseases, with 7.0% diagnosed with Familial Adenomatous Polyposis (FAP). Polyp sizes were <1.0 cm in 54.9% and ≥1 cm in 45.1%. Single polyps were observed in 56.3%, while 43.7% had multiple polyps. Among the patients, 56.3% had pedunculated, 23.9% irregular, and 19.7% sessile polyps. Conclusion: Colorectal polyps predominantly affect middle-aged individuals, with a slight male predominance. The most common histopathological types include adenomatous, hyperplastic, and juvenile polyps. Among these cases, pedunculated shapes and single polyps are the prevailing characteristics.