• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Endoscopic piecemeal resection of large colorectal polyps with long-term followup
【24h】

Endoscopic piecemeal resection of large colorectal polyps with long-term followup

机译：内镜下大肠息肉的小块切除术并进行长期随访

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Colonoscopic removal of large colorectal polyps is challenging and requires advanced endoscopic technique. Successful endoscopic management not only avoids the morbidity of surgery but also risks perforation, hemorrhage, and recurrence. Methods: This study is a retrospective review of a prospectively maintained database of all patients undergoing cautery snare piecemeal polypectomy for large colorectal polyps by a single operator over 20 years with long-term followup. Results: 231 patients underwent 269 piecemeal polypectomies over a 20 year period. The complication rate was 4.3 %. Malignancy was identified in 25 (10.8 %) of patients. Local recurrences occurred in 24 % of patients with benign adenomas. The vast majority of these were managed with repeat endoscopy. Overall, benign large polyps were managed successfully endoscopically in 94.4 % of patients. Conclusions: Piecemeal polypectomy is effective and safe for the management of large colorectal polyps. With long-term followup, the recurrence rate is appreciable, but most recurrences can be successfully managed with further endoscopic intervention. More complex techniques such as endoscopic submucosal dissection are usually unnecessary.
机译：背景：结肠镜检查切除大肠息肉是一项挑战，需要先进的内镜技术。成功的内窥镜处理不仅可以避免手术的发病率，而且还具有穿孔，出血和复发的风险。方法：本研究是一项前瞻性维护数据库的回顾性研究，该数据库由一名操作者进行了20年的长期随访，对所有接受大面积息肉的大面积息肉患者行烧灼圈套器小肠息肉切除术的患者。结果：231名患者在20年的时间里接受了269份分段检查。并发症发生率为4.3％。在25（10.8％）的患者中发现了恶性肿瘤。良性腺瘤患者中有24％发生局部复发。其中绝大多数是通过重复内窥镜检查来治疗的。总体而言，良性大息肉在内窥镜检查中成功地治愈了94.4％的患者。结论：逐段息肉切除术治疗大肠息肉是安全有效的。通过长期的随访，复发率是可观的，但是大多数的复发可以通过进一步的内镜干预来成功地治疗。通常不需要更复杂的技术，例如内镜下粘膜下剥离术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号