Endoscopic Management of Nonlifting Colon Polyps
المؤلفون المشاركون
Banerjee, Subhas
Kothari, Shivangi
Chen, Ann
Kochar, Rajan
Shelton, Andrew
Friedland, Shai
المصدر
Diagnostic and Therapeutic Endoscopy
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-05-14
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background and Study Aims.
The nonlifting polyp sign of invasive colon cancer is considered highly sensitive and specific for cancer extending beyond the mid-submucosa.
However, prior interventions can cause adenomas to become nonlifting due to fibrosis.
It is unclear whether nonlifting adenomas can be successfully treated endoscopically.
The aim of this study was to evaluate outcomes in a referral practice incorporating a standardized protocol of attempted endoscopic resection of nonlifting lesions previously treated by biopsy, polypectomy, surgery, or tattoo placement.
Patients and Methods.
Retrospective review of patients undergoing colonoscopy by one endoscopist at two hospitals found to have nonlifting lesions from prior interventions.
Lesions with biopsy proven invasive cancer or definite endoscopic features of invasive cancer were excluded.
Lesions ≥ 8 mm were routinely injected with saline prior to attempted endoscopic resection.
Polypectomy was performed using a stiff snare, followed by argon plasma coagulation (APC) if necessary.
Results.
26 patients each had a single nonlifting lesion with a history of prior intervention.
Endoscopic resection was completed in 25 (96%).
22 required snare resection and APC.
1 patient had invasive cancer and was referred for surgery.
The recurrence rate on follow-up colonoscopy was 26%.
All of the recurrences were successfully treated endoscopically.
There was 1 postprocedure bleed (4%), no perforations, and no other complications.
Conclusions.
The majority of adenomas that are nonlifting after prior interventions can be treated successfully and safely by a combination of piecemeal polypectomy and ablation.
Although recurrence rates are high at 26%, these too can be successfully treated endoscopically.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Friedland, Shai& Shelton, Andrew& Kothari, Shivangi& Kochar, Rajan& Chen, Ann& Banerjee, Subhas. 2013. Endoscopic Management of Nonlifting Colon Polyps. Diagnostic and Therapeutic Endoscopy،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-470123
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Friedland, Shai…[et al.]. Endoscopic Management of Nonlifting Colon Polyps. Diagnostic and Therapeutic Endoscopy No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-470123
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Friedland, Shai& Shelton, Andrew& Kothari, Shivangi& Kochar, Rajan& Chen, Ann& Banerjee, Subhas. Endoscopic Management of Nonlifting Colon Polyps. Diagnostic and Therapeutic Endoscopy. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-470123
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-470123
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر