Efficacy, risk factors and complications of endoscopic polypectomy: ten year experience at a single center.

World Journal of Gastroenterology : WJG
Pierluigi ConsoloLuigi Familiari

Abstract

To examine the efficacy and complications of colonoscopic resection of colorectal polypoid lesions. We retrospectively reviewed 1354 polypectomies performed on 1038 patients over a ten-year period. One hundred and sixty of these were performed for large polyps, those measuring > or = 20 mm. Size, shape, location, histology, the technique of polypectomy used, complications, drugs assumption and associated intestinal or extra intestinal diseases were analyzed. For statistical analysis, the Pearson chi2 test, NPC test and a Binary Logistic Regression were used. The mean patient age was 65.9 +/- 12.4 years, with 671 men and 367 women. The mean size of polyps removed was 9.45 +/- 9.56 mm while the size of large polyps was 31.5 +/- 10.8 mm. There were 388 pedunculated and 966 sessile polyps and the most common location was the sigmoid colon (41.3%). The most frequent histology was tubular adenoma (55.9%) while for the large polyps was villous (92/160 -57.5%). Coexistent malignancy was observed in 28 polyps (2.1%) and of these, 20 were large polyps. There were 17 procedural bleeding (1.3%) and one perforation. The statistical analysis showed that cancer is correlated to polyp size (P < 0.0001); sessile shape (P < 0.0001) and bleeding ...Continue Reading

References

Dec 1, 1979·Annals of Surgery·H Shinya, W I Wolff
Dec 1, 1975·Cancer·M K Schwartz
Dec 1, 1975·Cancer·T MutoB C Morson
Nov 1, 1992·World Journal of Surgery·K A Forde
May 1, 1992·Gastrointestinal Endoscopy·R M WalshP C Shellito
Dec 1, 1986·Diseases of the Colon and Rectum·S Nivatvongs
Jan 1, 1986·Acta gastroenterologica Latinoamericana·W C Watson
May 1, 1985·Annals of Surgery·W A WebbL Jones
Feb 1, 1984·Gastrointestinal Endoscopy·S NivatvongsD T Fang
Dec 1, 1993·Diseases of the Colon and Rectum·L RosenS A Nastasee
Mar 1, 1996·Gastrointestinal Endoscopy·K F BinmoellerN Soehendra
Mar 1, 1996·Gastrointestinal Endoscopy·T KanamoriK Tsuchida
Jan 24, 2002·Diseases of the Colon and Rectum·P Dell'AbateE Foggi
Aug 3, 2002·The British Journal of Surgery·J C BrookerC B Williams
Jan 28, 2003·International Journal of Colorectal Disease·N StergiouT Wehrmann
Mar 11, 2003·Diseases of the Colon and Rectum·J Marek DoniecHorst Grimm
Feb 20, 2004·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·F Pérez RoldánF Ruiz Carrillo
Jan 25, 2005·Techniques in Coloproctology·A Repici, R Tricerri
Nov 10, 2005·Gastrointestinal Endoscopy Clinics of North America·Jerome D Waye
Nov 12, 2005·International Journal of Colorectal Disease·N StergiouT Wehrmann
Jun 21, 2006·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J K A JameelG S Duthie
Jan 27, 2007·Digestive Diseases and Sciences·Jaume BoixMiquel A Gassull
Feb 13, 2008·International Archives of Allergy and Immunology·Carlos Hernando de LarramendiAngel Ferrer
May 22, 2008·Diagnostic and Therapeutic Endoscopy·J D Waye

❮ Previous
Next ❯

Citations

Feb 12, 2011·International Journal of Colorectal Disease·L Y LiC M Qu
Sep 23, 2011·Surgical Endoscopy·Tsutomu SarayaKazuhiro Kaneko
Jun 26, 2012·Surgical Endoscopy·Madhu RagupathiEric M Haas
Nov 3, 2009·Nature Reviews. Gastroenterology & Hepatology·Jürgen Barnert, Helmut Messmann
Aug 24, 2012·Japanese Journal of Clinical Oncology·Minori MatsumotoTsuyoshi Kikuchi
Apr 11, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Dimitris KapetanosPanagiotis Katsinelos
Nov 26, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·V Lorenzo-ZúñigaJ Boix
Aug 1, 2012·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Liangqin WuUndurti N Das
Jun 10, 2010·World Journal of Gastroenterology : WJG·Guh Jung SeoJae Hwan Oh
Nov 13, 2010·World Journal of Gastroenterology : WJG·Teegan R LimRegi George
Mar 6, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Refael ItahShmuel Avital
Jun 3, 2014·Expert Review of Gastroenterology & Hepatology·Konstantina D Paraskeva, Gregorios A Paspatis
Oct 24, 2015·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Arnaldo AmatoUNKNOWN SIED Lombardy group
Sep 29, 2011·Gastrointestinal Endoscopy·Deborah A FisherJason A Dominitz
Sep 15, 2012·Clinical Endoscopy·Sung Pil Hong
May 16, 2013·Haemophilia : the Official Journal of the World Federation of Hemophilia·V TintillierP Renom
Jul 15, 2015·Techniques in Coloproctology·R MantaG Bassotti
Mar 26, 2015·Gastrointestinal Endoscopy·Nicholas G BurgessMichael J Bourke
Apr 4, 2015·Gastrointestinal Endoscopy Clinics of North America·Selvi Thirumurthi, Gottumukkala S Raju
Jun 16, 2016·AJR. American Journal of Roentgenology·Robin B LevensonKaren S Lee
Oct 9, 2014·Arquivos De Gastroenterologia·Carlos Eduardo Oliveira dos SantosJúlio Carlos Pereira-Lima
Oct 18, 2014·World Journal of Gastrointestinal Endoscopy·Hyung Hun KimEun Joo Cho
Dec 14, 2012·The Cochrane Database of Systematic Reviews·Jenna MorganSarah Braungart
Aug 8, 2018·Diseases of the Colon and Rectum·Audrey S KulaylatEvangelos Messaris
Apr 3, 2012·European Journal of Gastroenterology & Hepatology·Antonio Z Gimeno-GarcíaEnrique Quintero
May 1, 2020·Journal of Hepato-biliary-pancreatic Sciences·Akinori MarutaMasahito Shimizu
Feb 14, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ryota SagamiYuji Amano
Jan 24, 2019·World Journal of Gastroenterology : WJG·Su Young KimHong Jun Park
May 20, 2017·Intestinal research·Jeong-Mi LeeJeong-Sik Byeon
Aug 26, 2017·Frontline Gastroenterology·John FrostSauid Ishaq
Feb 23, 2016·GE Portuguese Journal of Gastroenterology·Carlos Eduardo Oliveira Dos SantosFernanda de Quadros Onófrio
Jul 16, 2009·Current Opinion in Obstetrics & Gynecology

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.