| Endoclip-assisted resection of large pedunculated colorectal polyps: technical aspects and outcome. | |
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MedLine Citation:
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PMID: 19657735 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The most common complication of polypectomy is hemorrhage, and various techniques have been used to prevent this complication. AIM: This study evaluates the outcomes of endoclip-assisted polypectomy in patients with large pedunculated colorectal polyps, in comparison with a historical control group of patients treated with endoloop-assisted polypectomy. METHODS: Between January and December 2007, 32 patients with 32 large pedunculated polyps (>or=15 mm) were treated with endoclip-assisted polypectomy (group A). Between January and December 2006, 35 patients with 35 large pedunculated polyps were treated; 33 with endoloop-assisted polypectomy (control, group B) and two cases with endoclips and needle knife, which were included in group A for the analysis. RESULTS: The mean (+/- standard deviation [SD]) size of polyp head was 26.8 +/- 8.1 mm (range 15-50) in group A and 22.3 +/- 4.1 mm (range 15-30) in group B (P = 0.004). In group A, six polyps had a mean (+/-SD) head size of 40.8 +/- 5.8 mm (range 35-50) and were resected with clips and needle knife. In group A, bleeding occurred in two cases (5.9%), which were associated with the presence of cancer at histology (P = 0.006) and were managed by applying new clips. No bleeding occurred in patients of group B and no perforation and post-polypectomy syndrome occurred in either group. There were three (8.8%) cancerized adenomas in group A and one (3%) in group B. Clip application was possible in all patients, while in two cases, loop placement was impossible. CONCLUSIONS: In our experience, endoclip-assisted resection is a safe alternative to endoloop for the resection of large pedunculated colorectal polyps when endoloop placement is difficult or impossible. |
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Authors:
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Carmelo Luigiano; Francesco Ferrara; Stefania Ghersi; Carlo Fabbri; Vincenzo Cennamo; Patrizia Landi; Anna Maria Polifemo; Paola Billi; Marco Bassi; Pierluigi Consolo; Angela Alibrandi; Nicola D'Imperio |
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Publication Detail:
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Type: Journal Article Date: 2009-08-06 |
Journal Detail:
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Title: Digestive diseases and sciences Volume: 55 ISSN: 1573-2568 ISO Abbreviation: Dig. Dis. Sci. Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-09 Completed Date: 2010-07-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7902782 Medline TA: Dig Dis Sci Country: United States |
Other Details:
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Languages: eng Pagination: 1726-31 Citation Subset: AIM; IM |
Affiliation:
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Unit of Gastroenterology and Digestive Endoscopy, AUSL Bologna Bellaria-Maggiore Hospital, Largo Nigrisoli 2, Bologna, Italy. carmeluigiano@libero.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Case-Control Studies Colonic Polyps / pathology, surgery* Colonoscopes* Colonoscopy* / adverse effects Equipment Design Female Gastrointestinal Hemorrhage / etiology, prevention & control Hemostasis, Surgical / instrumentation* Humans Male Middle Aged Polyps / pathology, surgery* Postoperative Hemorrhage / etiology, prevention & control Prospective Studies Rectal Diseases / pathology, surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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