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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 1999 December;158(6):181-4
Gastrointestinal polypectomy via the fiberendoscope in Bac Giang General Hospital (Vietnam)
Van Luoc T. 1, Puglisi R. 2
1 Diagnostic Functions Department, Bac Giang Hospital, Bac Giang (Vietnam);
2 Digestive Endoscopy Department, Sampierdarena Hospital, Genoa
Background. Endoscopic polypectomy is a technique that allows rapid, quick, low cost treatment of gastrointestinal polyposis. We present our initial experience in surgical endoscopy in the treatment of colon polyps.
Method. Of a total of 372 patients who reported to the Diagnostic Functions Department, Bac Giang General Hospital (Vietnam) for an endoscopic examination of the colon, we retrospectevly examined 47 patients, that within the last 3 years had undergone endoscopic polypectomy. The technique used for endoscopic polypectomy is the usual one, already widely described and universally applied in other Centers: polypectomy with diathermic snare.
Results. The study of the 47 patients (12.6% of the total number of patients that had undergone colonoscopy) showed that 2/3 are male, over 50% are under the age of 14. Most of the polyps were found in the colon (72.3%) had a diameter below 2 cm (91.4%) and were pedunculated (63.8%). Of our cases 57% of polyps resulted, from histological results, hyperplastic, 40.4% were adenomas, and 2.1% (one patient) was a carcinoma. In our experience we did not have technique-related difficulties, and after 6 months of follow-up we did not find recurring episodes.
Conclusions. Endoscopic polypectomy is confirmed to be a trustworthy and sure technique in the therapy of intestinal polyps, even for non hospitalized out-patients especially in terms of cost-benefit.