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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 1999 December;158(6):181-4

language: English

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


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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.

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