KẾT QUẢ ĐIỀU TRỊ POLYP ĐẠI TRỰC TRÀNG BẰNG PHƯƠNG PHÁP CẮT NIÊM MẠC QUA NỘI SOI ỐNG MỀM TẠI BỆNH VIỆN UNG BƯỚU HÀ NỘI

Abstract

Objectives: Describe some clinical and histopathological characteristics of colorectal polyps and evaluate the results of treatment by flexible endoscopic mucosectomy at Hanoi Oncology Hospital. Patients and methods: Retrospective and prospective descriptive study on 61 patients diagnosed with colorectal mucosal lesions through endoscopy at the Department of Endoscopy - functional exploration of Ha Oncology Hospital from 1/1/2020 to 31/12/2022. Results: 61 patients enrolled, average age was 58.6 ± 9.8 years old, most common in the age group >50. The male/female ratio is 1.1/1. Defecation disorders and bloody stools are the most common symptoms. The highest position in the rectum accounts for 34.7%. The average size of the polyps is 18.4 ± 6.0mm, the smallest is 7mm and the largest is 35mm. Most polyps are types 0-Is and 0-IIa, accounting for 85.4%. 90.2% of polyps were completely removed. The success rate of the technique is 95.1%. There were no complications after cutting, accounting for 93.4%. There were only 4 cases of post-cutting bleeding accounting for 6.6%, 02 cases of late bleeding accounting for 3.3%. The recurrence rate after 12 months is 1/47, after 24 months is 1/14. Conclusion: Flexible endoscopic mucosectomy technique to treat colorectal polyps has a high success rate and low complications, so it should be applied as the first-line method in the treatment of colorectal sessile polyps