ĐẶC ĐIỂM NỘI SOI, MÔ BỆNH HỌC VÀ KẾT QUẢ CẮT ĐỐT KẾT HỢP VỚI KẸP CLIP QUA NỘI SOI POLYP CÓ CUỐNG Ở ĐẠI TRỰC TRÀNG

Abstract

Background: Endoscopic polypectomy of pedunculated colorectal polyps carries a higher risk of bleeding compared to non-pedunculated polyps. Objectives: This study aims to describe the endoscopic imaging, histopathological findings, and results of endoscopic polypectomy with prophylactic clipping in the management of pedunculated colorectal polyps. Materials and Methods: This was a cross-sectional study involving 108 patients with pedunculated colorectal polyps. All patients underwent endoscopic polypectomy with clipping. The excised polyps were sent for histopathological examination. Results: A total of 162 pedunculated colorectal polyps were identified in the 108 patients, with polyp head sizes ranging from 6 to 19 mm. The proportion of neoplastic polyps was 53.4%, while non-neoplastic polyps accounted for 42.6%. All pedunculated colorectal polyps were successfully removed via endoscopic polypectomy and clipped. No adverse events or complications were observed either during the procedure or within 30 days following the procedure. Conclusion: Pedunculated colorectal polyps have a high rate of neoplastic change. Endoscopic polypectomy combined with prophylactic clipping is an effective and safe treatment option for these polyps, with no significant complications noted in this study.