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Date Published: 24/11/2023
Abstract Views: 180
Views pdf: 99
DOI: https://doi.org/10.51298/vmj.v532i1.7250
Issue
Vol. 532 No. 1 (2023)
Section
Các bài báo
How to Cite
Đỗ, Q. V., Nguyễn, T. T. H., & Nguyễn, T. D. (2023). RESULT OF ENDOSCOPIC POLYPECTOMY FOR COLORECTAL POLYPS OVER 10 MM IN SIZE AT VINH PHUC PROVINCIAL GENERAL HOSPITAL. Vietnam Medical Journal, 532(1). https://doi.org/10.51298/vmj.v532i1.7250

RESULT OF ENDOSCOPIC POLYPECTOMY FOR COLORECTAL POLYPS OVER 10 MM IN SIZE AT VINH PHUC PROVINCIAL GENERAL HOSPITAL

Quang Vinh Đỗ1,2, Thị Thu Huyền Nguyễn1,, Tiến Dũng Nguyễn1
1 Thai Nguyen University Of Medicine And Pharmacy
2 Vinh Phuc Provincial General Hospital

Main Article Content

Abstract

Objectives: Describing clinical and endoscopic characteristics of colorectal polyps over 10mm in size and assessing the effectiveness and complications of endoscopic polypectomy. Subject and methods:  A descriptive cross-sectional study on 121 patients at Vinh Phuc provincual general hospital from October 2022 to June 2023. Colonoscopy was performed to evaluate characteristics of polyps over 10mm in size and we perform the technique of cutting polyp using hot snare polypectomy, edoscopic musocal reception, endoscopic submusocal disseption, and plus injector, hemoclips or endoloop to stop and prevent bleeding. Complications were detected and treated during procedure. Result: Age: 59,22 ±14,11; The rate of polyps were seen most frequently at sigmoid colon (32,2%) and rectum (30,6%). Stalked polyps (77,7%). Polyp >2cm in size accounted for 31,4%. There were 95,0% neoplastic polyps. The rate of successful polypectomy was 100%. There was no case of perforation and 8 cases had bleeding but successfully treated by clipping. Conclusion: Colorectal polyps over 10mm in size are mainly adenomatous ones. Endoscopic polypectomy can be done successful and safe even for large colorectal polyp when we apply submucosal injection and using clip or endoloop to stop and prevent bleeding.

Article Details

Keywords

colorectal polyp, endoscopic, hispathology, polypectomy

References

1. Trần Thanh Hà và các cộng sự. (2022), "Nghiên cứu hình ảnh nội soi, mô bệnh học của polyp đại trực tràng kích thước trên 10mm", Tạp chí Y học Việt Nam. 517(2).
2. Nguyễn Đức Thông và Phan Trung Nam (2019), "Đặc điểm nội soi, mô bệnh học và kết quả cắt polyp không cuống đại trực tràng kích thước trên 1 cm bằng kỹ thuật cắt niêm mạc qua nội soi tại bệnh viện Nguyễn Trãi", Tạp chí Y dược - Trường đại học Y dược Huế. 9.
3. H. S. Kim and et al (2018), "Hot snare polypectomy with or without saline solution/epinephrine lift for the complete resection of small colorectal polyps", Gastrointest Endosc. 87(6), p. 1539-1547.
4. J. Patrun and et al (2018), "Diagnostic Accuracy of NICE Classification System for Optical Recognition of Predictive Morphology of Colorectal Polyps", Gastroenterol Res Pract. 2018, p. 7531368.
5. C. Schramm and et al (2015), "Patient- and procedure-related factors affecting proximal and distal detection rates for polyps and adenomas: results from 1603 screening colonoscopies", Int J Colorectal Dis. 30(12), p. 1715-22.
6. Dipika Basnet and et al (2021),Colorectal Polyps: A Histopathological Study in Tertiary Care Center.
7. GLOBOCAN (2020), "GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries", ACS JOUNALS.
8. Jin Hwa Park and et al (2023), "Clinical outcomes of colonoscopic polypectomy with strategic surveillance colonoscopies in patients with 10 or more polyps", Scientific Reports. 13(1), p. 2604.