Endoscopic treatment of colorectal neoplasms: A simple and safe procedure to lower the incidence of colorectal cancers

被引:11
|
作者
Su, Ming-Yao [1 ]
Hsu, Chen-Ming [1 ]
Lin, Chun-Jung [1 ]
Ho, Yu-Pin [1 ]
Chiu, Cheng-Tang [1 ]
Chen, Pang-Chi [1 ]
Lien, Jau-Min [1 ]
Wu, Cheng-shyong [1 ]
Tung, Shui-Yi [1 ]
机构
[1] Chang Gung Univ, Coll Med, Linkou Chang Gung Mem Hosp, Dept Gastroenterol & Hepatol, Tao Yuan, Taiwan
关键词
colonoscopy; snare; hot forceps; endoscopic mucosal resection;
D O I
10.1007/s10620-008-0236-8
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Aim For many physicians who ordinarily treat patients with colonic diseases, colonoscopy is considered a prime study interest. Developments in colonoscopic equipment and methods have led to larger numbers of endoscopic diagnoses and treatments for colorectal neoplasms. The purpose of this investigation is to evaluate the efficacy and outcomes of endoscopic treatment for colorectal neoplastic lesions and the development of colorectal cancers after colonoscopic therapy. Materials and methods From September 1999 to May 2005, 19,815 consecutive colonoscopic examinations in 16,318 patients were gathered, totaling 9,534 endoscopic treatments for colorectal neoplasms. Macroscopic characteristics of the neoplasms were classified into protruded (N = 7,455), sessile (N = 1,569), lateral spreading tumor (N = 201), depressed lesions (N = 21), and flat lesions (N = 288). Snare polypectomy was conducted in 7,536 lesions, hot forceps removal in 1,545 lesions, and endoscopic mucosal resection in 353 lesions. Results Histological diagnoses were 8,333 neoplastic lesions (8,246 adenomas with low/high-grade dysplasia and 87 invasive adenocarcinomas) and 1,201 non-neoplastic lesions (1,186 hyperplastic and 15 inflammatory polyps). For the adenocarcinoma group, all had received further operations, while 73 surgical specimens discovered no residual tumors. Four perforations and 146 bleedings were found following endoscopic treatment. No procedure-related mortality was found and no recurrent malignancy was found after 6-71 months follow-up. Conclusion To lower the incidence and mortality of advanced colorectal cancer, endoscopic treatment for colorectal neoplasms is a simple and safe procedure.
引用
收藏
页码:1297 / 1302
页数:6
相关论文
共 50 条
  • [41] Endoscopic submucosal dissection with or without snaring for colorectal neoplasms
    Byeon, Jeong-Sik
    Yang, Dong-Hoon
    Kim, Kyung-Jo
    Ye, Byong Duk
    Myung, Seung-Jae
    Yang, Suk-Kyun
    Kim, Jin-Ho
    GASTROINTESTINAL ENDOSCOPY, 2011, 74 (05) : 1075 - 1083
  • [42] Colorectal Neuroendocrine Neoplasms: A Look at Endoscopic Diagnosis and Resection
    Tay, S. W.
    Li, J.
    Wang, L. M.
    Ang, T. L.
    Fock, K. M.
    DIGESTION, 2021, 102 (01) : 100 - 100
  • [43] Learning Curve for Endoscopic Submucosal Dissection of Colorectal Neoplasms
    Kim, Dong Choon
    Kim, Eun Soo
    Lee, Yoo Jin
    Hah, Yu Jin
    Park, Kyung Sik
    Cho, Kwangbum
    GASTROINTESTINAL ENDOSCOPY, 2012, 75 (04) : 368 - 368
  • [44] Endoscopic Diagnosis of Colorectal Neoplasms Using Autofluorescence Imaging
    Takeuchi, Yoji
    Uedo, Noriya
    Hanafusa, Masao
    Hanaoka, Noboru
    Yamamoto, Sachiko
    Ishihara, Ryu
    Iishi, Hiroyasu
    INTESTINAL RESEARCH, 2012, 10 (02) : 142 - 151
  • [45] DAY SURGERY OF ENDOSCOPIC SUBMUCOSAL DISSECTION FOR COLORECTAL NEOPLASMS
    Hayashi, Takemasa
    Kudo, Shinei
    Toyoshima, Naoya
    Ishigaki, Tomoyuki
    Sakurai, Tatsuya
    Takashina, Yuki
    Minegishi, Yosuke
    Okumura, Taishi
    Sato, Yuta
    Kouyama, Yuta
    Kudo, Toyoki
    Wakamura, Kunihiko
    Baba, Toshiyuki
    Ishida, Fumio
    GASTROINTESTINAL ENDOSCOPY, 2019, 89 (06) : AB507 - AB507
  • [46] Endoscopic submucosal dissection of colorectal neoplasms: an audit of its safe and efficacy in a single tertiary centre in Singapore
    Li, James Weiquan
    Ang, Tiing Leong
    Wang, Lai Mun
    Kwek, Andrew Boon Eu
    Tan, Malcolm Teck Kiang
    Fock, Kwong Ming
    Teo, Eng Kiong
    SINGAPORE MEDICAL JOURNAL, 2019, 60 (10) : 526 - 531
  • [47] Safe and efficient colorectal endoscopic submucosal dissection in European settings: Is successful implementation of the procedure possible?
    Spychalski, Michal
    Dziki, Adam
    DIGESTIVE ENDOSCOPY, 2015, 27 (03) : 368 - 373
  • [48] Incidence and localization of lymphoid follicles in early colorectal neoplasms
    Kuang-I Fu
    Yasushi Sano
    Shigeharu Kato
    Takahiro Fujii
    Ikura Koba
    Takayuki Yoshino
    Atsushi Ochiai
    Shigeaki Yoshida
    Takahiro Fujimori
    World Journal of Gastroenterology, 2005, (43) : 6863 - 6866
  • [49] Incidence and localization of lymphoid follicles in early colorectal neoplasms
    Fu, Kuang-I
    Sano, Yasushi
    Kato, Shigeharu
    Fujii, Takahiro
    Koba, Ikuro
    Yoshino, Takayuki
    Ochiai, Atsushi
    Yoshida, Shigeaki
    Fujimori, Takahiro
    WORLD JOURNAL OF GASTROENTEROLOGY, 2005, 11 (43) : 6863 - 6866
  • [50] The need for surgery after endoscopic treatment of colorectal neoplasms is the most important outcome criterion
    Rolny, Peter
    ENDOSCOPY, 2017, 49 (01) : 80 - 82