Kết quả điều trị qua nội soi 365 polyp đại trực tràng

Abstract

Objective: Describing endoscopic characteristics of colorectal polyps and assessing the effectiveness and complications of endoscopic polypectomy. Subject and method: 161 patients were enrolled in the study: 365 polyps are detected and cutted endoscopically. We perform the technique of cutting polyp using snare, hot forceps biopsy, injector, hemoclips or endoloop to stop and prevent bleeding. Complications were detected and treated during procedure. Result: Age: 60.7 ± 11.2 years, 20.5% women and the mean number of polyps per patient was 2.46 in the man group and 1.55 in the women group. Solitary polyps (52.8%), multiple polyps (47.2%). The rate of polyps were seen most frequently at sigmoid colon (30.7%) and anal-rectum (22.2%). Stalked polyps (62.2%), flat polyps (37.8%). Polyp 1 - 2cm in size accounted for 46.8%. The rate of successful polypectomy was 100%. There was no case of perforation and 7 cases had early bleeding but successfully treated by clipping. Conclusion: 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.