ISSN: 1859 - 2872
Efficacy of endoscopic mucosal resection treatment of gastrointestinal adenoma at Viet Tiep Friendship Hospital
Main Article Content
Keywords
Abstract
Objective: To assess the outcome of endoscopic mucosal resection (EMR) to treat gastrointestinal adenoma. Subject and method: A perspective descriptive study. Patients: 98 patients with gastrointestinal adenoma were performed (EMR) at Department of Gastroenterology, Viet Tiep Friendship Hospital from 3/2020 to 3/2022. Result: The rate of curative resection 100%. The rate of bleeding 5.1%. The mean procedure time was 8.2 minutes with tumors ≤ 2cm, 37.2 minutes with tumors > 2cm. The cases with size of lesions < 2cm and > 2cm were 70.41% and 29.59%, respectively. Adenoma (97.96%), early stage adenocarcinoma (2.04%). Bleeding complications 5.1%, no perforation. Conclusion: Endoscopic mucosal resection is an effective and safe therapy which gastrointestinal adenoma. The most frequent complication is bleeding but could be managed.
Article Details
References
2. Bùi Ánh Tuyết, Trần Đức Cảnh và cộng sự (2018) Bước đầu đánh giá kết quả cắt hớt dưới niêm mạc điều trị ung thư dạ dày giai đoạn sớm tại Bệnh viện K. Tạp chí khoa học Tiêu hóa Việt Nam, 53, tr. 3300-3304.
3. Chun HJ, Jang SK, Choi MG (2019) Endoscopic Mucosal Resection for Upper Gastroenterology Neoplasia, Therapeutic Gastrointestinal Endoscopy: A Comprehensive Atlas, 2nd ed. Springer Nature Singapore Pte Ltd 2019: 111-140.
4. Bergmann U, Beger HG (2003) Endoscopic mucosal resection for advanced non-polypoid colorectal adenoma and early stage carcinoma. Surg Endosc 17(3): 475-479.
5. Jameel JKA, Pillinger SH, Moncur P, Tsai HH, Duthie GS (2006) Endoscopic mucosal resection (EMR) in the management of large colo-rectal polyps. Wiley onlinelibrary 8(6): 497-500.
6. Luigiano C, CP, Scaffidi MG, Strangio G, Giacobbe G, Alibrandi A, Pallio S, Tortora A, Melita G, Familiari L (2009) Endoscopic mucosal resection for large and giant sessile and flat colorectal polyps: A single-center experience with long-term follow-up. Endoscopy 41(10): 829-835.
7. Soetikno RM, Nakanishi Y, Soehendra N (2012) Endoscopic mucosal resection. Gastrointest Endosc 57: 567-569.
8. Teegan R Lim, Venkat Mahesh, Salil Singh, Benjamin HL Tan, Mohamed Elsadig, Nerukav Radhakrishnan, Phil Conlong, Chris Babbs, and Regi George (2010) Endoscopic mucosal resection of colorectal polyps in typical UK hospitals. World J Gastroenterol 16(42): 5324-5328.
Article Sidebar
