RESULTS OF COLORECTAL POLYP REMOVAL BY ENDOSCOPIC MUCOSAL RESECTION AT MILITARY HOSPITAL 175
DOI:
https://doi.org/10.59354/ydth175.2025.385Keywords:
colorectal polyps, polypectomy, EMRAbstract
Objective: Study on histopathological characteristics and results of endoscopic mucosal resection in the treatment of colorectal polyps.
Subjects and methods: This is a prospective, cross-sectional clinical intervention study conducted on 33 patients with colorectal polyps, with a total of 57 polyps, of which 49 polyps were resected endoscopically. Resection was performed after injecting the mucosa with normal saline solution mixed with epinephrine. Bleeding sites were controlled using hemostatic clips. Patients were monitored for complications until discharge.
Results: Adenomatous polyps were the most common type (73.5%) among the histopathological types. Endoscopic mucosal resection had a success rate of 97.96%. There were no complications such as bleeding or colon perforation during and after the procedure.
Conclusion: Endoscopic mucosal resection is a safe method with a high success rate. In cases of large polyps that cannot be separated after submucosal injection, partial resection should be performed.
References
1. Hoàng Gia Lợi, Đinh Quý Minh (2006). Nghiên cứu một số đặc điểm mô học của polyp đại - trực tràng. Tạp chí Y học thực hành, 6(547), 12-14.
2. Trần Quốc Tiến (2007). Nhận xét giá trị của nội soi nhuộm màu Indigo carmin trong chẩn đoán ung thư đại - trực tràng, Luận văn bác sĩ chuyên khoa cấp II, Trường Đại học Y Hà Nội.
3. Tống Văn Lược (2002). Nghiên cứu kết quả cắt polyp đại - trực tràng bằng thòng lọng điện theo hình ảnh nội soi mềm và xét nghiệm mô bệnh học, Luận án tiến sĩ y học, Trường Đại học Y Hà Nội.
4. Mukai M, Iwase H, Himeno S et al (2001). A Novel Approach to Endoscopic Colorectal Mucosal Resection Using a Three- Channel Outer Tube and Multiple Forceps: An Experimental Assessment. Endoscopy, 33(3), 6-253.
5. Seo M., Song E.M, Kim G.U, Hwang S.W et al (2017). Local recurrence and subsequent endoscopic treatment after endoscopic piecemeal mucosal resection with or without precutting in the colorectum. Intestinal research, 15(4), 10-502.
6. Kudo S (1993). Endoscopic mucosal resection of flat and depressed types of early colorectal cancer. Endoscopy, 25, 61-455.
7. Karita M, Tada M, Akita K (1994). The successive strip biopsy partial resection technique for large early gastric and colon cancers. Gastrointest Endos, 38(2), 174-8.
8. Yokota T.T, Sugihara K, Yoshida S (1994). Endoscopic mucosal resection for colorectal neoplastic lesions. Diseases of the Colon & Rectum, 37(11), 1108-11.
9. Nguyễn Tạ Quyết (2019). Nghiên cứu ứng dụng kỹ thuật cắt niêm mạc qua nội soi ống mềm trong điều trị thương tổn tân sinh của niêm mạc đại - trực tràng. Luận án tiến sĩ y học, Trường Đại học Y Dược Thành phố Hồ Chí Minh.
10. Conio M, Ponchon T, Blanchi S, Filiberti R (2006). Endoscopic mucosal resection. Am J Gastroenterol, 101(3), 653-63.
11. Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2024, https://www. esge.com/colorectal-polypectomy-and-endoscopic-mucosal-resection-esge-guideline update-2024
