COLONOSCOPIC POLYPECTOMY - INDICATION, TECHNIQUE, AND THERAPEUTIC IMPLICATIONS

被引：4

作者：

GREENE, FL ^{[1
]}

机构：

[1] UNIV S CAROLINA,SCH MED,DEPT SURG,COLUMBIA,SC

来源：

SEMINARS IN SURGICAL ONCOLOGY | 1995年 / 11卷 / 06期

关键词：

FLEXIBLE FIBEROPTIC COLONOSCOPY; TECHNIQUE; INDICATIONS; COMPLICATIONS; POLYPECTOMY; CANCER DIAGNOSIS AND PREVENTION;

D O I：

10.1002/ssu.2980110609

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The flexible fibroscopic colonoscope has changed the way we approach colonic disease. The technique of safe, effective colonoscopy is discussed including the indications and contraindications for therapeutic intervention via the colonoscope. The techniques of polypectomy is described, including some tips for methodology gained by the bread experience of the author, and admonition against the possible complications which can be life-threatening. The application for polypectomy in the presence of in-situ or invasive cancer is presented. The possible future development of colonoscopic and laparoscopic techniques are presented. The article concludes with a discussion of the monumental work of the National Polyp Study documenting that patients undergoing polypectomy have a significant reduction in the incidence of colon cancer. Application of the knowledge to the general population requires the identification of at-risk populations. (C) 1995 Wiley-Liss, Inc.

引用

页码：416 / 422

页数：7

共 19 条

[1]

Wolff WI, Shinya H, Therapeutic colonoscopy. Polypectomy, management of bleeding and decompressive techniques, Endoscopie Surgery, pp. 235-255, (1994)

[2]

Schrock TR, Colonoscopy versus barium enema in the diagnosis of colorectal cancers and polyps, Gastrointest Endosc Clin North Am, 3, pp. 585-610, (1993)

[3]

Gelfand D, Ott D, Chen Y, Decreasing number of gastrointestinal studies. Report of data from 69 radiological practices, AJR, 148, (1987)

[4]

Wolff WI, Colonoscopy. History and development, Am J Gastroenterol, 84, pp. 1017-1025, (1989)

[5]

Wolff WI, Shinya H, A new approach to colonie polyps, Ann Surg, 178, pp. 367-376, (1973)

[6]

Ingelfinger FJ, Malignant potential of colonie polyps, Controversy in Internal Medicine, 2, (1974)

[7]

Waye JD, Saline assisted polypectomy, the cushion technique. A new method to increase the safety of colonie sessile polypectomy, Gastrointest Endosc, 39, (1993)

[8]

Cranley JP, Proper management of the patient with a malignant colorectal polyp, Gastrointest Endosc Clin North Am, 3, pp. 661-671, (1993)

[9]

Berg JW, Epidemiology, pathology and the importance of adenomas, Prog Clin Biol Res, 279, (1988)

[10]

Beck DE, Laparoscopic‐assisted colonoscopic polypectomy, Surg Clin North Am, 3, pp. 679-686, (1994)

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