[Therapeutic colonoscopy in patients with colonic and rectal polyps].
598 colorectal polyps were removed by therapeutic colonoscopy from 377 patients, of both sexes, between 1 and 88 years old, most of them with lower digestive symptoms. The polyps were unique in 67.37% and multiple in 32.63% of patients, and mostly located in rectum and sigmoid colon; 42.14% were pedunculated, 33.95% sessile++/sub-pedunculated, and 23.91% sessile in shape. In 51% the size was over 10 mm in diameter. Histologically, 68.68% were of epithelial neoplastic type: 60.91% adenoma; 6.42% adenoma with adenocarcinoma, and 1.35% polypoid carcinoma. 30.64 were epithelial non-neoplastic type: 20.32% hyperplastic polyp, and 0.51% hyperplastic polyp with tubular adenoma. Two patients (0.53%) had lower digestive hemorrhage immediately after the polypectomy. The complications were controlled with conservative measures without blood transfusion.
Celestino
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A
Servicio de Gastroenterología, Hospital Nacional Edgardo Rebagliati Martins, IPSS, Facultad de Medicina, Universidad Nacional Mayer de San Marcos, Lima, Perú.
Castillo
T
T
Contardo
C
C
Frisancho
O
O
Espejo
H
H
Tomioka
C
C
Navarrete
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003111:Colonic Polyps / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D020685:Colonoscopes; D003113:Colonoscopy / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011127:Polyps / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012004:Rectal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
Colonoscopia terapéutica en pacientes con pólipos de colon y recto.