title: Endoscopic banding ligation can effectively resect hyperplastic polyps of stomach.
abstract: OBJECTIVE
  Bleeding and perforation are the major and serious complications associated with endoscopic polypectomy. To develop a safe and effective method to resect hyperplastic polyps of the stomach, we employed rubber bands to strangulate hyperplastic polyps and to determine the possibility of inducing avascular necrosis in these lesions.
  
  
  METHODS
  Forty-seven patients with 72 hyperplastic polyps were treated with endoscopic banding ligation (EBL). On 14 days after endoscopic ligation, follow-up endoscopies were performed to assess the outcomes of the strangulated polyps.
  
  
  RESULTS
  After being strangulated by the rubber bands, all of the polyps immediately became congested (100%), and then developed cyanotic changes (100%) approximately 4 minutes later. On follow-up endoscopy 2 weeks later, all the polyps except one had dropped off. The only one residual polyp shrank with a rubber band in its base, and it also dropped off spontaneously during subsequent follow-up. No complications occurred during or following the ligation procedures.
  
  
  CONCLUSIONS
  Gastric polyps develop avascular necrosis following ligation by rubber bands. Employing suction equipment, EBL can easily capture sessile polyps. It is an easy, safe and effective method to eradicate hyperplastic polyps of the stomach.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Taipei, Taiwan, China.
authors.forename: Ching-Chu
authors.initials: CC
authors.lastname: Lo
authors.forename: Ping-I
authors.initials: PI
authors.lastname: Hsu
authors.forename: Gin-Ho
authors.initials: GH
authors.lastname: Lo
authors.forename: Hui-Hwa
authors.initials: HH
authors.lastname: Tseng
authors.forename: Hui-Chun
authors.initials: HC
authors.lastname: Chen
authors.forename: Ping-Ning
authors.initials: PN
authors.lastname: Hsu
authors.forename: Chiun-Ku
authors.initials: CK
authors.lastname: Lin
authors.forename: Hoi-Hung
authors.initials: HH
authors.lastname: Chan
authors.forename: Wei-Lun
authors.initials: WL
authors.lastname: Tsai
authors.forename: Wen-Chi
authors.initials: WC
authors.lastname: Chen
authors.forename: E-Ming
authors.initials: EM
authors.lastname: Wang
authors.forename: Kwok-Hung
authors.initials: KH
authors.lastname: Lai
mesh_terms: D005260:Female; D005773:Gastroscopy / Q000379:methods; D006801:Humans; D006965:Hyperplasia; D008297:Male; D008875:Middle Aged; D011127:Polyps / Q000473:pathology / Q000601:surgery*; D013272:Stomach Diseases / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome