Endoscopic banding ligation can effectively resect hyperplastic polyps of stomach.
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.
Lo
Ching-Chu
CC
Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Taipei, Taiwan, China.
Hsu
Ping-I
PI
Lo
Gin-Ho
GH
Tseng
Hui-Hwa
HH
Chen
Hui-Chun
HC
Hsu
Ping-Ning
PN
Lin
Chiun-Ku
CK
Chan
Hoi-Hung
HH
Tsai
Wei-Lun
WL
Chen
Wen-Chi
WC
Wang
E-Ming
EM
Lai
Kwok-Hung
KH
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