title: [Endoscopic treatment of colorectal polyps in a digestive endoscopy outpatient department].
abstract: The aim of this report was to evaluate the effectiveness of the endoscopic treatment of colonic polyps to allow secondary prophylaxis in order to prevent the onset of cancer arising from adenomas. From October 2002 to January 2004 we performed 487 colonoscopies on a patient group with the following indications: screening prior to kidney transplant; screening for colorectal cancer (patients positive at faecal occult blood testing); follow-up of patients who had undergone colonic resections for colorectal cancer; patients with other diseases. Colorectal polyps were diagnosed in 15 males and 15 females, with a mean age of 63 years. All the neoplasms were resected during colonoscopy and specimens sent for histological study. The histological examinations yielded the following results: 4 hyperplastic polyps; 9 tubular adenomas (6 with mild, 2 with mild-to-moderate, and 1 with severe dysplasia); 8 tubulo-villous adenomas (3 with mild, 1 with mild-to-moderate, and 4 with moderate dysplasia); 4 villous adenomas (3 with mild and 1 with severe dysplasia); 1 adenocarcinoma; 1 inflammatory polyp; in 3 cases we were unable to retrieve the polyps after polypectomy. Colonoscopic detection of a neoplasm allows us to remove it and send to the pathology laboratory for definitive histological diagnosis. Moreover, snare polypectomy can be a radical treatment for dysplastic polyps without stromal axis and basal membrane infiltration. We therefore conclude that colonoscopy allows not only early diagnosis of colonic neoplasms, but also radical curative treatment in the early stages.
authors.affiliation: Divisione di Chirurgia Generale, dell'Uremico e dei Trapianti d'Organo, Facoltà di Medicina e Chirurgia, Università degli Studi di Palermo.
authors.forename: Giorgio
authors.initials: G
authors.lastname: Romano
authors.forename: Gerlando
authors.initials: G
authors.lastname: Cocchiara
authors.forename: Fiorella
authors.initials: F
authors.lastname: Calderone
authors.forename: Emerico
authors.initials: E
authors.lastname: Luna
authors.forename: Cristina
authors.initials: C
authors.lastname: Virzì
authors.forename: Antonino
authors.initials: A
authors.lastname: Agrusa
authors.forename: Gabriele
authors.initials: G
authors.lastname: Romano
authors.forename: Salvatore
authors.initials: S
authors.lastname: Buscemi
authors.forename: Cristoforo
authors.initials: C
authors.lastname: Di Bernardo
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Buscemi
authors.forename: Emiliano
authors.initials: E
authors.lastname: Maresi
authors.forename: Francesco Paolo
authors.initials: FP
authors.lastname: Gioe'
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Diana
mesh_terms: D000556:Ambulatory Surgical Procedures; D003111:Colonic Polyps / Q000601:surgery*; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D007417:Intestinal Polyps / Q000601:surgery; D008297:Male; D008875:Middle Aged