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2015 ; 94
(15
): e621
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
What is the most accurate method for the treatment of diminutive colonic polyps?:
Standard versus jumbo forceps polypectomy
#MMPMID25881835
Aslan F
; Cekiç C
; Camci M
; Alper E
; Ekinci N
; Akpinar Z
; Alpek S
; Arabul M
; Unsal B
Medicine (Baltimore)
2015[Apr]; 94
(15
): e621
PMID25881835
show ga
Different methods such as standard, hot, and jumbo forceps are used in endoscopic
treatment of diminutive colon polyps. In the current study, it was aimed to
compare efficacy and safety of standard and jumbo forceps polypectomy methods in
treatment of diminutive colon polyps of ?5?mm. Polyps with ?5 mm which were
excised during colonoscopy by using standard or jumbo forceps were evaluated.
Standard and jumbo forceps polypectomy methods were randomly performed in 212
consecutive patients with diminutive colorectal polyp. One-bite polypectomy and
complete resection rates were also determined among polypectomy methods. Results
of 161 standard forceps polypectomy and 102 jumbo forceps polypectomy were
retrospectively evaluated. Both one-bite polypectomy and complete resection rates
were significantly higher in the jumbo forceps polypectomy group than the
standard forceps polypectomy group (P?0.001). In the subgroup analysis
performed according to polyp sizes, complete resection rate among polyps with
3-mm diameter was determined as 100%. However, numbers of bites in 4-mm and 5-mm
polyps were higher in the standard forceps polypectomy group, and complete
resection rate was lower than in the jumbo forceps polypectomy group (P?0.001).
Both endoscopic treatment methods may be employed in treatment of diminutive
colon polyps with ?5?mm. However, jumbo forceps polypectomy is a more effective
treatment method in 4- to 5-mm polyps with high one-bite polypectomy and complete
resection rate.
|Adult
[MESH]
|Aged
[MESH]
|Colonic Polyps/*surgery
[MESH]
|Digestive System Surgical Procedures/adverse effects/*instrumentation/methods
[MESH]