TY - JOUR
T1 - Complications of endoscopic polypectomy and endoscopic mucosal resection in the stomach
AU - Muto, Manabu
AU - Saito, Yasutoshi
AU - Koike, Tomoyuki
AU - Ikeya, Shinichi
AU - Sasaki, Takashi
AU - Hoshino, Eiji
PY - 1996
Y1 - 1996
N2 - The complications related to endoscopic polypectomy (EP) and endoscopic mucosal resection (EMR) were analyzed. At our hospital, EP and EMR were performed in 346 and 223 cases, respectively, from Jan. 1984 to Apr. 1994. The incidence of requiring endoscopic hemostasis was as follows ; EP : 13.0% (slight, 41 cases ; moderate, 3 cases ; severe, 1 case), and EMR, 14.3% (slight, 23 cases ; moderate, 8 cases ; severe, 1 case). The incidence of perforation was EP ; 0.28% (1 case) and EMR ; 0.45% (1 case), respectively. The incidence of moderate and severe hemorrhage related to EMR was higher than that of EP. In the cases which underwent EP, the factors of 1) maximum length of the resected specimen and 2) lesion at the C-region were assosiated with tendency to hemorrhage. However, no relationship was noted between hemorrhage and histological diagnosis (hyperplastic polyp, adenoma, cancer). In the cases which underwent EMR, no difference was also noted in the incidence between adenoma and mucosal cancer. All cases of hemorrhage recovered by endoscopic ethanol injection and there was no need for surgical treatment. No patient revealed rebleeding. Perforation occured due to ensnaring of the proper muscular layer in both cases.
AB - The complications related to endoscopic polypectomy (EP) and endoscopic mucosal resection (EMR) were analyzed. At our hospital, EP and EMR were performed in 346 and 223 cases, respectively, from Jan. 1984 to Apr. 1994. The incidence of requiring endoscopic hemostasis was as follows ; EP : 13.0% (slight, 41 cases ; moderate, 3 cases ; severe, 1 case), and EMR, 14.3% (slight, 23 cases ; moderate, 8 cases ; severe, 1 case). The incidence of perforation was EP ; 0.28% (1 case) and EMR ; 0.45% (1 case), respectively. The incidence of moderate and severe hemorrhage related to EMR was higher than that of EP. In the cases which underwent EP, the factors of 1) maximum length of the resected specimen and 2) lesion at the C-region were assosiated with tendency to hemorrhage. However, no relationship was noted between hemorrhage and histological diagnosis (hyperplastic polyp, adenoma, cancer). In the cases which underwent EMR, no difference was also noted in the incidence between adenoma and mucosal cancer. All cases of hemorrhage recovered by endoscopic ethanol injection and there was no need for surgical treatment. No patient revealed rebleeding. Perforation occured due to ensnaring of the proper muscular layer in both cases.
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M3 - Article
AN - SCOPUS:0347512254
VL - 38
SP - 858
EP - 865
JO - Gastroenterological Endoscopy
JF - Gastroenterological Endoscopy
SN - 0387-1207
IS - 3
ER -