Colonoscopic excision of large and giant colorectal polyps - Technical implications and results over eight years

G. Bedogni, G. Bertoni, E. Ricci, R. Conioliaro, C. Pedrazzoli, G. Rossi, M. Meinero, G. Gardini, S. Contini

Research output: Contribution to journalArticle

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Abstract

Large polyps are sessile or pedunculated lesions that are larger than or equal to 3 cm in size. Sixty-six colonoscopic piecemeal excisions of large pedunculated and sessile polyps (75 percent of 88 recognized large polyps) were performed over eight years. The macroscopic feature of the lesions and the result of an extensive snare biopsy were the deciding factors for endoscopic as opposed to surgical removal. Only three complications (4.5 percent) were recorded (two hemorrhages and one colonic wall burn syndrome), none of which required surgery. Fifty patients with 52 adenomatous lesions had colonoscopic follow-up (range, 3 to 85 months). Of 36 sessile ademonas, two cases of residual (5.5 percent) and four of recurrent disease (11 percent) were observed. Colonoscopic removal is an alternative to local surgical excision of large benign colorectal polyps, and often can be an alternative method to elective colectomy in elderly and high-risk patients.

Original languageEnglish
Pages (from-to)831-835
Number of pages5
JournalDiseases of the Colon and Rectum
Volume29
Issue number12
DOIs
Publication statusPublished - Dec 1986

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Polyps
Colectomy
Hemorrhage
Biopsy

Keywords

  • Excision, colonoscopic
  • Polyps, large colorectal, giant colorectal

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Bedogni, G., Bertoni, G., Ricci, E., Conioliaro, R., Pedrazzoli, C., Rossi, G., ... Contini, S. (1986). Colonoscopic excision of large and giant colorectal polyps - Technical implications and results over eight years. Diseases of the Colon and Rectum, 29(12), 831-835. https://doi.org/10.1007/BF02555357

Colonoscopic excision of large and giant colorectal polyps - Technical implications and results over eight years. / Bedogni, G.; Bertoni, G.; Ricci, E.; Conioliaro, R.; Pedrazzoli, C.; Rossi, G.; Meinero, M.; Gardini, G.; Contini, S.

In: Diseases of the Colon and Rectum, Vol. 29, No. 12, 12.1986, p. 831-835.

Research output: Contribution to journalArticle

Bedogni, G, Bertoni, G, Ricci, E, Conioliaro, R, Pedrazzoli, C, Rossi, G, Meinero, M, Gardini, G & Contini, S 1986, 'Colonoscopic excision of large and giant colorectal polyps - Technical implications and results over eight years', Diseases of the Colon and Rectum, vol. 29, no. 12, pp. 831-835. https://doi.org/10.1007/BF02555357
Bedogni, G. ; Bertoni, G. ; Ricci, E. ; Conioliaro, R. ; Pedrazzoli, C. ; Rossi, G. ; Meinero, M. ; Gardini, G. ; Contini, S. / Colonoscopic excision of large and giant colorectal polyps - Technical implications and results over eight years. In: Diseases of the Colon and Rectum. 1986 ; Vol. 29, No. 12. pp. 831-835.
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