[Endoscopic ambulatory electroexcision of gastric polyps]

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery

Background:

• Gastric polyps are common findings during endoscopy.
• Endoscopic removal is the standard treatment for many gastric polyps.
• Outpatient procedures are increasingly favored for cost-effectiveness and patient convenience.

Purpose of the Study:

• To evaluate the feasibility and safety of outpatient endoscopic electroexcision for gastric polyps.
• To identify patient and polyp characteristics influencing the success of outpatient endoscopic polyp removal.

Main Methods:

• Retrospective analysis of 68 patients undergoing endoscopic electroexcision of gastric polyps.
• Assessment of patient clinical status and polyp morphology (shape, size, base width).
• Documentation of procedure outcomes and complications.

Main Results:

• Endoscopic electroexcision was feasible in an outpatient setting for certain gastric polyps.
• Patient's overall condition and polyp features (anatomical shape, size, base width) are critical for safety.
• Polyps with false pedicles or plaque-shaped morphology pose higher risks (bleeding, inability to use diathermic loop) and are unsuitable for this approach.

Conclusions:

• Outpatient endoscopic electroexcision is a safe and viable option for select gastric polyps.
• Careful patient selection and precise assessment of polyp characteristics are essential for successful and safe outpatient management.
• Contraindications include polyps on a false pedicle and plaque-shaped polyps due to specific risks.