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Colonoscopic polypectomy

G H Leaverton, T M Haun, W E Meihoff

    The American Surgeon
    |July 1, 1976
    PubMed
    Summary

    Colonoscopic management effectively addressed polypoid lesions in 86 patients. This approach identified adenomatous polyps and early-stage colon cancer, suggesting colonoscopic follow-up as an alternative to surgery for select patients.

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    Area of Science:

    • Gastroenterology
    • Colorectal Surgery
    • Oncology

    Background:

    • Polypoid lesions in the colon can cause intermittent bleeding.
    • Early detection and management are crucial for preventing colorectal cancer progression.

    Purpose of the Study:

    • To discuss the colonoscopic management of patients with polypoid lesions.
    • To evaluate the findings and treatment outcomes for these lesions.
    • To assess the role of follow-up examinations.

    Main Methods:

    • Colonoscopic examination of 86 patients with polypoid lesions.
    • Pathological diagnosis of 145 identified polyps.
    • Review of treatment strategies for complicated polyps.

    Main Results:

    • Adenomatous polyps in the sigmoid colon were the most common finding.
    • Colorectal cancer (adenocarcinoma or invasive carcinoma) was found in 5 patients.
    • Carcinoma in situ was identified in 5 polyps.

    Conclusions:

    • Colonoscopy is effective for managing polypoid lesions and detecting early colorectal cancer.
    • Barium enema is important for follow-up of polyp and carcinoma patients.
    • Colonoscopic follow-up may replace colectomy for select patients with multiple polyps.

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