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Endoscopic laser therapy for elevated lesions of gastrointestinal tract in patients with hemorrhagic diathesis



Endoscopic laser therapy for elevated lesions of gastrointestinal tract in patients with hemorrhagic diathesis



Gastroenterological Endoscopy 29(8): 1787-1792



In general, polypectomy has been considered to be a contraindication for patients with bleeding tendency. The present report, however, deals with a successful endoscopic laser therapy performed in 3 patients with hemorrhagic diathesis. Patients treated with laser therapy included Case 1; 71-year-old male patient with chronic lymphocytic leukemia and a gastric polyp (Group III), Case 2; 77-year-old male patient with liver cirrhosis, thrombocytopenia and a polyp of the sigmoid colon (Group 4), and Case 3; 75-year-old male patient with aplastic anemia and an early gastric cancer of type I. After the therapy the tumorous lesions disappeared in all 3 cases and there was no evidence of tumor residue on endoscopic and histological examinations. In addition, complications such as bleeding or local peritonitis due to coagulation of deep tissues, known to occur accidentally by endoscopic polypectomy, was not encountered during and after laser irradiation. These results seemed that laser therapy is safely indicated for elevated lesions of gastrointestinal tract in patients with hemorrhagic diathesis.

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Accession: 005359342

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