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Endoscopic upper gastro intestinal polypectomy 73 polypectomies in 63 patients



Endoscopic upper gastro intestinal polypectomy 73 polypectomies in 63 patients



American Journal of Gastroenterology 75(5): 345-348



Seventy-three upper gastrointestinal endoscopic polypectomies were performed in 63 patients over a period of 5 yr. Thirty-eight patients (52%) had adenomatous polyps, 2 of which contained carcinoma in situ and 26 (36%) were inflammatory in nature. Four lesions were removed from the duodenum. Significant hemorrhage occurred in 5 cases and persistent symptomatic ulcer in 3 cases. All complications occurred early in the series and responded to conservative measures. There was no mortality or need for surgical intervention in any case. Upper gastrointestinal tract endoscopic polypectomy is evidently a safe and relatively simple procedure. Postprocedural complications can apparently be markedly reduced by prophylactic conservative antiulcer therapy. Especially in the area of adenomatous polyps, excision of the entire lesion is evidently superior to biopsy in the detection of early malignancy.

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Accession: 005359721

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