| Autor: |
He SD; Department of Gastroenterology, Peking University First Hospital, Beijing 100034, China., Zhang SQ; Department of Gastroenterology, Peking University First Hospital, Beijing 100034, China., Ge CY; Department of Gastroenterology, Peking University First Hospital, Beijing 100034, China., Zhang L; Department of Gastroenterology, Peking University First Hospital, Beijing 100034, China., Chen QQ; Department of Gastroenterology and Hepatology, the First Medical Center of the PLA General Hospital, Beijing 100853, China., Teng GG; Department of Gastroenterology, Peking University First Hospital, Beijing 100034, China. |
| Jazyk: |
čínština |
| Zdroj: |
Zhonghua yi xue za zhi [Zhonghua Yi Xue Za Zhi] 2024 Sep 10; Vol. 104 (35), pp. 3342-3346. |
| DOI: |
10.3760/cma.j.cn112137-20240124-00181 |
| Abstrakt: |
To analyze the clinical characteristics of appendiceal orifice polyps and the effect of endoscopic super minimally invasive treatment. A retrospective analysis was conducted on the general situation (age and sex), the classification of appendiceal orifice polyps, the treatment method under endoscope, postoperative pathology and postoperative complications in patients who underwent resection of appendiceal orifice polyps at the Peking University First Hospital and the First Medical Center of the PLA General Hospital from January 1, 2022, to December 31, 2023. A total of 47 patients were included, consisting of 28 males and 19 females, with 35-86 (61±12) years. Appendiceal orifice polyps were classified into four types: type 0 (14 cases), type 1 (15 cases), type 2 (12 cases), and type 3 (6 cases). Among the endoscopic morphologies, 22 cases were granular laterally spreading tumors. Endoscopic mucosal dissection was performed in 37 cases. Postoperative appendiceal stent placement was performed in 1 case. The pathological types of polyps included adenoma in 15 cases, high-grade intraepithelial neoplasia in 10 cases, intramucosal carcinoma in 4 cases, submucosal carcinoma in 5 cases, inflammatory polyps in 1 cases, and sessile serrated lesion in 12 cases. Curative resection was performed in 44 cases. There were no postoperative complications such as bleeding, perforation, or acute appendicitis. The pathology of appendiceal polyps is mostly precancerous lesions, and the treatment scheme of endoscopic super minimally invasive resection is both safe and effective. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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