Efficacy and safety of endoscopic colorectal polypectomy with high-frequency electrotome
10.3760/cma.j.cn321463-20210322-00190
- VernacularTitle:内镜下高频电刀行结肠息肉切除的有效性及安全性
- Author:
Caifei SHEN
1
;
Kui ZHAO
;
Liming WANG
;
Xiaoyu WU
;
Haiyang JIANG
;
Yaqin ZHAO
;
Shuang MA
;
Xiaobin SUN
Author Information
1. 成都市第三人民医院消化内科 610031
- Keywords:
Colonic polyps;
Postoperative hemorrhage;
Risk factors
- From:
Chinese Journal of Digestive Endoscopy
2021;38(6):475-478
- CountryChina
- Language:Chinese
-
Abstract:
Data of 643 patients who underwent endoscopic polypectomy with high-frequency electrotome in 6 hospitals of Sichuan Province between June 2020 and September 2020 were summarized. The rate of complete polypectomy and the incidence of delayed post-polypectomy bleeding (DPPB) and perforation were analyzed. DPPB occurred in 18 cases (2.80%) and postoperative perforation occurred in 1 case (0.16%). All of the 1 828 polyps were completely resected (100.0%). Univariate analysis showed that polyps′ diameter≥10 mm, long peduncle or laterally spreading tumor (LST), adenomatous polyp, endoscopic mucosal resection, mixed cutting mode 1 of electrocoagulation were significantly correlated with DPPB( P<0.05). Multivariate Logistic regression analysis revealed that polyp diameter≥10 mm ( P=0.001, OR=3.575, 95% CI: 1.175-9.955), morphology of long peduncle or LST ( P=0.004, OR=2.981, 95% CI: 1.233-14.858) were independent risk factors for DPPB. Endoscopic colorectal polypectomy with high-frequency electrotome is effective and safe. Polyps′ diameter≥10 mm, polyps with long pedicle or LST are the risk factors for DPPB.
