지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 84 - 88 (5page)
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polypectomy. The purpose of this study is to investigate whether clipping before snare polypectomy of large pedunculated polyps is useful for the prevention of IPPB.
Methods: This is a single arm, pilot study. We enrolled patients with pedunculated colorectal polyps that were 1 cm in size or more from 4 university hospitals between June 2009 and June 2010. Clips were applied at the stalk and snare polypectomy was then performed. The complications, including IPPB, were investigated.
Results: Fifty six pedunculated polyps in 47 patients (Male:Female=36:11; age, 56±11 years) were included. The size of the polyp heads was 17±8 mm. Tubular adenoma was most common (57%). The number of clips used before snare polypectomy was 2±0.5. The procedure was successful in all cases. IPPB occurred in 2 cases (3.6%), and both of these were managed by additional clipping. Delayed bleeding occurred in another one case (1.8%), which improved with conservative treatment. No perforation occurred.
Conclusions: We suggest that clipping before snare polypectomy of pedunculated polyps may be an easy and effective technique for the prevention of IPPB, and this should be confirmed in large scale, prospective, controlled studies.
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참고문헌 (17)
참고문헌 신청
Cipolletta L / 1999 / Endoclip-assisted resection of large pedunculated colon polyps / Gastrointest Endosc 50 : 405 ~ 406
Citarda F / 2001 / Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence / Gut 48 : 812 ~ 815
Dell’Abate P / 2001 / Endoscopic treatment of colorectal benign-appearing lesions 3 cm or larger: techniques and outcome / Dis Colon Rectum 44 : 112 ~ 118
Di Giorgio P / 2004 / Detachable snare versus epinephrine injection in the prevention of postpolypectomy bleeding: a randomized and controlled study / Endoscopy 36 : 860 ~ 8
Dobrowolski S / 2004 / Prophylactic submucosal saline-adrenaline injection in colonoscopic polypectomy: prospective randomized study / Surg Endosc 18 : 990 ~ 993
Citarda F / 2001 / Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence / Gut 48 : 812 ~ 815
Dell’Abate P / 2001 / Endoscopic treatment of colorectal benign-appearing lesions 3 cm or larger: techniques and outcome / Dis Colon Rectum 44 : 112 ~ 118
Di Giorgio P / 2004 / Detachable snare versus epinephrine injection in the prevention of postpolypectomy bleeding: a randomized and controlled study / Endoscopy 36 : 860 ~ 8
Dobrowolski S / 2004 / Prophylactic submucosal saline-adrenaline injection in colonoscopic polypectomy: prospective randomized study / Surg Endosc 18 : 990 ~ 993
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