Liječnički vjesnik, Vol. 133 No. 9-10, 2011.
Review article
ENDOSCOPIC MUCOSAL RESECTION OF SESSILE POLYPOID COLORECTAL LESIONS: A TWO-YEAR RETROSPECTIVE STUDY, TECHNIQUE DESCRIPTION, INDICATIONS AND COMPLICATIONS
Pave Markoš
Tomislav Brkić
Roland Pulanić
Jasenka Jakić-Razumović
Hrvoje Iveković
Marina Premužić
Mirjana Kalauz
Milorad Opačić
Nadan Rustemović
Boris Vucelić
Abstract
Introduction: Endoscopic mucosal resection (EMR) is a therapeutic method for removal of sesile premalignant lesions and intramucosal carcinoma of the gastrointestinal tract. No reports on EMR data in Croatia have been published yet. Matherials and methods: All patients included in the study were managed at the University Hospital Centre Zagreb between December 2006 and December 2008. EMR was performed using strip technique with submucosal injection of epinephrine (dilution with saline 1:5000–10000). Results: EMR of sessile polypoid colorectal lesions was performed in 95 patients. The most common localisation of the disease was rectum (52 pts – 54.7%). In most patient size of the lesion was between 16–25 mm (43 pts – 45%). En-bloc resection was performed in 75 patients and piecemeal resection in the rest. Bleeding occurred immediately during the EMR in 5 pts (5.3%). Patohistological diagnosis revealed tubulovillous adenoma in 67 pts (70%). Invasive carcinoma was observed in 6 pts (6.3%) and intramucosal carcinoma in 20 pts (21%). On follow up, 73 pts (77%) did not show and sign of disease recurrence. Surgery was needed in 6 pts (6.3%) due to the diagnosis of invasive carcinoma. Conclusion: EMR is safe and reliable method with low risk of serious complications and acceptable recurrence rate.
Keywords
Colorectal neoplasms – pathology, surgery; Colonic polyps – pathology, surgery; Intestinal mucosa – pathology, surgery; Adenoma, villous – pathology, surgery; Colonoscopy – methods; Gastrointestinal neoplasms – classification, pathology; Retrospective studies
Hrčak ID:
171850
URI
Publication date:
31.10.2011.
Visits: 7.164 *