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[Large colonic polyp: endoscopic or surgical removal?].
Schweiz Med Wochenschr. 1979 Apr 21; 109(16):619-20.SM

Abstract

93 neoplastic polyps measuring more than 2 cm in diameter have been removed from the colon by endoscopy. 15% of the polyps showed severe atypia (focal carcinoma), and in 15% an invasive carcinoma was found. Polypectomy was complicated in 14 cases by bleeding, in 12 cases it was cured by endoscopy. In 1 case in which the colon was injured by coagulation the lesion healed spontaneously. The surgery rate due to complications of the endoscopic removal procedure or due to invasive carcinoma was 7% for the polyps with a diameter of 2-3 cm, 15% for those of 3-5 cm and 50% for polyps with a diameter of more than 5 cm. It is therefore suggested that neoplastic polyps of more than 5 cm in diameter should be removed by endoscopy in high risk patients only.

Authors

Bühler H
No affiliation info available
Nüesch HJ
No affiliation info available
Kobler E
No affiliation info available
Deyhle P
No affiliation info available

MeSH

CarcinomaColonic NeoplasmsElectrocoagulationEndoscopyGastrointestinal HemorrhageHumansIntestinal PolypsMiddle AgedRectal NeoplasmsSigmoid Neoplasms

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

311947

Citation

Bühler, H, et al. "[Large Colonic Polyp: Endoscopic or Surgical Removal?]." Schweizerische Medizinische Wochenschrift, vol. 109, no. 16, 1979, pp. 619-20.
Bühler H, Nüesch HJ, Kobler E, et al. [Large colonic polyp: endoscopic or surgical removal?]. Schweiz Med Wochenschr. 1979;109(16):619-20.
Bühler, H., Nüesch, H. J., Kobler, E., & Deyhle, P. (1979). [Large colonic polyp: endoscopic or surgical removal?]. Schweizerische Medizinische Wochenschrift, 109(16), 619-20.
Bühler H, et al. [Large Colonic Polyp: Endoscopic or Surgical Removal?]. Schweiz Med Wochenschr. 1979 Apr 21;109(16):619-20. PubMed PMID: 311947.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Large colonic polyp: endoscopic or surgical removal?]. AU - Bühler,H, AU - Nüesch,H J, AU - Kobler,E, AU - Deyhle,P, PY - 1979/4/21/pubmed PY - 1979/4/21/medline PY - 1979/4/21/entrez SP - 619 EP - 20 JF - Schweizerische medizinische Wochenschrift JO - Schweiz Med Wochenschr VL - 109 IS - 16 N2 - 93 neoplastic polyps measuring more than 2 cm in diameter have been removed from the colon by endoscopy. 15% of the polyps showed severe atypia (focal carcinoma), and in 15% an invasive carcinoma was found. Polypectomy was complicated in 14 cases by bleeding, in 12 cases it was cured by endoscopy. In 1 case in which the colon was injured by coagulation the lesion healed spontaneously. The surgery rate due to complications of the endoscopic removal procedure or due to invasive carcinoma was 7% for the polyps with a diameter of 2-3 cm, 15% for those of 3-5 cm and 50% for polyps with a diameter of more than 5 cm. It is therefore suggested that neoplastic polyps of more than 5 cm in diameter should be removed by endoscopy in high risk patients only. SN - 0036-7672 UR - https://www.unboundmedicine.com/medline/citation/311947/[Large_colonic_polyp:_endoscopic_or_surgical_removal]_ DB - PRIME DP - Unbound Medicine ER -