Argon Plasma Coagulation after Piecemeal Polypectomy of Sessile Colorectal Adenomas: Long-Term Follow-Up Study

Reguła, Jarosław; Wrońska, Ewa; Polkowski, Marcin; Nasierowska‐Guttmejer, Anna; Pachlewski, Jacek; Rupiński, Maciej; Butruk, E

doi:10.1055/s-2003-37254

Cited by 110 publications

(82 citation statements)

References 8 publications

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“…Zlatani et al (22) found a recurrence rate of some 50% in 47 patients with piecemeal resection alone, and similar recurrence rate in 30 patients initially treated by piecemeal resection followed by APC. regula et al (2), in a group of 63 patients, obtained complete initial eradication after piecemeal resection and APC in 90%, and a recurrence rate of 14% at follow-up.…”

Section: Discussionmentioning

confidence: 96%

Endoscopic Snare Resection Followed by Laser Ablation in the Treatment of Large, Sessile Rectal Adenomas

et al. 2011

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Background and Aims: large sessile rectal adenomas can be difficult to eradicate, and different treatment modalities are available. the aim of this study was to evaluate outcome after endoscopic snare resection followed by nd:yag laser ablation.Material and Methods: over a 10-year period 92 of 99 (93%) patients were registered prospectively and attended follow-up examinations with endoscopy and biopsies.Results: fifty-four (59%) men and 38 (41%) women were included; 67 patients (73%) had high grade (severe) intraepithelial dysplasia or intramucosal neoplasia. the adenomas ranged from 2-9 cm (median 4 cm) in diameter, and were located 2-15 cm (median 5 cm) from the anal verge. a median of two (range 1-6) piecemeal snare resection sessions and a median of one (range 1-7) laser treatments were performed for each patient.complete eradication was achieved in 86 patients (93%). over a median follow-up period of 26 months, 20/86 (23%) suffered local recurrence, eight of whom were given a second laser treatment without developing further recurrence. in five of eight frail patients considered unsuitable for more radical treatment, repeated laser treatment was effective in keeping the adenoma small and symptoms at a minimum. as a whole the treatment was successful in 74/92 (80%) and partially successful in 5/92 (5%) of the patients.Conclusions: snare resection followed by laser ablation is safe and still has a place in the treatment of old, frail patients with large rectal adenomas. however, there is a risk of missing an infiltrating carcinoma, and other treatment options are preferable in fit patients.

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Section: Discussionmentioning

confidence: 96%

Endoscopic Snare Resection Followed by Laser Ablation in the Treatment of Large, Sessile Rectal Adenomas

et al. 2011

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“…39,40 However, a recent study from Poland revealed that argon plasma coagulation did not reduce the recurrence rate compared to polypectomy alone. 41 Besides, a study from Italy reported that EMR was performed for 139 SP in 136 patients by snare polypectomy, and invasive carcinoma was found in 17 cases. 42 After 12 months of follow up after EMR, no local recurrence was detected in 7 patients with invasive carcinoma without surgery.…”

Section: Colorectummentioning

confidence: 99%

Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection as Treatments for Early Gastrointestinal Cancers in Western Countries

Coda¹,

Lee²,

Gotoda³

2007

Gut Liver

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“…С 1991 г. в «гибкой» эндоскопии получил распространение метод АПК, обладающий 2 важными качествами: с одной стороны, обеспечивает эффектив-ную коагуляцию обширных поверхностей, с другой -позволяет выполнять коагуляцию при хорошо регули-руемой и равномерной глубине проникновения [26]. АПК применяют для снижения частоты рецидива при фрагментарном удалении диатермической петлей аденом прямой и ободочной кишки [27][28][29][30][31][32]. В насто-ящем исследовании мы стремились дать свою оценку данному методу при удалении LST-G с низким риском подслизистой инвазии, локализованных в прямой кишке.…”

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Argon plasma coagulation in coloproctology: clinical experience with and prospects for the technique

Десятов¹,

Aliev²

2015

Onkol. koloproktol.

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Argon Plasma Coagulation after Piecemeal Polypectomy of Sessile Colorectal Adenomas: Long-Term Follow-Up Study

Abstract: APC used in combination with piecemeal polypectomy of large colorectal adenomas is an effective and safe method of therapy, provided patient selection is careful and follow-up close.

Cited by 110 publications

References 8 publications

Endoscopic Snare Resection Followed by Laser Ablation in the Treatment of Large, Sessile Rectal Adenomas

Endoscopic Snare Resection Followed by Laser Ablation in the Treatment of Large, Sessile Rectal Adenomas

Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection as Treatments for Early Gastrointestinal Cancers in Western Countries

Argon plasma coagulation in coloproctology: clinical experience with and prospects for the technique

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