Endoscopic Removal of Benign Gastroduodenal Tumours

Moulinier, B; Faivre, J; Marchat, F.; Lesbros, F; Lambert, René

doi:10.1055/s-0028-1098556

Cited by 8 publications

(4 citation statements)

References 7 publications

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“…The number and localization of the polyps removed can be seen in Table I. The diameter of the polyps varied up to 53 mm. We observed no higher complication rate associated with the excision of polyps having a diameter of more than 20 mm, as has recently been reported (11). If the technique is carried out with care, large-diameter polyps can also be removed with little risk to the patient.…”

Section: Methodssupporting

confidence: 81%

Endoscopic Polypectomy in the Upper Gastrointestinal Tract

Singer¹,

Busse²,

Seib³

et al. 1975

Endoscopy

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Endoscopic polypectomy has brought a pragmatic solution to the problems associated with the frequent occurrence of polyps in the upper gastrointestinal tract. In 276 polypectomies performed in 181 patients, complications were observed in only 1.4"/o. Neither perforation nor lethal complication was observed. Comparison between histological examination of the biopsy specimens obtained prior to polypectomy and the histological findings in the polyps removed in toto showed differing pattern in 54 of 120 gastric polyps. This was due to the fact that mixed forms of polyps and mesenchymal tumours are not established with the forceps biopsy. 3.3°/o of all the polyps removed were malignant. Patients with hyperplasiogenic gastric polyps seem to have an increased cancer risk. Gastroscopic screening examinations carried out every 6 month are therefore recommended in these patients. Key-Words: Endoscopic polypectomy, gastric polyps, polyps of the upper gastrointestinal tract. Up until few years ago, endoscopy of the upper gastrointestinal tract was restricted to the diagnosis of circumscribed lesions. The greatest advance in gastroenterological diagnosis and therapy was endoscopic polypectomy which represented a pragmatic solution of the problems associated with the frequent finding of polyps in the upper gastrointestinal tract.Risks, costs and time required to perform gastroscopic polypectomy are considerably reduced as compared with surgical polypectomy. Gastroscopic polypectomy can be carried out during a routine oesophagogastro-duodenoscopic examination and lengEndoscopy 7 (1975) 216-221 0 Georg Thieme Verlag, Stuttgart Endoskopische Polypektomie im oberen Verdauungstrakt Die endoskopische Polypektomie hat eine pragmatische Lösung der Probleme ermöglicht, die mit dem häufigen Vorkommen von Polypen im oberen Verdauungstrakt verbunden sind. Bei 276 endoskopischen Polypektomien bei 181 Patienten traten nur in 1,4°/o Komplikationen auf. Es wurde weder eine Perforation noch eine andere letale Komplikation beobachtet. Beim Vergleich der histologischen Befunde von Biopsiepartikeln vor Polypektomie und der ektomierten Polypen ergaben sich differente Befunde bei 54 von 120 Magenpolypen. Das ist darauf zuriickzufiihren, dal; Mischformen und mesenchymale Tumoren durch die Zangenbiopsie nicht erfaßt werden. 3,30/o aller entfernten Polypen waren maligne. Patienten mit hyperplasiogenen Magenpolypen scheinen ein erhöhtes Karzinomrisiko des befallenen Magens aufzuzeigen. Gastroskopische Kontrolluntersuchungen in einem Abstand von etwa 6 Monaten sind daher bei diesen Patienten erforderlich.thens the examination only to a small extent. The patient remains hospitalized overnight for follow-up observation. The complicationrate for endoscopic polypectomy is low and the procedure is painless. In consequence, gastroscopic polypectomy can also be employed in elderly, high-risk patients.Every polyp seen during gastroscopy should be removed in toto. The term "polyp" can be associated with widely varying histological substrates. Only the histologic...

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Section: Methodssupporting

confidence: 81%

Endoscopic Polypectomy in the Upper Gastrointestinal Tract

Singer¹,

Busse²,

Seib³

et al. 1975

Endoscopy

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“…This procedure has been utilized during 21 sessions of multiple polypectomies, allowing Only one polyp could not be extracted (1,40/o of the cases), and in the course of 2 sessions the endoscope had to be introduced again into the stomach, in order to collect a polyp that had been forgotten. Removal of multiple polyps by this procedure is more successful than by successive polypectomies (2). The same method has been applied successfully in the extraction of 16 gastric foreign bodies.…”

Section: Resultsmentioning

confidence: 91%

“…The removal of multiple polyps requires usually repeated endoscopies, poorly tolerated by the patient and sometimes resulting in the loss of the polypectomised fragment, so that no histological work-up can be performed (2). The only progress, intended to cope with these difficulties, has been reported by Pröpper and consisted in fixing a rubber finger cot at the distal end of the endoscope (3).…”

mentioning

confidence: 99%

A New Procedure for the Removal of Gastric Polyps and Foreign Bodies

Mainguet¹

1976

Endoscopy

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“…Moulinier [39], however, emphasized that nearly 25% of all benign duodenal tumors are asymptomatic. The most frequently cited sign in the literature is bleeding, either macroscopic and showing up essentially as melena (24% of villous adenomas and 44% of nonvillous adenomas) or microscopic and revealed by routine tests or by an anemic condition (28% of villous adenomas and 16% of nonvillous adenomas).…”

Section: Resultsmentioning

confidence: 99%

Non-vaterian duodenal adenomas: Report of 24 cases and review of the literature

Bruneton

Drouillard

et al. 1983

Gastrointest Radiol

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Twenty-four cases of duodenal adenomas which did not originate at the ampulla of Vater are discussed. The radiographic and clinical features of these lesions are presented together with a review of 120 cases previously reported in the literature. The role of barium studies and endoscopy in the evaluation of these adenomas is emphasized. A diameter of more than 5 cm represents a criterion favoring malignant degeneration of such non-Vaterian adenomas.

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Endoscopic Removal of Benign Gastroduodenal Tumours

Cited by 8 publications

References 7 publications

Endoscopic Polypectomy in the Upper Gastrointestinal Tract

Endoscopic Polypectomy in the Upper Gastrointestinal Tract

A New Procedure for the Removal of Gastric Polyps and Foreign Bodies

Non-vaterian duodenal adenomas: Report of 24 cases and review of the literature

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