The Importance of Simultaneous Surgical and Endoscopic Polypectomies in Peutz-Jeghers Syndrome: A Case Report

Beyazadam, Damla; Eren, Tunç; Gapbarov, Aman; Şeneldir, Hatice; Özemir, İbrahim Ali; Ekinci, Özgür; Ali̇moğlu, Orhan

doi:10.4274/imj.galenos.2020.45549

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“…However, challenges persist, including polyp recurrence post-surgery and limited improvement in clinical symptoms in some cases. [ 3 , 4 ] This recurrence may be attributed to the persistence of underlying pathological factors, such as phlegm and blood stasis, even after polyp removal. These factors can lead to the continuous formation of new polyps, necessitating repeated polypectomies under gastroscopy.…”

Section: Introductionmentioning

confidence: 99%

High frequency electrocoagulation resection effect analysis and prognosis observation in the treatment of patients with gastric polyps under painless gastroscopy

Chen,

Zhang,

Chen

2024

Medicine

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To explore high frequency electrocoagulation resection effect in treatment of patients with gastric polyps under painless gastroscopy. Sixty-four patients with gastric polyps were randomly divided into experimental group (32 cases) and control group (32 cases). Experimental group received basic treatment drugs for 8 weeks, and then treated with painless gastroscope high-frequency electrocoagulation resection. Control group was also given basic treatment drugs for 8 weeks, and then received high-frequency electrocoagulation resection under ordinary gastroscope. The patients in both groups were given rabeprazole sodium enteric coated capsules for 4 weeks. The improvement of symptom score, postoperative gastric mucosal healing and comprehensive curative effect of the 2 groups were observed after treatment. The patients with polyps cured under gastroscopy were subjected to a 6-month follow-up period during which gastroscopy was performed to assess the recurrence of polyps. Symptom scores comparison after treatment showed that experimental group had obvious advantages in improving epigastric fullness, fatigue and loose stool in patients with gastric polyps (P < .01 or P < .05). Gastric mucosa healing in experimental group was better at 2 weeks after operation (P < .05), showing no difference 4 weeks after operation (P > .05). Comprehensive curative effect comparison showed that the experimental group was better (P < .01), showing no difference in long-term efficacy (P > .05). In treating patients with gastric polyps, painless endoscopic high-frequency electrocoagulation resection effect is better, which not only promotes postoperative rehabilitation in patients but also reduces complications incidence, demonstrating a high level of safety. Therefore, it is highly recommended for widespread adoption and application.

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Section: Introductionmentioning

confidence: 99%