ENDOSCOPIC AND SURGICAL TREATMENT OF COLONIC POLYPS

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  • 1 January 1976
    • journal article
    • research article
    • Vol. 23  (6) , 459-465
Abstract
Endoscopic surgery of the human gastointestinal tract has become of the most important procedures in the treatment of some digestive diseases. In view of the positive results obtained by the diagnostic coloscopy, an extension of this modern method for therapeutic purposes was considered appropriate. Coloscopies [1337] were done, of which 1236 were routine, 86 urgent and 15 intraoperative cases. Operative coloscopy was done in 310 routine and 16 urgent cases. Operative endoscopy in the colon is particularly difficult and requires considerable experience. This method can give useful and interesting contributions to the diagnosis and therapy of some lesions of the large intestine, provided suitable surgical conditions are available with all necessary equipment. Following these criteria, it is possible to avoid complications such as hemorrhage and intestinal perforation. Experience in this field is undoubtedly positive, since there were no complications but it is necessary to perform operative coloscopy under fluoroscopic control. With regard to coloscopic polypectomy this procedure has a therapeutic value in benign polyps and when superficial cancerization has not invaded the muscularis mucosae in the head of the polyp.

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