Abstract

SUAREZ CUEVA, Yanyne  and  CAMPOS NIZAMA, Juan. Evaluación de la Polipectomía Endoscópica Colónica en pacientes del Hospital Nacional Carlos Alberto Seguín Escobedo Essalud de Arequipa 1999-2004. Rev. gastroenterol. Perú [online]. 2006, vol.26, n.1, pp.34-43. ISSN 1022-5129.

The investigation was performed in the Carlos Alberto Seguín Escobedo National Hospital of Essalud-Arequipa, in 194 patients that were submitted to Colonic Endoscopic Polipectomy from January of 1999 to December of 2004. This study is observational, retrospecttive and transverse. The clinical histories, endoscopies reports and pathological anatomies reports were reviewed, taking the personal data, clinical symptoms, endoscopic and pathologic characteristics of the polyps; colonoscopies associate findings; surgical technique of polipectomies, complications and complementary treatment of post-polipectomy. The colonic endoscopic polipectomy was performed in 194 patients from 1380 colonoscopies (14.05 %), with more frequency in the sixth decade of life, and corresponding most to the masculine sex. Most of the patients did not have previous symptoms, and of those who had clinical manifestations the more frequent were the bleeding lost and changes in the intestinal rhythm. The polyps endoscopic characteristics found that the sessile were the more frequent and were located in rectum - sigmoid zone. The preponderant size was from 5 to 10mm, and mostly unique. The histopathology type of the polyps was adenoma, frequently with some grade of dysplasia. The surgical techniques for the colonic endoscopy polipectomy were with cold pincer and electric cut. The complications were rare. The complementary treatment after polipectomy was inyectotherapy and surgery. Finally, our results were discussed and compared with other similar studies, and then we elaborated the conclusions and recommendations, with whom we expect to contribute to a better knowledge of the Colonic Endoscopy Polipectomy in our country.

Keywords : Colonoscopy; endoscopic polipectomy; colonic polyps.

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