Colonoscopic resection of large XXXX --a prospective study.

@entity1 @entity1127 @entity548 @entity5 @entity294 @entity189 @entity6523 @entity1586
Forty-five @entity1 who were referred for surgical resection of large @entity1586 after index colonoscopy were considered for endoscopic polypectomy. Eighteen of these @entity1 were ultimately referred for surgery. Twenty-five @entity1 with 25 large @entity1127 underwent endoscopic polypectomy; there were 9 females and 16 males with a mean age of 69 years. Among the polypectomy @entity1 , polyp size was 3.0-6.0 cm, found mostly in the left colon. There were 21 pedunculated and 4 sessile @entity1127 . Follow-up was carried out for a mean of 48 months (range, 12-171 months). Polypectomy was possible on a single attempt in 12 (48%) cases and in 13 (52%) cases by a piecemeal technique. Pathological examination revealed @entity5 in 11 (44%), @entity6523 in 11 (44%), and inflammatory, hyperplastic and harmartoma in 1 @entity1 each. Complications included @entity548 in 3 (12%) @entity1 and @entity294 and fever in 1 (4%). All complications were successfully treated conservatively without sequellae. Two @entity1 were referred for surgery, 1 with invasion of the base of the polyp and 1 because of a synchronous malignant polyp. During follow-up, 8 metachronous @entity1127 were detected. In 1 of these, a @entity189 was found and treated with endoscopic polypectomy. In conclusion, endoscopic polypectomy of large @entity1127 is safe and can defer surgical treatment. Regular follow-up is required. Endoscopic polypectomy of large @entity1127 should be considered before referral for surgical treatment.
