Colon Neoplasms | ScienceGate

Introduction. Endoscopic submucosal dissection (ESD) is a standard method of local excision of benign colon tumors. Nevertheless, it is not widely used because of its technical difficulty and risk of complication especially in right colon. The OBJECTIVE was to improve the results of treatment of patients with right colon neoplasms.Methods and materials. The results of 152 consecutive patients (median age 66 years, 88 female) with lateral spreading tumors (LST) were analyzed. Logistic regression was performed to evaluate risk factors of conversion and complications.Results. ESD as planned performed in 133 out of 152 patients. Conversion to bowel resection occurred in 19 cases. In the logistic regression model, lifting less than 3 mm (p=0.034) was independent risk factor of the conversion. Postoperative complications up to 30 days occurred in 5 out of 133 (3.8 %) of patients underwent ESD. There was no mortality after ESD. Severe fibrosis the base of the neoplasm was the only risk factor of postoperative complications (95 % CI=1.0—1.2; p=0.007). Final pathology revealed that 127 out of 133 patients (95.5 %) had adenomas and 6 out of 133 (4.5 %) patients had early adenocarcinomas. R0 resections was performed in 94/133 (70.7 %) cases.Conclusions. ESD is the safe and efficient method of local excision of benign right colon neoplasms. Unfavorable lifting (p=0.05) and submucosal fibrosis (p=0.007) are risk factors of ESD failure.

Download Full-text

Blood Test for CD24 Detects Colon Neoplasms

Family Practice News ◽

10.1016/s0300-7073(09)70618-8 ◽

2009 ◽

Vol 39 (14) ◽

pp. 50

Author(s):

SUSAN BIRK

Keyword(s):

Blood Test ◽

Colon Neoplasms

Download Full-text

Timing of Colon Neoplasms in Primary Sclerosing Cholangitis and Inflammatory Bowel Disease: 2010 ACG/AstraZeneca Fellow Award

The American Journal of Gastroenterology ◽

10.14309/00000434-201010001-00268 ◽

2010 ◽

Vol 105 ◽

pp. S100

Author(s):

Erin Thackeray ◽

Phunchai Charatcharoenwitthaya ◽

Diaa Elfaki ◽

Emmanouil Sinakos ◽

Keith Lindor

Keyword(s):

Inflammatory Bowel Disease ◽

Primary Sclerosing Cholangitis ◽

Bowel Disease ◽

Sclerosing Cholangitis ◽

Colon Neoplasms ◽

Inflammatory Bowel

Download Full-text

Colonoscopic Polypectomy

Diagnostic and Therapeutic Endoscopy ◽

10.1155/dte.6.111 ◽

2000 ◽

Vol 6 (3) ◽

pp. 111-124 ◽

Cited By ~ 7

Author(s):

Jerome D. Waye

Keyword(s):

Carbon Particle ◽

Argon Plasma ◽

Major Advance ◽

Colonoscopic Polypectomy ◽

Colon Neoplasms ◽

Submucosal Injection ◽

X Ray ◽

Magnetic Imaging ◽

Thermal Probes ◽

Argon Plasma Coagulator

Colonoscopic polypectomy is a major advance in the therapy of colon neoplasms. The techniques for safe and efficient polyp removal are described. The uses of a variety of ancillary devices are discussed, including clips, loops, submucosal injection of fluid, and several thermal probes, including the argon plasma coagulator. The location of a lesion may be difficult to ascertain by intracolonic landmarks, but can be more precisely determined by X-ray, magnetic imaging, or intraoperative colonoscopy. Alternatively, it is possible to permanently mark the site of polyp removal with a carbon particle submucosal injection to facilitate subsequent localization either by surgery or interval colonoscopy.

Download Full-text

Evidence Against a Role for Human Papillomavirus in Colon Neoplasms-Reply

Archives of Surgery ◽

10.1001/archsurg.1991.01410290134029 ◽

1991 ◽

Vol 126 (5) ◽

pp. 656

Author(s):

BYRON McGREGOR

Keyword(s):

Human Papillomavirus ◽

Colon Neoplasms

Download Full-text