ENDOSCOPIC INTERVENTIONS FOR SUPERFICIAL NEOPLASMS OF THE UPPER GASTROINTESTINAL TRACT
Keywords:
mucosal polyps; gastrointestinal tract; esophagogastroduodenoscopy; Clavien-Dindo.Abstract
The article highlights the results of endoscopic treatment of polypoid neoplasms of the upper gastrointestinal tract. The aim of this study is to reduce the risk of recurrence, bleeding and other postoperative complications after endoscopic removal of gastrointestinal polyps. The clinical study is based on an assessment of the results of treatment of superficial formations in the upper gastrointestinal tract. In the comparison group, 182 formations were removed in 134 (54.5%) patients and 167 formations were removed in 118 (55.1%) patients of the main group). Analysis of the long-term results allowed us to determine that excision of polyps using a diode laser according to the proposed method, due to the technical features of the method, reduced the risk of recurrence of the formation of superficial neoplasms from 17.4% to 3.1%. The results were considered satisfactory if there were no recurrence of pathology, but there were any clinically significant complications resolved conservatively (postpolypectomy electrocoagulation syndrome) or repeated endoscopic intervention (delayed bleeding) (grade 2-3a according to Clavien-Dindo).
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