CAI Sheng,CHU Jianfeng,ZHOU Jianbo, et al. The clinical effect of colorectal adenomatous polypectomy under endoscopy[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2021, 51(3): 237-239,243.
Abstract：Objective: To explore the clinical effect and prognosis of endoscopic colorectal adenomatous polypectomy. Methods: From March 2017 to March 2019, 168 inpatients with colorectal adenomaunderwent endoscopic electrocoagulation resection in the Department of Gastroenterology of Yangming Hospital affiliated to the Medical School of Ningbo University. They were divided as young group (≤34 years old), middle-aged group (35-59 years old) and elderly group (≥60 years old). The site and pathological type of adenoma were analyzed and the postoperative complications recurrence observed. SF-36 scale was used to evaluate the quality of life of the patients. Results: Adenomatous polyps were more common in the left half of the colon than in the right one, with rectum being the most common (61 cases, accounting for 36.3%). Tubular adenoma was the only pathological type found in the young group, and it was the predominant type in the middle-aged group (84 cases, accounting for 83.2%). The proportion of villous adenoma increased significantly in the elderly group (11 cases, accounting for 26.8%). Some adenomas showed local cancerization (2 cases, accounting for 4.9%). With the increase of age, the percentage of mixed adenomas and villous adenomas gradually increased, and the difference between groups was statistically significant (P<0.05). Postoperative complications were mainly hemorrhage (17 cases, accounting for 10.1%) and perforation (2 cases, accounting for 1.2%), all of which were found in the elderly group. None of the patients developed infection. There were 8 cases of recurrence (6 cases in the elderly and 2 in the middle-aged group), and the recurrence rate was 4.8%. The overall quality of life score after operation was higher than that before surgery, and scores of all dimensions (mental health, overall health and physical pain) were higher than those before surgery, with statistical difference (P<0.05). Conclusion: Endoscopic resection of colorectal adenomatous polyps was effective in that the incidence of postoperative complications and recurrence rate were low but the patients’ overall quality of life was improved.
