Kerschen A, Weill J P, Weill-Bousson M, Baumann R
Sem Hop. 1975 Apr 20;51(19):1275-9.
Endoscopic resection of polyps of the colon is, no doubt, a considerable therapeutic advance. It avoids surgical operation permits histological examination and makes simple biopsy unnecessary. It is indicated in the presence of pediculated polyps of a diameter or less than 3 cm, whatever the site of the polyp. Thus we were able to remove 45 polyps without complications. The method is not indicated in a large size polyp, sessile polyps or diffuse polyposis. The follow-up is still insufficient to assess : 1) the true risk of resection which can only be undertaken after long experience of colonoscopy ; 2) the frequency or recurrent adenomas. Endoscopic resection is at present the simplest method of detection and treatment of carcinoma in situ of the colon of which we observed four cases in our series. The problem of surgical reoperation is discussed.
毫无疑问，结肠息肉的内镜切除是一项重大的治疗进展。它避免了外科手术，允许进行组织学检查，并且无需进行简单的活检。无论息肉位于何处，直径小于或等于3厘米的带蒂息肉都适用该方法。因此，我们成功切除了45个息肉，且无并发症发生。该方法不适用于大尺寸息肉、无蒂息肉或弥漫性息肉病。随访时间仍不足以评估：1）只有在长期结肠镜检查经验后才能进行的真正切除风险；2）复发性腺瘤的发生率。内镜切除目前是检测和治疗结肠原位癌的最简单方法，我们在系列病例中观察到了4例。文中还讨论了外科再次手术的问题。
