Pagitz Manuel, Koch Maria, Hausmann Johannes, Albert Jörg
Dtsch Med Wochenschr. 2018 Jul;143(14):1032-1038. doi: 10.1055/s-0043-124450. Epub 2018 Jul 13.
Colonoscopy with polypectomy has been shown to reduce the risk of colon cancer development. It is considered a fundamental skill for all endoscopists who perform colonoscopy. A variety of polypectomy techniques and devices are available, and their use can vary greatly based on local availability and preferences. Polyps that are difficult to remove due to location or size require advanced resection techniques, such as endoscopic mucosal resection (EMR) and the use of special devices for safe and effective removal. However, colonic EMR is not routinely part of the standard endoscopic curriculum that is normally offered to gastroenterologists. It requires dedicated training in advanced endoscopic resection techniques, clinical and interpretive skills, and the knowledge and ability to manage complications.The two most common post-polypectomy complications are bleeding and perforation. Their frequency can be limited with the use of meticulous polypectomy techniques and the application of some prophylactic manoeuvres.This paper gives a review of the step by step technique of polypectomy and its complications from the perspective of the practicing gastroenterologist.
结肠镜下息肉切除术已被证明可降低结肠癌的发生风险。对于所有进行结肠镜检查的内镜医师而言，这被视为一项基本技能。有多种息肉切除技术和设备可供使用，其使用情况会因当地的可获取性和个人偏好而有很大差异。由于位置或大小原因难以切除的息肉需要采用先进的切除技术，如内镜黏膜切除术（EMR）以及使用特殊设备以实现安全有效的切除。然而，结肠EMR并非通常提供给胃肠病学家的标准内镜课程的常规组成部分。它需要在先进的内镜切除技术、临床和解读技能以及处理并发症的知识和能力方面接受专门培训。息肉切除术后最常见的两种并发症是出血和穿孔。通过使用精细的息肉切除技术和一些预防性操作，可以限制它们的发生频率。本文从执业胃肠病学家的角度对息肉切除术的逐步技术及其并发症进行综述。
