Departamento de Cirugía General, Los Cobos Medical Center, Universidad El Bosque.
Departamento de Cirugía General, Universidad El Bosque.
Cir Cir. 2023;91(2):218-224. doi: 10.24875/CIRU.21000689.
The identification of gastric polyps incidentally in endoscopies of the upper digestive tract has increased its incidence, varying between 0.5% and 23%. 10% of these polyps have symptoms, 40% are hyperplastic. We allow ourselves to propose a laparoscopic technique for the management of giant hyperplastic polyps associated with a pyloric syndrome, not susceptible to endoscopic resection.
A series of patients approached by laparoscopic transgastric polypectomy due to the giant gastric polyps associated with pyloric syndrome, in Bogotá, Colombia, from January 2015 to December 2018.
Seven patients, 85% female, with an average age of 51 years, who were admitted for pyloric syndrome and were taken to laparoscopic management, with an average surgical time of 42 min, intraoperative bleeding 7-8 cc, tolerance to the oral route 24 hours, no conversion, without mortality.
Transgastric polypectomy for the management of benign giant gastric polyps that cannot be resected endoscopically turns out to be a feasible method, with a low rate of complications and without mortality.
在上消化道内窥镜检查中偶然发现的胃息肉发病率增加，其发病率在 0.5%至 23%之间。这些息肉中有 10%有症状，40%为增生性。我们允许自己提出一种腹腔镜技术来处理与幽门综合征相关的巨型增生性息肉，这些息肉不能通过内镜切除。
在哥伦比亚波哥大，2015 年 1 月至 2018 年 12 月期间，对因幽门综合征而接受腹腔镜经胃息肉切除术的一系列患者进行了研究。
7 名患者（85%为女性），平均年龄为 51 岁，因幽门综合征而入院接受腹腔镜治疗，平均手术时间为 42 分钟，术中出血 7-8cc，术后 24 小时即可经口进食，无中转开腹，无死亡。
对于不能经内镜切除的良性巨大胃息肉，经胃息肉切除术是一种可行的方法，并发症发生率低，无死亡率。
