胃息肉与胃癌的关系——内镜下息肉切除术后的随访结果

[Relations between stomach polyps and stomach cancer--results of follow-up after endoscopic polypectomy].

作者信息

Eichhorn K, Kratzsch K H, Stibenz J, Waller H, Winkelvoss H

出版信息

Z Gesamte Inn Med. 1986 Aug 1;41(15):433-5.

Abstract

We report on 468 polypectomies on 303 patients in 23,260 gastroscopies. In 230 endoscopic follow-up controls on 129 patients 4 carcinomas are found, and that once after a hyperplastic polyp and thrice after hyperplasiogenic polyps. In comparison to our routine gastroscopies the number of the carcinomas is distinctly lower in the control of polyps, so that the hyperplasiogenic polyps in our gastroscopies do not represent a particular risk group for a carcinoma of the stomach. After polypectomy should be controlled: adenimas, polyps with severe dysplasias, hyperplasiogenic polyposes and stomachs in which polyps remained.

摘要

我们报告了在23260次胃镜检查中对303例患者进行的468次息肉切除术。在对129例患者进行的230次内镜随访检查中发现了4例癌症，其中1例发生在增生性息肉之后，3例发生在增生性息肉之后。与我们的常规胃镜检查相比，息肉切除术后癌症的数量明显较低，因此我们胃镜检查中的增生性息肉并不代表胃癌的特殊风险组。息肉切除术后应进行监测的情况有：腺瘤、有严重发育异常的息肉、增生性息肉病以及有息肉残留的胃。