Christie J P
South Med J. 1976 Sep;69(9):1143-5. doi: 10.1097/00007611-197609000-00012.
A review of 464 consecutive polypoid lesions of the colon reveals that virtually all pedunculated polyps and over 80% of 218 sessile polyps were removed colonoscopically. Although size or location of the lesions occasionally precludes colonoscopic excision, the endoscopic appearance of a sessile polyp is the most important factor in deciding upon the method of excision. In gneeral, smooth, soft, nonulcerated sessile lesions of all sizes were excised endoscopically, while approximately half of the larger (2-6 cm) firm, irregular-surfaced, benign sessile lesions, and all ulcerated or malignant sessile lesions required laparotomy for proper management. All polypoid lesions should be viewed endoscopically before deciding the method of excision, regardless of their size, location, or general appearnce by barium enema. Experience with endoscopic morphology and snare electrocautery technics was most important, since more than 85% of all polypoid lesions in this consecutive series were removed endoscopically.
对464例连续性结肠息肉样病变的回顾显示，几乎所有带蒂息肉以及218例无蒂息肉中的80%以上都是通过结肠镜切除的。尽管病变的大小或位置偶尔会妨碍结肠镜切除，但无蒂息肉的内镜表现是决定切除方法的最重要因素。一般来说，各种大小的光滑、柔软、无溃疡的无蒂病变都通过内镜切除，而大约一半较大（2 - 6厘米）、质地坚硬、表面不规则的良性无蒂病变以及所有溃疡或恶性无蒂病变需要开腹手术以进行妥善处理。在决定切除方法之前，所有息肉样病变都应进行内镜检查，无论其大小、位置或钡剂灌肠的总体表现如何。内镜形态学和圈套电灼技术的经验最为重要，因为在这一连续性系列中，超过85%的息肉样病变是通过内镜切除的。
