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Polypectomy of Anorectal Polyps and Polypoid Lesions Why, When, and How?

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Abstract

The aim of this chapter was to evaluate minimally invasive methods to remove anorectal polyps and polypoid lesions. It seems, that in highly selected cases of early stages of rectal cancer, these can also be treated locally. We show wide-scale use of non-invasive or minimally invasive methods and try to define when and how to use them. Complications are also discussed. Last but not least, the argument for use of these methods argument is a cost-benefit one.

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References

  1. Orkin BA (1995) Local treatment of rectal neoplasms. In: Mazier WP, et al (eds) Surgery of the colon, rectum and anus. W.B.Saunders Company, Philadelphia, pp 470–489.

    Google Scholar 

  2. Fucini C, Segre D, Trompetto M (2004) Local excision of rectal polyp: indications and techniques. Tech Coloproctol 8:300–304.

    Article  Google Scholar 

  3. Pai KP, Morgan RH (1995) Endoloop: a helpful new device for transanal rectal polypectomy. Br J Surg 82:784.

    Article  Google Scholar 

  4. Qureshi MA, Monson JR, Lee PW (1997) Transanal MULTIFIRE ENDO GIA technique for rectal polypectomy. Dis Colon Rectum 40:116.

    Article  PubMed  CAS  Google Scholar 

  5. Allison SI, Adedeji OA, Varma JS (2001) Per anal excision of large rectal adenomas using endoscopic stapler. JR Coll Surg Edinb 46:290–291.

    CAS  Google Scholar 

  6. Pigot F, Bouchard D, Mortaji M, et al (2003) Local excision of large rectal villous adenomas. Dis Colon rectum 46:1345–1350.

    Article  PubMed  Google Scholar 

  7. Hoth JJ, Waters GS, Penell TC (2000) Results of local excision of benign and malignant rectal lesions. Am Surg 66:1099–1103.

    PubMed  CAS  Google Scholar 

  8. Stephenson BB, Shandall AA, Ng KJ, et al (1992) Endoscopic transanal resection of large villous tumors of the rectum. Ann R Coll Surg Engl 74:54–58.

    PubMed  CAS  Google Scholar 

  9. Buess G, Hutterer F, Thiess J, et al (1984) A system for a transanal endoscopic rectum operation. Chirurg 55:677–80.

    PubMed  CAS  Google Scholar 

  10. Skřička T (2005) Local excision of rectal cancer: TEM. In: Delaini GG (ed.) Rectal cancer. New frontiers in diagnosis, treatment and rehabilitation. Springer-Verlag Italia, Milan, pp 107–114.

    Google Scholar 

  11. Corman M (1991) Principles of surgical technique in the treatment of carcinoma of the large bowel. World J Surg 15:592–596.

    Article  PubMed  CAS  Google Scholar 

  12. Schaefer HH, Vivaldi C, Hoelscher AH (2006) Local excision with transanal endoscopis miscosurgery (TEM) after endoscopic R1-R2 polypectomy of pT1 “low-risk” carcinomas of the rectum. Z Gastroenterol 44:647–650.

    Article  Google Scholar 

  13. Kraske P (1885) Zur Exstirpation hochsitzender Mastdarmkrebse. Verh Chir 14:464–466.

    Google Scholar 

  14. Qiu HZ, Lin GL, Xiao Y, Wu B (2008) Surgery of the rectum: a Chinese 16-year experience. World J Surg 323:1776–1782.

    Article  Google Scholar 

  15. Groebli Y, Tschantz P (1994) Should the posterior approach to the rectum be forgotten? Helv Chir Acta 60:599–604.

    PubMed  CAS  Google Scholar 

  16. Otsuji E, Fujiyama J, Takagi T, et al (2004) Transanal excision of a large rectal polyp assisted by transsacral manipulation of the rectum. Dis Colon Rectum 47:1420–1422.

    Article  PubMed  Google Scholar 

  17. Fedorov VD, Brusilkovskij MI, Safina FM, Sadovni$#x00E3;ij VA (1975) Ekonomnyje operacii pri zlokač estvennych opucholjach prjamoj i sigmovidnoj kis?ok. Voprosy Onkologii 22:41–45.

    Google Scholar 

  18. Eisenstat TE, Oliver GC (1992) Electrocoagulation for adenocarcinoma of the lower rectum. World J Surg 16:458–462.

    Article  PubMed  CAS  Google Scholar 

  19. Faintuch JS (1988) Better palliation of colorectgal carcinoma with laser therapy. Oncology 2:33–38.

    PubMed  CAS  Google Scholar 

  20. Brunetaud J, Maunoury V, Durcotte P (1987) Palliative treatment of rectosigmoid carcinoma by laser endoscopic photocoagulation. Gastroenterology 92:663–667.

    PubMed  CAS  Google Scholar 

  21. Aubert A, Meduri B, Fritsch J, et al (1991) Endoscopic treatment by snare electrocoagulation prior to Nd:YAG laser photocoagulation in 85 voluminous colorectal villous adenomas. Dis Colon Rectum 34:372–377.

    Article  PubMed  CAS  Google Scholar 

  22. Osborne DR, Higgins AF, Hobbs KEF (1978) Cyosurgery in the management of rectal tumours. Br J Surg 65:859–861.

    Article  PubMed  CAS  Google Scholar 

  23. Nelson RL, Abcarian H, Prasad ML (1982) Iatrogenic perforation of the colon and rectum. Dis Colon Rectum 25:305–309.

    Article  PubMed  CAS  Google Scholar 

  24. Williams SM, Harned RK (1991) Recognition and prevention of barium enema examinations. Curr Probl Diagn Radiol 20:123–151.

    Article  PubMed  CAS  Google Scholar 

  25. Walker GL, Nogro ND (1959) Postoperative anorectal hemorrhage. Surg Clin North Am 39:1655–1660.

    PubMed  CAS  Google Scholar 

  26. Goligher JC (1975) Surgery of anus, rectum and colon. Baillière-Tindall, London, pp 158–162.

    Google Scholar 

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Skřička, T., Foretová, L., Fabian, P. (2009). Polypectomy of Anorectal Polyps and Polypoid Lesions Why, When, and How?. In: Delaini, G.G., Skřička, T., Colucci, G. (eds) Intestinal Polyps and Polyposis. Springer, Milano. https://doi.org/10.1007/978-88-470-1124-3_19

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  • DOI: https://doi.org/10.1007/978-88-470-1124-3_19

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1123-6

  • Online ISBN: 978-88-470-1124-3

  • eBook Packages: MedicineMedicine (R0)

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