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Endoscopic Polypectomy for Gastric Polyps Satoshi Tanabe 1 , Ken Nishimura 1 , Takuya Shimoda 1 , Kento Nakatani 1 , Noboru Hanaoka 1 , Katsuhiko Higuchi 1 , Tohru Sasaki 1 , Chikatoshi Katada 1 , Wasaburo Koizumi 1 , Katsunori Saigenji 1 1Department of Gastroenterology, Kitasato University East Hospital Keyword: 内視鏡的ポリペクトミー , 胃ポリープ , 高周波電源装置 , 高周波スネア , 偶発症 pp.567-572
Published Date 2006/4/24
DOI https://doi.org/10.11477/mf.1403100329
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 We describe the indications and techniques for, and complications of polypectomy, mainly in patients with gastric polyps. The indications for polypectomy include 1) anemia, 2) the possibility of localized cancer, 3) unidentified clinical syndromes due to mental stress, and 4) passage disorders caused by incarceration of the pyloric sphincter. Polypectomy is contraindicated in patients at high risk for bleeding. As for high-frequency generators and high-frequency snares, the operation mode and devices used should be compatible with the characteristics of the lesion being treated. Care should be exercised to avoid complications associated with polypectomy, such as bleeding and perforation. Gastric polypectomy is the most basic procedure for endoscopic resection of gastrointestinal tumors. This procedure is generally considered suitable for endoscopists with limited experience in endoscopic mucosal resection. However, treatment devices should be carefully selected and the basic technique mastered. It is also essential to obtain fully informed consent from patients.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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