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박경남,이민호,윤석진,기춘석,이종철,심승철,함준주 대한소화기내시경학회 1993 Clinical Endoscopy Vol.13 No.2
Advances in fiberoptic endosoarpy have improved diagnostic capabilities and management in patients with gastrointnatinal polyps. The gastrointestinal polyp is a premalignant lesion in varying dagrees according to size, pathology, and location. Endpecopic polypetomy has long been considered as a safe and effective method for removal of polyp. Sixty endoscopic gastrointestinal polypectamies wire doe in 53 patients who visited Hanyang University Hospital from 1984 to 1990, and the clinical characteristics including histopathology were evaluated. The results obtained were as follows; 1) Most patients were in fifth decade. The ratio of male to female was 1 :1.52 2) 40 gastric polyps were found among 41,300 gastrofiberscopies(0.09%) and 20 colonic polyps were found among 1,200 colanofiberscopies(1.6%). 3) The removed gastroduodenal polyps were mostly below 0.5cm in size(37.5%) and colonic polyps wire mostly 1.0 cm to 2.0 cm in size(25% ). 4) The number of single polyp was 32(88%) in gastroduadenum and 12(70.5%) in colon. In gastroduodenal polyps, polyps were located on gastric body(20 cases), gastric antrum(18 cases), and duodienal bulb(2 cases), in order of frequency. In colonic polyps, polyps were located on sigmoid colon(10 canes) and rectum(4 cases). 5) Histapathologic examittations revealed that most common type was hyperplastc type(62.5 %) in Bastroduodenal polyps and adenomatous type(40%) in colonic polyps. One case of gastroduadenal polyp and three cases of colonic polyps showed focally malignant change of muscosa. Therefore, endoscopic polypectomy is thought to be important to assess malignant change of gastrointestinal polyps.
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