Outcome of Endoscopic Mucosal Resection of Flat and Sessile Colonic Polyps

Hashmatullah Khan,Mushtaq Ahmad,Hamid Ullah,Rafi Ullah,MujahidAslamandAsfandyar Khan

ABSTRACT

Objective:The aim of our study was to prospectively evaluate the success, complications and recurrence following EMR of flat colonic polyps.

Study Design:prospective observational study

Place and Duration of Study: This study was conducted at theLady Reading Hospital, Peshawar, Pakistan, from January 2014 to December 2016.

Methods:Thefollowing ethical committee approval. Consecutive patients meeting the inclusion criteria were enrolled, and demographic data were collected.

Results:A total of 243 polyps were resected in 211 patients. 23 patients had more than one polyp. Mean age was 45±13 years.En block resection was possible in 240 patients (98.8%). Bleeding immediately after resection was seen in 6 patients (2.84%) while delayed bleeding after 24 hours after the procedure occurred in 8 patients (3.8%). Perforation occurred in one patient. The overall recurrence rate was approximately 9% (18/205) during a mean follow-up of 12 months.

Conclusion:Endoscopic mucosal resection is an effective and safe outpatient procedure for sessile or flat colonic polyps.

Key Words:Endoscopic Mucosal Resection, sessile Polyps, saline-assisted polypectomy

Citation of article:Hashmatullah Khan, Ahmad M, Hamid Ullah, Rafi Ullah, Aslam M, KhanA. Outcome of Endoscopic Mucosal Resection of Flat and Sessile Colonic Polyps.Med Forum2024;35(12):164-167.doi:10.60110/medforum.351236.