CALL FOR PAPERS

CERTIFICATE

IMPACT FACTOR 2018

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

Endoscopic resection of sessile colonic polyps

Author: 
Megahed Mohammed AliEl-Shafei, Ahmed Abdel- Mawgoud El-Tokhy and Moustafa Mahmoud El-saied
Subject Area: 
Health Sciences
Abstract: 

Background: Sessile polyps are generally considered one of the most difficult polyps to remove endoscopically many polyps that might be considered endoscopically resectable are sent for surgical resection. Many endoscopists appear to refer large sessile polyps for surgical resection. Indeed, there is incentive to remove them endoscopically. sessile polyps are associated with the greatest risk of postpolypectomy bleeding and of perforation. They may take a substantial amount of time to remove. Aim of the work: The aim of the work is to view the role of endoscopy in resection of sessile colonic polyps and review different techniques of endoscopic resection identifing their safety and efficacy. Time consuming, rate of complete and incomplete resection, complications as bleeding or perforation intra operative or delayed post operatively, rate of recurrancy and rate of convertion to surgery. Patient and Methods: A prospective study was held in Al-Azhar University Hospitals between A total of 20 patients with sessile colonic polyps were included in this study who were admitted for endoscopic resection Biopsy foreceps in complete resection of colonic polyps in: 7 cases (35%) Endoscopic sub mucosal resection (EMR) technique using submucosal injection in: 5 cases (25%). Cold snare technique in: 4cases (20%) and Hot snare technique in: 4cases(20%). at the Department of Surgeryof Sayed Galaal Hospital Alazhar University during the period from February 2019 to October 2019. Results: Location of sessile polyps detected - sigmoid colon: 7 cases (35%), - ascending colon and caecum : 10 cases (50%) - descendin colon : 2 cases(10%) ,- transverse colon: 1 case (5%). Size of polyps detected ranged from (0.5 mm to 40mm). The majority of polyps (83.3%) removed (including both successful and incomplete resection) were benign. These included tubular (n = 9), villous (n = 4), and tubulovillous adenomas (n = 4). In addition, one case serrated adenoma and one hyperplastic polyp were removed. Invasive adenocarcinoma . Complete resection occurred in 95% cases, one case failed to be resected during technique failed. Bleeding during procedure occurred in one case (5%), and that settled spontaneously, delayed bleeding occurred in one case(5%) after two weeks and blood transfusion was done . ,perforation occurred in one case that transferred to surgical interference (5% of cases) ; transverse colostomy was done and after one month we use colonoscopy to be sure that perforation completely healed and then closure colostomy was done. Conclusion: Endoscopic resection of sessile colonic polyps presents a number of unique challenges. the majority of benign sessile colonic polyps can be safely and successifully removed endoscopically There are more than one procedure for endoscopic resection according to size, shape and location of the polyps in our study we use biopsy foreceps for small polyps cold snare and hot snare techniques for polyps in larger size and endoscopic mucosal resection for the largest polyps . submucosal saline injection is important in lifting the mucosa of the flat or sessile polyps and makes it easier for complete resection.now surgical transferring is only for complicated cases or failed endoscopy not the first choise.

PDF file: 

IJMCE RECOMMENDATION

ONLINE PAYPAL PAYMENT

CURRENT ISSUE

NEWS

CHIEF EDITOR
Rosane Cavalcante Fragoso, Brasil
ASSOCIATE CHIEF EDITOR

   

Jean-Marc SABATIER
Chief Scientific Officer and Head of a Research Group
France

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

EDITORIAL BOARD

Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran