Endoscopic resection of adenomatous lesions of the colon

Authors

Keywords:

adenomatous lesions of the colon, endoscopic resection, polypectomy.

Abstract

Introduction: Most colon tumors develop from malignant degeneration of precursor lesions (adenoma-carcinoma sequence). Adenomas are benign lesions that do not recur once they are completely resected. The least invasive treatment for these lesions is endoscopic resection.
Objective: To deepen the knowledge related to endoscopic resection techniques of adenomatous lesions of the colon.
Development: The detection of adenomas constitutes a challenge in the early detection strategy for colorectal cancer. Polypectomy is the most important tool for its prevention. The polypectomy technique for tiny, small polyps is variable, and the choice is based on the size of the polyp and the physician's preference. Techniques used include hot loop polypectomy, cold loop polypectomy, cold biopsy forceps, and hot biopsy forceps. These techniques have risks of complications, including bleeding and perforation. The use of electrocautery increases the risk of transmural colon injury, late post-polypectomy hemorrhage, and perforation. Cold loop polypectomy is a technique with well-established safety.
Conclusions: Cold snare polypectomy is superior to cold biopsy forceps for complete resection of minute polyps. Cold loop polypectomy is more effective than forceps techniques in achieving complete resection of the polyp. It also avoids the adverse events associated with thermal electrocautery in hot biopsy forceps and hot loop techniques.

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Author Biographies

Geidy Arias Sánchez, HMC "Dr. Carlos J. Finlay"

Especialitsa de 1er grado en MGI y Gastroenterología.

Raúl Antonio Brizuela Quintanilla, HMC "Dr. Luis Días Soto"

Dr.C

Especialista de 2do grado en Gastroenterología

Profesor Titular

Ludmila Martínez Leyva, HMC Dr. Carlos J. Finlay

Dra. C.

Especialista de II grado en Gastroenterología

Máster en procederes diagnósticos en atención primaria de salud. Máster en Cirugía de Mínimo Acceso

Profesor Titular

Jefe del Servicio de Gastroenterología del HMC Dr. Carlos J. Finlay

Alicia Yanes Cicard, HMC "Dr. Carlos J. Finlay"

Especialista de 1er grado en Gastroenterología

Profesor asistente

Wilfredo Satiesteban Pupo, HMC "Dr. Carlos J. Finlay"

Especialista de 1er grado en Cirugía General

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Published

2023-03-01

How to Cite

1.
Arias Sánchez G, Brizuela Quintanilla RA, Martínez Leyva L, Yanes Cicard A, Satiesteban Pupo W. Endoscopic resection of adenomatous lesions of the colon. Rev Cubana Med Milit [Internet]. 2023 Mar. 1 [cited 2025 Jan. 10];52(2):e02302292. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2292

Issue

Vol. 52 No. 2 (2023): April - June

Section

Review Article

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