NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BẰNG PHƯƠNG PHÁP CẮT ĐỐT KẾT HỢP KẸP CLIP Ở BỆNH NHÂN CÓ POLYP ĐẠI TRỰC TRÀNG TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ

Abstract

Background: Colorectal polyp is one of the most common lower gastrointestinal diseases. It is popular in all over the world, all age groups and both of gender. The number of patients with colorectal polyps has increased in recent days. The colorectal endoscopic procedure helps clinicians diagnose exactly the appearance, size or position of polyps and perform endoscopic polypectomy if needed. The prophylactic efficacy of hemoclips to prevent bleeding after endoscopic polypectomy has not been studied in common. Objectives: 1. To describe the clinical, endoscopic and pathological characterizations of colorectal polyps. 2. To evaluate the treatment results of endoscopic polypectomy combined with hemoclips in patients with colorectal polyps. Materials and methods: The study was conducted at Hospital of Can Tho University of Medicine and Pharmacy. All patients with clinical characteristics of colorectal polyps were indicated colonoendoscopy for detecting polyps, performing polypectomy and then taking hemoclips. After endoscopic polypectomy, all patients were followed up during 1 month to record any early and late complications. Results: Among 62 participants, disorder of defecation and abdominal pain were the most common complaints of patients. For endoscopic characteristics, most of polyps were single, middle-size and located in sigmoid colon. There was 62.9% non- neoplasia polyps and 32.7% neoplasia polyps. The successful rate of endoscopic polypectomy combined with hemoclips was 96.8%. Conclusion: patients with colorectal polyps usually had fewer symptoms and various endoscopic and pathological characteristics. The endoscopic polypectomy combined with hemoclips was a good therapy in treatment of colono-rectal polyps with high successful rate.