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STUDY THE CLINICAL RESULTS OF ASSISTANCE WITH COLON ENDOSCOPIC RESECTION OF POLYPS ≥ 24 MM AT THE SIR GANGA RAM HOSPITAL, LAHORE

Urwah Shahid, Muhammad Danish Zafar, Joveria Saeed

Aim: Study the clinical results of assistance with colon endoscopic resection of polyps ≥ 24 mm at the Sir Ganga Ram Hospital, Lahore and evaluate changes over a 10-year period. Methods: Our current research was conducted at Sir Ganga Ram Hospital, Lahore from March 2017 to August 2019. Retrospective observational examination, information was provisionally collected for all cases of sessile colon polyps ≥ 22 mm that were evacuated using the EMR by colonoscopy authorized by the Bowel Cancer Screening Program (BCSP) in the 2006 and 2014 range. Results: 580 injuries in 570 patients were studied for the EMR; 427 wounds were actually extracted using the EMR. A recurrence/left adenoma at the EMR site was found in 56 (17%) at the primary recognition endoscopy; treated by endoscopy in 54/58 (96%) patients; 4/57 (6%) were carefully resected. Complete destruction at the second reconnaissance endoscopy; 280/296 patients (93%). Repetition in 24 patients (9%) and endoscopic resection of the repetitive lesion in 23/24 patients. The overall complexity rate was 18/428 (5%). There was no passage related to the strategy. Over a 10-year period, there was a predictable decrease in the number of patients with good-hearted polyps who were not treated with EMRs and who were referred to for careful resection (P = 0.004). There were increases in the quantities of EMRs completed annually (P = 0.002), the average size of resected polyps (P = 0.026) and level 4 and 5 polypectomies (P <0.002). Conclusion: Endoscopic resection of the mucosal mucosa of huge sessile polyps ≥ 22 mm by colonoscopy under license from the intestinal cancer screening program indicated a broad nature of this EMR administration after some time. Keywords: Endoscopic Mucosal Resection; Endoscopic Polypectomy.

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