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Ribas, Carmen Australia Paredes MarcondasAutor o Coautor

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Macroscopic and histological analysis on endoscopically resected rectal lesions

Publicado en:Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery. 36 e1733- - 2023-01-01 36(), DOI: 10.1590/0102-672020230015e1733

Autores: Frugis, M.O.; Ribas, C.A.P.M.; Malafaia, O.; Tabushi, F.I.; Czeczko, N.G.

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Resumen

- BACKGROUND: Colorectal cancer is among the most common malignancies worldwide. Walter de BiaseSILVA-NETO1, ClaudemiroQUIRESE1, Eduardo Gu Colonoscopy is the examination of choice for the prevention of CRC because of its great diagnostic and, especially, therapeutic capacity in relation to adenomatous lesions. AIMS: This study aimed toFabricioanalyze theFerreira prevalence,COELHO3macroscopic,, andPaulo histologicalHERMAN3 characteristics of polypoid rectal lesions resected through endoscopic techniques and assess whether endoscopic therapy is safe and efficient for treating lesions located in the rectum. METHODS: This is a retrospective observational study with RESUMO-Rlcionll: O tratamento de escolha para pacientes com hipertensao portal an analysis of the medical records of all patients undergoing resection of rectal polyps. RESULTS: A total of 123 patients with rectal lesions were evaluated, with 59 men and 64 women of mean age esquistossomotca com sangramento de varzes e a desconexao azigo-portal mais 56 years. All patients underwent endoscopic resection: 70% with polypectomy and 30% with wide esplenia (DAPE) associada a terapia endoscopica. Porem, estudos mostram aumento mucosectomy. Complete colonoscopy with removal of the entire rectal lesion occurred in 91%, while do calibrdas varizes em alguns pacietes durate o seguimento m longo prazo. Objetivo: in 5% the preparation was inadequate and poor clinical conditions were an impeditive factor, and in Avaliar o impacto da DAPE e tratamento endoscopico pos-operatorio no comportamento 4% surgical treatment was indicated because there was an infiltrative lesion with central ulceration. das varizes esofagicas e recidiva hemorragica, de pacientes esquistossomoticos. Metodos: Histological evaluation showed adenomas in 3.25%, hyperplasia in 7.32%, and hamartoma in 0.81%; low-grade dysplasia was identified in 34.96%, high-grade dysplasia in 51.22%, and adenocarcinoma Foram estudados 36 pacientes com seguimento superior a cinco anos, distribuidos em in 1.63%, while one case (0.81%) was classified as erosion. CONCLUSIONS: Polyps in the rectum are dis grupos: queda da pressao portal abaixo de 30% e acima de 30% comprados co o common and were found in 37% of these colonoscopies. Adenomas with dysplasia were the m ost calibre das varizes esofagicas no pos-operatorio precoce e tardio alem do indice de recidiva common form of Colorectal cancer . Therapeutic colonoscopy proved to be a safe and efficient hemorragica. Resmltldos method for the complete treatment of rectal lesions.

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