Prognostic Roles and Survival Benefits of Endoscopic Resection Versus Surgical Resection in the Management of Malignant Colon Polyps

Background Due to few sufficient data regarding the comparison between endoscopic and surgical resection of malignant colorectal polyps regarding outcomes and survival benefits, there are no clear guidelines of management strategies of malignant colorectal polyps. The aims of the present study were...

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Bibliographic Details
Published in:Journal of Coloproctology 2023-06, Vol.43 (2), p.126-132
Main Authors: Ibrahim, Amr, Gertallah, Loay M., Abdelaziz, Mahmoud, Hemeda, Rehab, Gomaa, Ahmed Fathy, Ghoneme, Mahmoud, Sherbeiny, Mahmoud, Sharaf, Ahmed Lotfy, Harb, Ola A., Amin, Mohamed Farouk
Format: Article
Language:English
Subjects:
GASTROENTEROLOGY & HEPATOLOGY
malignant colon polyps
polypectomy
SURGERY
surgical resection
survival
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Summary:Background Due to few sufficient data regarding the comparison between endoscopic and surgical resection of malignant colorectal polyps regarding outcomes and survival benefits, there are no clear guidelines of management strategies of malignant colorectal polyps. The aims of the present study were to compare endoscopic resection alone and surgical resection in patients with malignant polyps in the colon (T1N0M0) readings advantages, disadvantages, recurrence risks, survival benefits, and long-term prognosis to detect how management strategy affects outcome. Patients and methods we included 350 patients. All included patients were divided into 2 groups; the first group included 100 patients who underwent only endoscopic polypectomy and the second group included 250 patients who underwent endoscopic polypectomy followed by definitive surgical resection after histopathological diagnosis. We followed all patients for about 5 years, ranging from 18 to 55 months. The primarily evaluated parameters are surgical consequences and patients' morbidity. The secondary evaluated parameters are recurrence risks, recurrence free survival, and overall survival rates. Results The age of patients who underwent polypectomy is usually younger than the surgical group, males have more liability to polypectomy in comparison with females. Patients with tumors in the left colon have more liability to polypectomy in comparison with the right colon (p 
ISSN:2237-9363
2317-6423
2317-6423
DOI:10.1055/s-0043-1769922