Medical and Health Science Journal
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| Volume | 4 |
| Issue | 4 |
| Online publication date | 2010-12-10 |
| Title | Differentiated surgical tactics in patients with colic polyps and polyposis |
| Author | Dilshod Sapaev, Sarimbek Navruzov, Shukur Mamatkulov, Sharafat Sapaeva |
| Abstract | Choice of tactics and method of surgical treatment in colic polyps and polyposis (CPP) remains the issue of the day. Surgical tactics has to be differentiated and individual, depending on the character of the disease and the level of involvement of colon. Timely diagnostic and prognosis of course of CPP is a prerequisite for development and choosing the most effective differentiated surgical tactics. In 102 patients, there were applied newly developed methods of complex diagnostics and differentiated surgical tactics developed by us. Differentiated surgical tactics should be applied using both endoscopic and radical operations, taking into account the extent and character of involvement, as well as the risk of malignization. Application of the developed algorithm of differentiated surgical tactics allows significant improving the treatment outcomes. Particularly this approach helps to increase several times the recovery rate and reduce the rate of relapses. |
| References | Akemi, Ito, 2000. “Indications and limitations of endoscopic surgery on colorectal tumors”, Journal of Digestive Endoscopy, Vol.12, p.16. Axel, Е., Davidov, M., Ushakova, T., 2001. “Malignant neoplasms of gastrointestinal tract: main statistical indicators and trends”, Journal of Modern Oncology, No4, pp.141-45. Barsukov, Y., Knysh, V., 2006. “Modern opportunities of treatment of colorectal cancer”, Journal of Modern Oncology, Vol.8, No2, pp.7-11. Bond, J., 2000. “Polyp Guideline: diagnosis, treatment, and surveillance for patients with colorectal polyps”, American Journal of Gastroenterology, Vol.95, No11, pp.46-54. Bories, E., Pesenti, C., Monges, G., Lelong, B., Moutardier, V., Delpero, J., Giovannini, M., 2006. “Endoscopic mucosal resection for advanced sessile adenoma and early-stage colorectal carcinoma”, Journal of Endoscopy, Vol.38, pp.231-35. Eropkin, P., Tssarkov, P., Peresada, I. et al., 2000. “Transanal rectectomy with mesorectumectomy”, Journal of Surgery, No3, pp.25-29. Fedorov , V., Dultsev, Y., 1983. “Main forms and stages in development of diffuse colic polyposis”, Journal of Arch. Pathology, No6, pp.54-58. Galimov, O., Rylova, T., Khanov, V., 2008. “Endoscopy in diagnostics and treatment of gastric polyps,” Journal of Surgery, Vol.167, No5, pp.65-67. Knyazev, M., 2003. “Is reduction of colorectal cancer morbidity possible?”, Journal of Attending Physician, No2, pp.31-34. Mahmound, N., Dannenberg, A., Mestre, J. et al., 1998. “Aspirin or events tumors in a murine model of familial adenomatous polyposis,” Journal of Surgery, Vol.124, No2, pp.225-31. Melnik, V., Poyda, A., 2005. “Method of surgical rehabilitation of patients after colectomy with extirpation of rectum,” Journal of Annals of Surgery, Vol.5, pp.49-52 Ming-Yao, Su, Chen-Ming, Hsu, Yu-Pin, Ho et al., 2005. “Endoscopic mucosal resection for colonie non-polypoid neoplasma,” American Journal of Gastroenterology, Vol.100, pp.2174-179 Nakajima, T., 2004. “Problem of total colonoscopy for mass screening of colorectal cancer,” Journal of Diseases of Colon Rectum, Vol.47, p.1052 Nikitin, A., 1981. “Surgical treatment of diffuse colic polyposis,” Synopsis of doctoral dissertation, Moscow, Russian Federation Repici, A., Pellicano, R., Strangio, G., et al., 2009. “Endoscopic mucosal resection for early colorectal neoplasia: pathologic basis, procedures, and outcomes,” Journal of Diseases of Colon Rectum, Vol.52, No8, pp.1502-515 Rivkin, V., Kiryanov, I., Nikitin, A., Lukin, V., 2005. “Intestinal polyps and polyposis,” Мoscow, Russian Federation, Medpractice Sotnikov, V., Dubinskaya, T. Sotnikov, A. et al., 2007. “Polyposis gastrica: endoscopic treatment or dynamic observation?”, Journal of Surgery, Vol.1, pp.38-42 Veliev, T., 2009. “Endoscopic treatment of villous polyps in elderly age patients with co-morbidity,” Materials of the 1st Congress of CIS coloproctologists, Tashkent, Uzbekistan Vorobyov, G., Odariuk, T., Tsarkov, P. et al., 2000. “Short-term and follow-up outcomes of sphincter-preserving operations with forming colonic J-shaped reservoir,” Journal of Surgery, Vol.6, pp.41-47 Zaikin, S., Agadzhanian, V., 2009. “The device for endoscopic resection of mucosa in flat adenomas of column,” Endoscopic surgery, Moscow, Russian Federation, pp.12-16 Zaikin, S., Agadzhanian, V., Levchenko, T. et al., 2009. “Video colonoscopy and chromoscopy in diagnostics of flat adenomas of colon,” Russian Journal of Gastroenterology, Hepatology, Coloproctology, Vol.1, pp.66-70 |
| Keywords | Colic polyps and polyposis, risk of malignization |
| DOI | http://dx.doi.org/10.15208/mhsj.2010.61 |
| Pages | 60-67 |
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