Lo CC, Hsu PI, Lo GH, Tseng HH, Chen HC, Hsu PN, Lin CK, Chan HH, Tsai WL, Chen WC, Wang EM, Lai KH. Endoscopic banding ligation can effectively resect hyperplastic polyps of the stomach. World J Gastroenterol 2003; 9(12): 2805-2808 [PMID: 14669338 DOI: 10.3748/wjg.v9.i12.2805]
Corresponding Author of This Article
Ping-I Hsu, MD. Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, 386, Ta-Chung 1st Road, Kaohsiung, Taiwan 813, China. williamhsup@yahoo.com.tw
Article-Type of This Article
Clinical Research
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Ching-Chu Lo, Ping-I Hsu, Gin-Ho Lo, Hui-Hwa Tseng, Hui-Chun Chen, Ping-Ning Hsu, Chiun-Ku Lin, Hoi-Hung Chan, Wei-Lun Tsai, Wen-Chi Chen, E-Ming Wang, Kwok-Hung Lai, Division of Gastroenterology, Department of Internal Medicine, Pathology, Kaohsiung Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan, China
Hui-Hwa Tseng, Division of Pathology, Kaohsiung Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan, China
Hui-Chun Chen, Department of Radiation Oncology, Kaohsiung Chang-Gang Memorial Hospital, Chang-Gang University, Taoyuan, Taiwan, China
Ping-Ning Hsu, Graduate Institute of Immunology, National Taiwan University, Taipei, Taiwan, China
Author contributions: All authors contributed equally to the work.
Supported by the research grant NSC-90-2314-B-075B-003 from the National Science Council and VGHKS-91-35 from Kaohsiung Veterans General Hospital, Taiwan
Correspondence to: Ping-I Hsu, MD. Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, 386, Ta-Chung 1st Road, Kaohsiung, Taiwan 813, China. williamhsup@yahoo.com.tw
Received: August 28, 2003 Revised: September 13, 2003 Accepted: October 12, 2003 Published online: December 15, 2003
Abstract
AIM: Bleeding and perforation are major and serious complications associated with endoscopic polypectomy. To develop a safe and effective method to resect hyperplastic polyps of the stomach, we employed rubber bands to strangulate hyperplastic polyps and to determine the possibility of inducing avascular necrosis in these lesions.
METHODS: Forty-seven patients with 72 hyperplastic polyps were treated with endoscopic banding ligation (EBL). At 14 days after endoscopic ligation, follow-up endoscopies were performed to assess the outcomes of the strangulated polyps.
RESULTS: After being strangulated by the rubber bands, all of the polyps immediately became congested (100%), and then developed cyanotic changes (100%) approximately 4 minutes later. On follow-up endoscopy 2 weeks later, all the polyps except one had dropped off. The only one residual polyp shrank with a rubber band in its base, and it also dropped off spontaneously during subsequent follow-up. No complications occurred during or following the ligation procedures.
CONCLUSION: Gastric polyps develop avascular necrosis following ligation by rubber bands. Employing suction equipment, EBL can easily capture sessile polyps. It is an easy, safe and effective method to eradicate hyperplastic polyps of the stomach.
