The Results of Endoscopic Interventions for Superficial Neo-plasms of the Upper Gastrointestinal Tract

Ismailov Saidmurad  Ibragimovich; Djumaniyazov Djavokhir  Azatbaevich; Yigitaliev Sardor  Khusanboevich

Ismailov Saidmurad Ibragimovich 1 State Institution Republican Specialized Scientific and Practical Medical Center for Surgery named after academician V.Vakhidov
Djumaniyazov Djavokhir Azatbaevich Tashkent State Dental Institute
Yigitaliev Sardor Khusanboevich

Keywords: polypoid neoplasms, gastrointestinal tract, endoscopic interventions, bleeding, perforation, relapse

Abstract

The article highlights the results of endoscopic treatment of polypoid neoplasms of the upper gastrointestinal tract. A method for endoscopic removal of polyps has been proposed, which involves the use of submucosal injection of a gel substance into the base of the formation and laser excision. Analysis of the long-term results of endoscopic removal of superficial neoplasms of the upper gastrointestinal tract made it possible to determine that excision using a diode laser, due to the technical features of the method, reduced the risk of recurrence of pathology from 17.4% to 3.1%, while this trend was noted as with en bloc removal (from 5.0% to 0.9%), and with fragmented excision (from 28.0% to 7.7%), in turn, depending on the initial size of the polyps, the proportion of relapses decreased from 7.8% to 0 .9% for formations up to 1 cm, from 33.3% to 4.5% for formations 1-2 cm and from 60.0% to 8.3% for formations more than 2 cm.

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