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Volume 117, Issue 6, Pages (December 1999)

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Presentation on theme: "Volume 117, Issue 6, Pages (December 1999)"— Presentation transcript:

1 Volume 117, Issue 6, Pages 1295-1300 (December 1999)
Colonoscopic polypectomy in chronic colitis: Conservative management after endoscopic resection of dysplastic polyps  Peter H. Rubin, Sonya Friedman, Noam Harpaz, Eric Goldstein, Jeffrey Weiser, Jeremy Schiller, Jerome D. Waye, Daniel H. Present  Gastroenterology  Volume 117, Issue 6, Pages (December 1999) DOI: /S (99) Copyright © 1999 American Gastroenterological Association Terms and Conditions

2 Fig. 1 Endoscopic photograph of characteristic pseudopolyps: multiple, with smooth surface, sharp borders. Gastroenterology  , DOI: ( /S (99) ) Copyright © 1999 American Gastroenterological Association Terms and Conditions

3 Fig. 2 Endoscopic photograph of a characteristic large pseudopolyp: whitish surface exudate and sharp borders. Gastroenterology  , DOI: ( /S (99) ) Copyright © 1999 American Gastroenterological Association Terms and Conditions

4 Fig. 3 Endoscopic photograph of a characteristic dysplastic polyp in colitic mucosa: irregular borders, dull surface, solitary. Gastroenterology  , DOI: ( /S (99) ) Copyright © 1999 American Gastroenterological Association Terms and Conditions

5 Fig. 4 Endoscopic photograph of characteristic larger dysplastic polyp in colitic mucosa: irregular borders and dull, rough surface. Gastroenterology  , DOI: ( /S (99) ) Copyright © 1999 American Gastroenterological Association Terms and Conditions

6 Fig. 5 Follow-up of 48 patients after initial colonoscopic polypectomy (103 follow-up colonoscopies): 17 patients have been followed up for more than 5 years. Gastroenterology  , DOI: ( /S (99) ) Copyright © 1999 American Gastroenterological Association Terms and Conditions

7 Fig. 6 The number of patients with single or multiple endoscopic polypectomy over the course of the study. Most patients had only 1 polyp, and 1 patient had 10 polyps resected. ▩, Ulcerative colitis; ■, Crohn's disease. Gastroenterology  , DOI: ( /S (99) ) Copyright © 1999 American Gastroenterological Association Terms and Conditions

8 Fig. 7 Polyps were detected on the initial (screening) colonoscopy in 23% of ulcerative colitis (▩) and 33% of Crohn's colitis (■) patients. The subsequent (surveillance) colonoscopies detected most of the polyps found. In 1 patient the first polyp was found as late as the sixth colonoscopy. Gastroenterology  , DOI: ( /S (99) ) Copyright © 1999 American Gastroenterological Association Terms and Conditions


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