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January 24, 1977

Medical News

JAMA. 1977;237(4):327-332. doi:10.1001/jama.1977.03270310011001

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Endoscope enables surgeons to reach distant new areas  Endoscopists continue to probe farther into the gastrointestinal tract and are now reporting the successful removal of polyps from the distal duodenum and proximal jejunum.By avoiding conventional laparotomy, endoscopic electrosurgery can lessen morbidity and mortality, particularly in debilitated patients. Hospitalization time is also sharply reduced.But the procedure is risky. Possible complications include perforation of the gastrointestinal wall and bleeding pancreatitis, and there has been at least one report in which the metal snare of the endoscope became fused to a large, sessile polyp. The endoscopist was able to break the snare off, but its removal required surgery.Walter Jacobs, MD, head of gastroenterology at Menorah Medical Center, Kansas City, Mo, recently reported his experiences in the successful removal of polyps up to 2 to 3 cm in diameter from 30 patients. There were no serious complications in this series

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