This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
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
Medical News. JAMA. 1977;237(4):327–332. doi:10.1001/jama.1977.03270310011001
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: