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| Analysis of Clinical Characteristic and Therapy in 190 Cases Elderly Patients with Colonic Polyps |
| Zhumadian Central Hospital，Zhumadian 463000，China |
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Abstract Objective：To analyze the clinical features and investigate safe and effective treatment of elderly patients with colonic polyps. Method：190 cases elderly patients with colonic polyps under endoscopic treatment admitted to Zhumadian Central Hospital between January 2009 and December 2013 were analyzed via a retrospective analysis.Result：Total 295 polyps were found in 190 cases elderly patients. Polyps in the rectum，sigmoid， descending colon，transverse colon，ascending colon and cecum were respectively 41.01%，26.78%，10.51%，7.46%，11.19% and 3.05% respectively. The pathologic types were tubular adenoma（ 44.44%）， villous adenoma（ 10.14%）， tube villous adenomas（12.56%）， inflammatory polyp（ 19.81%）， hyperplastic polyp（ 13.04%）. 239 polyps were removed by high frequency electric resection，and the other 56 polyps with argon plasma coagulation（APC）. There were 7 patients intraoperative and postoperative bleeding， rate of 2.37%. Conclusion：Most of the colon polyps in elderly patients locate in distal colon.Adenomatous polyps were common pathological types. Timely treatment is needed. High frequency electric coagulation，argon plasma coagulation technique are simple，safe and effective treatment of elderly patients with colon polyps.
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