Gastrointestinal endoscopy and endoscopic polypectomy as a contribution to prevention and treatment of malignancies.

Abstract

In the retrospective study the author shows the survey of 4,468 gastro and colonofiberscopies performed at the Endoscopic Unit of the Clinic of Surgery in Hradec Králové during the time span 1981-1990. Indications and contraindications, as well as the conditions for performing these endoscopies are being considered. Experiences with the optimum preparation of such patients are also described. Furthermore, the question of the occurrence and importance of gastrointestinal polyps is being discussed. In the second part of this study mainly the problematics of the endoscopical polypectomy is revealed. This set includes 612 patients with polyps in both the upper and lower parts of the gastrointestinal tract. The group of polyps has been divided and studied in greater detail from several points of view, such as their histological character, morphology, localization, clinical symptomatology and others. The endoscopic treatment of polyps is further compared with the alternative way of treatment. The survey of complications is also given. In the discussion and conclusion the follow-up policy, which differs from that of some other authors, is being supported and further ways of diagnosis in this field are outlined, too.