Hypertrophic Anal Papillotomy by Transparent Cap-Assisted Endoscopic Hot Snare Resection  

作　　者：Peixue Wang Qian Jiang Isaac Kumi Adu Minghua Ai Weizheng Wang Fen Yang Xiaoping Tan Peixue Wang;Qian Jiang;Isaac Kumi Adu;Minghua Ai;Weizheng Wang;Fen Yang;Xiaoping Tan(Department of Gastroenterology, Digestive Disease Research Institute, The First Affiliated Hospital of Yangtze University, The First People’s Hospital of Jingzhou, Jingzhou, China;Health Science Center, Yangtze University, Jingzhou, China;Department of Internal Medicine, Kings and Queens Medical University College and Teaching Hospital, Akosombo, Ghana)

机构地区：[1]Department of Gastroenterology, Digestive Disease Research Institute, The First Affiliated Hospital of Yangtze University, The First People’s Hospital of Jingzhou, Jingzhou, China [2]Health Science Center, Yangtze University, Jingzhou, China [3]Department of Internal Medicine, Kings and Queens Medical University College and Teaching Hospital, Akosombo, Ghana

出　　处：《Yangtze Medicine》2022年第4期121-130,共10页长江医药（英文）

摘　　要：Background/Aim: Conventional treatment for hypertrophic anal papillae (HAP) has effectiveness and safety concerns. This study aimed to investigate the feasibility, safety, and efficacy of transparent cap-assisted endoscopic hot snare resection for the treatment of HAP. Methods: Endoscopic and clinical data of patients treated with transparent cap-assisted endoscopic hot snare resection for HAP at the Department of Gastroenterology, First Affiliated Hospital of Yangtze University from June 2019 to June 2021, were collected and retrospectively analyzed. Results: A total of 56 patients with HAP were treated with transparent cap-assisted endoscopic hot snare resection, including 53 patients (94.6%) with single hypertrophic anal papillae and 3 patients (5.4%) with multiple HAP;51 patients (83.6%) with basal diameter <5 mm and 10 patients (16.4%) with basal diameter ≥5 mm. The procedures that were performed together with transparent cap-assisted endoscopic hot snare resection for HAP treatment included total colon examination in 56 cases (100%), endoscopic polypectomy in 20 cases (35.7%), endoscopic sclerotherapy for hemorrhoids in 29 cases (51.8%), and endoscopic rubber band ligation for hemorrhoids in 11 cases (19.6%). No patient experienced bleeding during or after HAP with transparent cap-assisted endoscopic hot snare resection. Pain level was evaluated by the visual analog score (VAS) method. 52 patients (92.9%) did not have pain and 4 patients (7.1%) had mild pain 3 days after surgery. At a postoperative follow-up of 2 to 18 months, patient satisfaction with transparent cap-assisted endoscopic hot snare resection for HAP treatment was 100% (56/56). Conclusion: Transparent cap-assisted endoscopic hot snare resection is safe and effective for treating HAP.Background/Aim: Conventional treatment for hypertrophic anal papillae (HAP) has effectiveness and safety concerns. This study aimed to investigate the feasibility, safety, and efficacy of transparent cap-assisted endoscopic hot snare resection for the treatment of HAP. Methods: Endoscopic and clinical data of patients treated with transparent cap-assisted endoscopic hot snare resection for HAP at the Department of Gastroenterology, First Affiliated Hospital of Yangtze University from June 2019 to June 2021, were collected and retrospectively analyzed. Results: A total of 56 patients with HAP were treated with transparent cap-assisted endoscopic hot snare resection, including 53 patients (94.6%) with single hypertrophic anal papillae and 3 patients (5.4%) with multiple HAP;51 patients (83.6%) with basal diameter <5 mm and 10 patients (16.4%) with basal diameter ≥5 mm. The procedures that were performed together with transparent cap-assisted endoscopic hot snare resection for HAP treatment included total colon examination in 56 cases (100%), endoscopic polypectomy in 20 cases (35.7%), endoscopic sclerotherapy for hemorrhoids in 29 cases (51.8%), and endoscopic rubber band ligation for hemorrhoids in 11 cases (19.6%). No patient experienced bleeding during or after HAP with transparent cap-assisted endoscopic hot snare resection. Pain level was evaluated by the visual analog score (VAS) method. 52 patients (92.9%) did not have pain and 4 patients (7.1%) had mild pain 3 days after surgery. At a postoperative follow-up of 2 to 18 months, patient satisfaction with transparent cap-assisted endoscopic hot snare resection for HAP treatment was 100% (56/56). Conclusion: Transparent cap-assisted endoscopic hot snare resection is safe and effective for treating HAP.

关 键 词：Hypertrophic Anal Papillae Transparent Cap-Assisted Endoscopic Hot Snare Resection Hot Snare Colonoscopy 

分 类 号：R73[医药卫生—肿瘤]