EXPERIENCE OF PIECEMEAL POLYPECTOMY

Abstract

Nine cases of piecemeal polypectomy were encountered in our 370 polypectomy series. Four were intentional and five were consequential cases. Most polyps were over 2cm in diameter and sessile or semipedunculated in shape. There were 6 early earcinomas with 2 invasive and 4 focal carcinoma. In 3 examples piecemeal polypectomy was failed and additional surgical excision was required. In one instance bowel wall was found to be completely destructed and replaced by fibrous tissue suggesting hazardous aspect of this technique. However, in 6 cases piecemeal polypectomy was useful as a treatment of large polyps avoiding laparotomy, particularly in elderly patients. It should be born in mind that piecemeal polypectomy would give us ill-orientated specimens for histological examination although early carcinoma would be frequently encountered. Indication for piecemeal polypectomy should be determined carefully in each patients on the basis of its merit and demerit.