Gastric polyps as a precancer: the experience of therapeutic and diagnostic tactics in a multidisciplinary hospital


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

The experience of diagnosis and treatment of gastric polyps in a multidisciplinary hospital is presented. It is emphasized that the main task in admission of patients with gastrointestinal neoplasia is the establishment in the early stages of a final diagnosis and the conduct of specialized therapy in accordance with the licensed specialties. At the same time, endoscopic polypectomy is low-traumatic and provides a reduction in the length of stay of patients in the hospital, early rehabilitation, low incidence of recurrence of the disease - 5%. The authors provide an integrated system for the diagnosis and treatment of patients with gastric neoplasms as the basis for effectively achieving favorable immediate and long-term treatment results.

Full Text

Restricted Access

About the authors

Yu. N Fokin

FBU "3 Central military clinical hospital. AA Vishnevsky," Russian defense Ministry

Email: fokiunua@mail.ru
Krasnogorsk, Moscow region

B. L Shklovskii

FBU "3 Central military clinical hospital. AA Vishnevsky," Russian defense Ministry

Krasnogorsk, Moscow region

V. S Tatarin

FBU "3 Central military clinical hospital. AA Vishnevsky," Russian defense Ministry

Krasnogorsk, Moscow region

V. Yu Savvin

FBU "3 Central military clinical hospital. AA Vishnevsky," Russian defense Ministry

Krasnogorsk, Moscow region

V. I Baksheev

FBU "3 Central military clinical hospital. AA Vishnevsky," Russian defense Ministry

Email: baksheevld@mail.ru
Krasnogorsk, Moscow region

References

  1. Балалыкин А.С. Когда-то в эндохирургии мы были первыми в мире // Медицинская газета. - 22.08.2014. - № 62. - С. 10-11. URL: http://www.puchkovk.ru/upload/2014-62-10-11-kogta-to-v-endohirurgii-mi-bili-pervimi-v-mire.pdf (дата обращения: 30.01.2019).
  2. Галимов О.В., Ханов В.О., Рылова Т.В., Туйсин С.Р. Эндоскопические вмешательства при полипах желудка // Хирургия. - 2009. - № 1. - С. 20-24.
  3. Никишаев В.И. Эндоскопическое лечение пациентов с неоплазиями желудка и толстого кишечника // Здоров’я України. Медична газета. - 27.12.2013. - С. 28-30. URL: http://health-ua.com/pics/pdf/ZU_2014_Onko_2/44-46.pdf/3 (дата обращения: 30.01.2019).
  4. Русаков В.И. Основы частной хирургии: в 2 томах. - Ростов н/Д: Изд-во Рост. ун-та, 1976. - Т. 2. - 456 с.
  5. Указ Президента Российской Федерации от 07.05.2018 г. № 204. «О национальных целях и стратегических задачах развития Российской Федерации на период до 2024 года».
  6. Черноусов А.Ф., Поликарпов С.А., Годжелло Э.А. Ранний рак и предопухолевые заболевания желудка. - М.: ИздАТ. - 2002. - 253 с.
  7. Шабад Л.М. Предрак в экспериментально-морфологическом аспекте. - М.: Медицина, 1967. - 384 с.
  8. Abraham S.C., Singh V.K., Yardley J.H., Wu T.T. Hyperplastic polyps of the somach: associations with histology patterns of gastritis and gastric atrophy // Am. J. Surg. Pathol. - 2001. - Vol. 25, N 4. - P. 500-507.
  9. Cheung K.S., Chan E.W., Wong A.Y.S., Chen L. et al. Long-term proton pump inhibitors and risk of gastric cancer development after treatment for Helicobacter pylori: a population-based study // Gut. - 2018. - Vol. 67, N 1. - P. 28-35.
  10. Classen M., Demling L. Endoskopische sphinkterotomie der papilla Vateri und steinextraktion aus dem ductus choledochus // Dtsch. Med. Wochenschr. - 1974. - Vol. 99, N 1. - P. 496-497.
  11. Dubreuilh W.A. Des hyperkeratosis circonscrites // Ann. Dermatol. Venereol. - 1896. - Vol. 27. - P. 1158-1164.
  12. Jatzko G., Seibert F., Wolf B. et al. Combined restorative proctocolectomy and pancreaticoduodenectomy for familian adenomatous polyposis // Z. Gastroenterol. - 1999. - Vol. 37, N. 11. - P. 1109-1113.
  13. Reagan J.W., Seidemann I.L., Sarcusa Y. The cellular morphology of carcinoma in situ and dysplasia or atypical hyperplasia of uterine cervix // Cancer. - 1953. - Vol. 6, N 2. - P. 224-235.
  14. Slemper R.J., Kato Y., Stolte M. Diagnostic criteria for gastrointestinal carcinoma in Japan and Western countries: proposal for a new classification system of gastrointestinal epithelial neoplasia // J. Gastroenterol. Hepatol. - 2000. - 15 Suppl. - Р. G49-G57.
  15. Stolte M. Clinical consequences of Endoscopic Diagnosis of Gastric Polips // Endoscopy. - 1995. - Vol. 27, N 1. - P. 32-37.
  16. Tsujitani S., Furusava M., Hayashi I. Morphological factors aid in therapeutic decisions concerning gastric adenomas // Hepatogastroenterology. - 1992. - Vol. 39, N 1. - P. 56-58.
  17. Tsuneoka K., Watanabe N., Uchida T. Endoscopic dissection of stomach polyp // Naika. - 1970. - Vol. 25, N 2. - P. 255-260.
  18. Watanabe H., Jass J.R., Sobin L.H. Histological typing of gastric and esophageal tumors / In: WHO Internatonal Histological Classification of Tumors. - Berlin: Springer-Verlag Berlin Heidelberg, 1990. - 110 p.
  19. Yamada S., Ichikawa H. Endoscopic characteristics of epithelial gastric polyps // J. Gastroenterol. - 1966. - N 6. - P. 132-654.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2019 Fokin Y.N., Shklovskii B.L., Tatarin V.S., Savvin V.Y., Baksheev V.I.


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: № 01975 от 30.12.1992.