23 December 1994 Endoscopic laser treatment for rectosigmoid villous adenoma: factors effecting the results
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Proceedings Volume 2327, Medical Applications of Lasers II; (1994) https://doi.org/10.1117/12.197587
Event: International Symposium on Biomedical Optics Europe '94, 1994, Lille, France
This present work reports the long term results after endoscopic laser treatment in 474 patients with benign rectosigmoid villous adenomas revealed by biopsy. Two types of wavelength were used: The 1.06 micrometers infrared light from the Nd:YAG laser and the green light from the argon laser or the Nd:YAG frequency doubled laser. In some patients, both wavelengths were used. Treatment was completed in 415 patients. Total tumor destruction was obtained in 92.8% of them, a carcinoma was detected in 6.5% on biopsy specimens obtained during laser treatment, and benign villous tissue persisted in 0.7%. During the average 30 mo. follow up period of the patients with total tumor destruction, 18% had a tumor recurrence. Treatment was well tolerated with a 1.8% complication rate (one perforation, one hemorrhage, and 7 stenosis requiring dilatation). Because treatment is long and difficult and cancer rate is high, endoscopic laser should be limited in patients with a circumferential villous adenoma to nonsurgical candidates. The risk of complication after surgery (some being fatal) has to be balanced against the risk of undetected carcinoma in the other patients and the indication for endoscopic laser treatment should be discussed case by case.
© (1994) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
Jean Marc Brunetaud, Jean Marc Brunetaud, Vincent Maunoury, Vincent Maunoury, Dominique Cochelard, Dominique Cochelard, Brigitte Boniface, Brigitte Boniface, } "Endoscopic laser treatment for rectosigmoid villous adenoma: factors effecting the results", Proc. SPIE 2327, Medical Applications of Lasers II, (23 December 1994); doi: 10.1117/12.197587; https://doi.org/10.1117/12.197587


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