Featured Research

from universities, journals, and other organizations

Dual method to remove precancerous colon polyps may substantially reduce health-care costs

Date:
May 5, 2014
Source:
Digestive Disease Week
Summary:
A surgical method combining two techniques for removing precancerous polyps during colonoscopies can substantially reduce the recovery time and the length of hospital stays, potentially saving the health-care system millions of dollars, according to new research.

A surgical method combining two techniques for removing precancerous polyps during colonoscopies can substantially reduce the recovery time and the length of hospital stays, potentially saving the health-care system millions of dollars, according to research presented today at Digestive Disease Week® (DDW).

"Not only did we find that patients were discharged a day and a half earlier, we discovered other benefits, which could transform our approach to removing difficult colon polyps," said Jonathan Buscaglia, MD, the study's lead researcher and the director of advanced endoscopy at Stony Brook University School of Medicine.

The typical approach to these difficult-to-remove polyps is a procedure called laparoscopic hemicolectomy (LHC), in which surgeons using a laparoscope must remove an entire section of the colon that contains the polyp. But in contrast to this invasive procedure, surgeons employing laparoscopic-assisted colonoscopy with polypectomy (LACP) use both a laparoscope and an endoscope to isolate and remove just the polyp.

In addition to shorter discharge time (four days vs. two and a half days), researchers found that operating time for patients undergoing LACP was significantly shorter than patients undergoing LHC (95 minutes vs. 179 minutes). LACP patients also had far less estimated blood loss (13 ml vs. 63 ml) and required less IV fluid (2.1 liters vs. 3.1 liters). After surgery, LACP patients were able to resume eating solids foods in less than two days, while LHC patients had to wait nearly four days. Researchers found the two procedures were equivalent in terms of overall efficacy and complications.

Because this study involved 28 patients, Dr. Buscaglia and his team plan to conduct a larger, multi-center investigation to confirm these findings. The researchers also hope to compare LACP versus LHC on removal of polyps in the left colon since this study looked exclusively at right-side colonic polyp removal.

"About 25 percent of patients undergoing colonoscopy require polyp removal, and a significant proportion of these patients have large polyps that cannot be easily removed by standard advanced endoscopic techniques," said Dr. Buscaglia. "These findings suggest that we may need to tailor our surgical approach to ensure every patient receives the best care possible, regardless of polyp removal difficulty."

Dr. Jonathan Buscaglia will present data from the study "Laparoscopic-assisted colonoscopy with polypectomy versus laparoscopic hemicolectomy for endoscopically unresectable right-sided colon polyps: results of a randomized controlled trial," abstract 611, on May 5.


Story Source:

The above story is based on materials provided by Digestive Disease Week. Note: Materials may be edited for content and length.


Cite This Page:

Digestive Disease Week. "Dual method to remove precancerous colon polyps may substantially reduce health-care costs." ScienceDaily. ScienceDaily, 5 May 2014. <www.sciencedaily.com/releases/2014/05/140505094211.htm>.
Digestive Disease Week. (2014, May 5). Dual method to remove precancerous colon polyps may substantially reduce health-care costs. ScienceDaily. Retrieved September 15, 2014 from www.sciencedaily.com/releases/2014/05/140505094211.htm
Digestive Disease Week. "Dual method to remove precancerous colon polyps may substantially reduce health-care costs." ScienceDaily. www.sciencedaily.com/releases/2014/05/140505094211.htm (accessed September 15, 2014).

Share This



More Health & Medicine News

Monday, September 15, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Respiratory Virus Spreads To Northeast, Now In 21 States

Respiratory Virus Spreads To Northeast, Now In 21 States

Newsy (Sep. 14, 2014) — The respiratory virus Enterovirus D68, which targets children, has spread from the Midwest to 21 states. Video provided by Newsy
Powered by NewsLook.com
Shocker: Journalists Are Utterly Addicted To Coffee

Shocker: Journalists Are Utterly Addicted To Coffee

Newsy (Sep. 13, 2014) — A U.K. survey found that journalists consumed the most amount of coffee, but that's only the tip of the coffee-related statistics iceberg. Video provided by Newsy
Powered by NewsLook.com
Contagious Respiratory Illness Continues to Spread Across U.S.

Contagious Respiratory Illness Continues to Spread Across U.S.

Reuters - US Online Video (Sep. 12, 2014) — Hundreds of children in several states have been stricken by a serious respiratory illness that is spreading across the U.S. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Ebola Batters Sierra Leone Economy Too

Ebola Batters Sierra Leone Economy Too

Reuters - Business Video Online (Sep. 12, 2014) — The World Health Organisation warns that local health workers in West Africa can't keep up with Ebola - and among those countries hardest hit by the outbreak, the economic damage is coming into focus, too. As David Pollard reports, Sierra Leone admits that growth in one of the poorest economies in the region is taking a beating. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

    Technology News



    Save/Print:
    Share:  

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile iPhone Android Web
    Follow Facebook Twitter Google+
    Subscribe RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins