Abstract

From the point of clinical and pathological views, polypous lesions of the colon have been considered as one of the precancerous states because of high risk of their malignant changes and high frequency of coincident cancer.A 35-year-old male in our clinic, complaining of anal bleeding, was detected to have diffuse polyposis spreading all over the colon and rectum by radiological and endoscopical examinations. Subtotal colectomy except the rectal region was done in fear of the malignant changes of polyps. After that, the remaining polyps in the rectum were polypectomized using the local injection of 95% ethanol. Compared with the widespread diathermic snare, this method is much safer and ulceration at the site of polyp heals as rapidly as within 2 or 4 weeks, though the resected polypp cannot be recovered. Therefore, this endoscopical local injection is thought to be useful for the treatment of the remaining polyps after subtotal colectomy.

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