BAND LIGATION VS HOT SNARE POLYPECTOMY FOR GASTRIC POLYPS IN CIRRHOTIC PATIENTS, AN EARLY RESULTS FROM CLINICAL TRIAL

Aims Hot snare polypectomy (HSP) is considered to be the standard technique for none invasive gastric polyps. But, safety in cirrhotic patients is questionable. Trial of band ligation of the polyps was introduced in comparison to HSP.

Methods A randomised single-blinded clinical trial was done at the National Liver Institute, Egypt after patients consent to participate. 100 cirrhotic patients , with at least 1 polyp in the stomach, were recruited for the study, 50 in each group (group 1 band ligation and group 2 HSP).

Results Demographic data and general patients' characteristics are similar between the groups. Age Mean±SD (57.5±6.26) and (59.6±5.83) for groups 1 and 2 respectively. Child class was (B 17 and 14) (C 33 and 36) patients for groups1 and 2 respectively. General polyps' characteristics are present in [Table 1].

Table 1

	Band ligation polypectomy	Hot snare polypectomy
No of polyps range	1–4	1–4
Size of polyps	1.46±0.42	1.52±0.45
Type of polyps. Sessile	22	27
Pedunculated	28	23
Location of polyps. Antrum	30	26
Body	13	17
Antrum & body	2	0
Fundus	5	7

There is a significant difference in procedure time with mean±SD (15.1±3.80 vs 36.6±6.72, p=0,001) favouring the band ligation. The number of patients that needed control of intraprocedural bleeding was zero in group 1 and 10 patients (8 have Argon plasma coagulation and 2 Injection of diluted adrenaline) in group 2.

Conclusions Gastric polyps Band ligation is considered a safer and handy procedure in patients with liver cirrhosis.

Publication History

Article published online:
14 April 2022