CBP and EMR specimens were sent to histopathology department to evaluate completeness of the resection. Every cross section with 1 mm intervals of the EMR specimens were examined by pathologists. Results: A total of 86 diminutive p38 MAPK inhibitor polyps were available for assessment. Overall 90.7% (78/86) diminutive polyps were completely resected using CBP. The size, histology, and location of polyps and number of bites taken with the forceps were
not different between complete resection group and incomplete resection group. Conclusion: The complete resection rate of CBP for diminutive polyps was very high. Our results suggest that CBP can be the optimal technique for removing diminutive polyps if no residual tissue is visible with chromoendoscopy. Key Word(s): 1. diminutive polyp; 2. cold biopsy; 3. polypectomy; 4. colonoscopy; Presenting Author: BING-RONG LIU Additional Authors: JIA FENG, SHU-REN MA, JI-TAO JITAO, XIAO XIAO, learn more ZHUO YANG, ZI-TAN FENG, RONG SUN, LI-LI GUO, WEN-GE LIU Corresponding Author: BING-RONG LIU Affiliations: Harbin Medical University; HeBei Medical University; Shenyang North Hospital; China; Betune International Peace Hospital Objective: Endoscopic retrograde appendicitis therapy (ERAT) proved to be one feasible and effective therapeutic
method for the treatment of acute uncomplicated appendicitis. This study tried to evaluate the long-term outcomes following ERAT and examined the use of ERAT as an alternative treatment to acute uncomplicated appendicitis. Methods: From December 2009 to February 2013, 39 consecutive patients with suspected acute uncomplicated appendicitis who come from three different hospitals recieved ERAT and were reviewed retrospectively. False-positive rate of clinical diagnosis (the rate of patients with incorrectly diagnosed as acute appendicitis proved by appendiceal radiography during ERAT) and outcomes of ERAT were examined. Results: Endoscopic appendiceal intubation and radiography were successful in 38/39 (97.4%) patients during the procedures. The false-positive
rate was 8/38 (21.1%). Immediate appendiceal decompression were performed in all 30 patients, including simple endoscopic see more cleaning of appendiceal lumen in 19/30 (63.3%) patients, and plastic stent drainage in 11/30 patients (36.7%, including one patient underwent appendiceal fecalith extraction by Dormia basket). Abdominal pain disappeared immediately and abdominal tenderness alleviated within 12 hours in 28/30 patients. Liquid diet was resumed after the procedure. Nine patients recieved ERAT in outpatient clinic without hospitalization. There is not severe complication occurred in any patients, however, 2 patients (5.3%) recurred appendicitis during 36 months follow-up, and then accepted operations. Conclusion: ERAT appears to be a safe, effective and minimally invasive diagnosis and treatment modality for patients suspected with acute appendicitis. Key Word(s): 1. Endoscopic therapy; 2.