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LETTER TO THE EDITOR
Year : 2018  |  Volume : 14  |  Issue : 2  |  Page : 174
 

Transcolostomy excision of the colonic polyp


Department of Surgical Gastroenterology, Ronak Endo-Laparoscopy and General Surgical Hospital, Patan, Gujarat, India

Date of Submission05-Jul-2017
Date of Acceptance10-Jul-2017
Date of Web Publication12-Mar-2018

Correspondence Address:
Dr. Vipul D Yagnik
77, Siddhraj Nagar, Rajmahal Road, Patan - 384 265, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_131_17

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How to cite this article:
Yagnik VD. Transcolostomy excision of the colonic polyp. J Min Access Surg 2018;14:174

How to cite this URL:
Yagnik VD. Transcolostomy excision of the colonic polyp. J Min Access Surg [serial online] 2018 [cited 2022 Aug 19];14:174. Available from: https://www.journalofmas.com/text.asp?2018/14/2/174/214871


Sir,

I read with great interest an article entitled, 'Natural orifice' transcolostomy full-thickness excision of the colonic tumour' by Pricolo.[1] It is an interesting case and managed very nicely. I would like to congratulate the author for his nice effort to report such a novel technique. However, I have a few observations in this connection.

In the index case, the procedure was performed through colostomy and labelled as a natural orifice' transcolostomy full-thickness excision of the colonic tumour. I would like to state that colostomy is an artificial opening. The procedure performed through an artificial opening cannot be considered as natural orifice technique.

I would also like to state that the author had used term polyp and tumour interchangeably throughout the manuscript. It is preferable to use uniform terminology whichever is more suitable. When tumour produces, macroscopically visible projection above the visible surface is termed as polyp.[2] I feel that polyp is more appropriate according to the definition as the tumour is a broad term.

Although there is no reported case of such technique in the literature, there is anecdotal evidence that such technology had been performed for the removal of polyp through ileostomy (www.aapc.com/memberarea/forums/10978-removal-polyp-inside-ileostomy-scope.html).

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Pricolo VE. 'Natural orifice' transcolostomy full-thickness excision of colonic tumour. J Minim Access Surg 2017;13:219-21.  Back to cited text no. 1
    
2.
Kumar V, Abbas AK, Aster JC, editors. Neoplasia. In: Robbins and Cotran Pathological Basis of Disease. 9th ed. Philadelphia: Elsevier; 2015. p. 265-340.  Back to cited text no. 2
    




 

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