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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2025; 17(11): 108763
Published online Nov 27, 2025. doi: 10.4240/wjgs.v17.i11.108763
Published online Nov 27, 2025. doi: 10.4240/wjgs.v17.i11.108763
Effects of endoscopic mucosal resection and argon plasma coagulation on postoperative recovery and complications in elderly colon polyp patients
Hong-Tao Li, Peng-Fei Mei, Xia Lei, Shen-Ying Liu, Department of Digestive, Jiujiang University Affiliated Hospital, Jiujiang 332000, Jiangxi Province, China
Feng Liu, Medical College, First Affiliated Hospital of Gannan Medical University, Ganzhou 332000, Jiangxi Province, China
Author contributions: Li HT wrote the paper, designed and performed the research; Li HT, Mei PF, Lei X, and Liu SY provided endoscopic diagnosis and treatment; Liu F designed the research and contributed to the analysis; Liu SY designed the research and supervised the report.
Institutional review board statement: This study was approved by the Ethics Committee of the Jiujiang University Affiliated Hospital (Approval No. jjumer-b-2024-0720).
Informed consent statement: All authors voluntarily signed the informed consent form.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shen-Ying Liu, Department of Digestive, Jiujiang University Affiliated Hospital, No. 57 Xunya East Road, Jiujiang 332000, Jiangxi Province, China.
Received: May 20, 2025
Revised: June 30, 2025
Accepted: September 26, 2025
Published online: November 27, 2025
Processing time: 188 Days and 18.7 Hours
Revised: June 30, 2025
Accepted: September 26, 2025
Published online: November 27, 2025
Processing time: 188 Days and 18.7 Hours
Core Tip
Core Tip: This study compared endoscopic mucosal resection and argon plasma coagulation (APC) in elderly (≥ 50 years) colon polyp patients. APC demonstrated superior outcomes, including shorter operative time (10.63 minutes vs 13.27 minutes, P < 0.001), reduced intraoperative bleeding (39.00% vs 52.42%, P = 0.031), and lower inflammatory markers (procalcitonin and C-reactive protein, P < 0.001) compared to endoscopic mucosal resection. While both techniques showed similar overall efficacy, APC had a lower recurrence rate (2.00% vs 8.06%, P = 0.045). These findings suggest that APC may be preferable for small polyps (< 1.5 cm) in elderly patients due to faster recovery and reduced complications.