This study aimed to assess the effectiveness of Endoscopic Mucosal Resection (EMR) and
Argon Plasma Coagulation (APC) as therapeutic approaches for
intestinal polyps in patients, and to examine the factors associated with postoperative
bleeding. This study included 132 patients diagnosed with colorectal
polyps (188
polyps) who underwent endoscopic surgery at our hospital between January 2022 and December 2022. Based on the surgical method employed, the patients were divided into 2 groups: EMR (68 cases, 97
polyps) and APC (64 cases, 91
polyps). Comparative analyses were conducted to assess the clinical efficacy, surgery-related indicators, and quality of life the 2 groups. Furthermore, an investigation was carried out to identify the factors associated with postoperative
bleeding. The analysis revealed no statistically significant difference in the cure rate of flat and superficial raised
polyps between the EMR group and the APC (P > .05). However, it was found that the EMR group exhibited a significantly higher cure rate for subpedunculated and raised-pedunculated
polyps compared to the APC group (P < .05). The results of logistics analysis showed that patients with
hypertension (OR = 2.876, 95% CI: 1.119-7.393), patients with diabetes (OR = 5.278, 95% CI: 1.388-20.064), patients with
hyperlipidemia (OR = 2.594, 95% CI: 1.054-6.380), the
polyps of right hemicolon (OR = 2.743, 95% CI: 1.003-7.504), rectal
polyps (OR = 5.143, 95% CI: 1.728-7.504), pedunculated
polyps (OR = 4.758, 95% CI: 1.322-17.129),
adenomatous polyps (OR = 3.152, 95% CI: 1.018-9.757) were independent risk factors for postoperative
bleeding in patients with colorectal
polyps (P < .05). The findings suggest that for subpedunculated and pedunculated-raised
polyps, EMR can be a suitable treatment approach. On the other hand, flat and superficial-raised
polyps can be effectively managed with either EMR or APC. The presence of
hypertension, diabetes,
hyperlipidemia,
polyps of the right hemicolon, rectal
polyps, pedunculated
polyps, and
adenomatous polyps has been established as independent risk factors for postoperative
bleeding in patients with colorectal
polyps.