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Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia
Missed polyps are frequently observed in surveillance colonoscopy or referral resection. We evaluated the polyp missing rate and its associated risk factors in patients who were referred to a tertiary hospital for endoscopic resection of advanced colorectal neoplasia. A total of 388 patients with ad...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5428585/ https://www.ncbi.nlm.nih.gov/pubmed/28489751 http://dx.doi.org/10.1097/MD.0000000000006742 |
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author | Shin, Jae Gyu Kim, Hyung Wook Park, Su Bum Choi, Cheol Woong Kang, Dae Hwan Kim, Su Jin Nam, Hyeong Seok Ryu, Dae Gon |
author_facet | Shin, Jae Gyu Kim, Hyung Wook Park, Su Bum Choi, Cheol Woong Kang, Dae Hwan Kim, Su Jin Nam, Hyeong Seok Ryu, Dae Gon |
author_sort | Shin, Jae Gyu |
collection | PubMed |
description | Missed polyps are frequently observed in surveillance colonoscopy or referral resection. We evaluated the polyp missing rate and its associated risk factors in patients who were referred to a tertiary hospital for endoscopic resection of advanced colorectal neoplasia. A total of 388 patients with advanced neoplasia who underwent colonoscopy in their referring hospitals and only endoscopic resection without total colonoscopy in Pusan National University Yangsan Hospital from 2009 to 2014 and who underwent surveillance colonoscopy within 6 to 12 months were retrospectively analyzed. The per-patient missing rate for polyps, adenomas, and advanced neoplasia in referring hospital were 58.2% (226 cases), 47.2% (183 cases), and 5.7% (22 cases), respectively. The advanced neoplasia in surveillance colonoscopy comprised the following: ≥1 cm lesions (11 cases, 50%), high-grade dysplasia (4 cases, 18.2%), villous adenoma (4 cases, 18.2%), and invasive cancer (3 cases, 13.6%). Risk factors for missed adenomas in multivariate analysis were ≥60 years (P = .004), male (P <.001), and no usage of the cap-assisted colonoscopy (P = .015). Missed polyps/adenomas were most frequent in the ascending colon (P <.001). The missing rate for polyps/adenomas of referring hospitals was higher than expected. Especially, patients with old age or male, or no usage of cap-assisted colonoscopy on initial colonoscopy were at increased risk of missed adenoma. Careful complete colonoscopy during referral resection or early surveillance colonoscopy is mandatory in the patients with advanced colorectal neoplasia and unknown-quality index colonoscopy. |
format | Online Article Text |
id | pubmed-5428585 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-54285852017-05-17 Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia Shin, Jae Gyu Kim, Hyung Wook Park, Su Bum Choi, Cheol Woong Kang, Dae Hwan Kim, Su Jin Nam, Hyeong Seok Ryu, Dae Gon Medicine (Baltimore) 4500 Missed polyps are frequently observed in surveillance colonoscopy or referral resection. We evaluated the polyp missing rate and its associated risk factors in patients who were referred to a tertiary hospital for endoscopic resection of advanced colorectal neoplasia. A total of 388 patients with advanced neoplasia who underwent colonoscopy in their referring hospitals and only endoscopic resection without total colonoscopy in Pusan National University Yangsan Hospital from 2009 to 2014 and who underwent surveillance colonoscopy within 6 to 12 months were retrospectively analyzed. The per-patient missing rate for polyps, adenomas, and advanced neoplasia in referring hospital were 58.2% (226 cases), 47.2% (183 cases), and 5.7% (22 cases), respectively. The advanced neoplasia in surveillance colonoscopy comprised the following: ≥1 cm lesions (11 cases, 50%), high-grade dysplasia (4 cases, 18.2%), villous adenoma (4 cases, 18.2%), and invasive cancer (3 cases, 13.6%). Risk factors for missed adenomas in multivariate analysis were ≥60 years (P = .004), male (P <.001), and no usage of the cap-assisted colonoscopy (P = .015). Missed polyps/adenomas were most frequent in the ascending colon (P <.001). The missing rate for polyps/adenomas of referring hospitals was higher than expected. Especially, patients with old age or male, or no usage of cap-assisted colonoscopy on initial colonoscopy were at increased risk of missed adenoma. Careful complete colonoscopy during referral resection or early surveillance colonoscopy is mandatory in the patients with advanced colorectal neoplasia and unknown-quality index colonoscopy. Wolters Kluwer Health 2017-05-12 /pmc/articles/PMC5428585/ /pubmed/28489751 http://dx.doi.org/10.1097/MD.0000000000006742 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0 |
spellingShingle | 4500 Shin, Jae Gyu Kim, Hyung Wook Park, Su Bum Choi, Cheol Woong Kang, Dae Hwan Kim, Su Jin Nam, Hyeong Seok Ryu, Dae Gon Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia |
title | Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia |
title_full | Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia |
title_fullStr | Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia |
title_full_unstemmed | Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia |
title_short | Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia |
title_sort | polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia |
topic | 4500 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5428585/ https://www.ncbi.nlm.nih.gov/pubmed/28489751 http://dx.doi.org/10.1097/MD.0000000000006742 |
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