Cargando…
Will purposely seeking detect more colorectal polyps than routine performing during colonoscopy?
BACKGROUND & GOALS: We observed that the number of colorectal polyps found intraoperatively was often higher than that encountered preoperatively during elective colonoscopic polypectomy. To evaluate whether more polyps can be detected when they are purposely sought than when they are routinely...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7572006/ https://www.ncbi.nlm.nih.gov/pubmed/33080734 http://dx.doi.org/10.1097/MD.0000000000022738 |
_version_ | 1783597259663867904 |
---|---|
author | Chu, Yanliu Zhang, Juan Wang, Ping Li, Tian Jiang, Shuyi Zhao, Qinfu Liu, Feng Gao, Xiaozhong Qiao, Xiuli Wang, Xiaofeng Song, Zhenhe Liang, Heye Yue, Jing Linghu, Enqiang |
author_facet | Chu, Yanliu Zhang, Juan Wang, Ping Li, Tian Jiang, Shuyi Zhao, Qinfu Liu, Feng Gao, Xiaozhong Qiao, Xiuli Wang, Xiaofeng Song, Zhenhe Liang, Heye Yue, Jing Linghu, Enqiang |
author_sort | Chu, Yanliu |
collection | PubMed |
description | BACKGROUND & GOALS: We observed that the number of colorectal polyps found intraoperatively was often higher than that encountered preoperatively during elective colonoscopic polypectomy. To evaluate whether more polyps can be detected when they are purposely sought than when they are routinely examined during colonoscopy. MATERIALS AND METHODS: Patients undergoing colonoscopy were randomized into groups A and B. Before colonoscopy was performed, endoscopists were instructed to seek polyps for group A purposely but not for group B. Polypectomy was electively completed. In groups A and B, the cases of elective polypectomy were named groups AR and BR, including groups AR-1 and BR-1, during the first colonoscopy and groups AR-2 and BR-2 during the second colonoscopy for polypectomy, respectively. The following data were calculated: the number of polyps detected (NPD) and the polyp detection rate (PDR) in all cases and the number of polyps missed (NPM) and partial polyp miss rate (PPMR) in the cases of colorectal polyps. RESULTS: A total of 419 cases were included in group A, 421 in group B, 43 in group AR, and 35 in group BR. No significant differences in PDR were found between groups A and B and in PPMR between groups AR-1 and BR-1 (P > .05), although PPMR in group AR-1 was higher than in group AR-2 (P < .05), similar results were found in PPMR between groups BR-1 and BR-2 (P < .05). CONCLUSION: Purposely seeking for colorectal polyps did not result in more polyps detected compared with routine colonoscopy. |
format | Online Article Text |
id | pubmed-7572006 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-75720062020-10-29 Will purposely seeking detect more colorectal polyps than routine performing during colonoscopy? Chu, Yanliu Zhang, Juan Wang, Ping Li, Tian Jiang, Shuyi Zhao, Qinfu Liu, Feng Gao, Xiaozhong Qiao, Xiuli Wang, Xiaofeng Song, Zhenhe Liang, Heye Yue, Jing Linghu, Enqiang Medicine (Baltimore) 4500 BACKGROUND & GOALS: We observed that the number of colorectal polyps found intraoperatively was often higher than that encountered preoperatively during elective colonoscopic polypectomy. To evaluate whether more polyps can be detected when they are purposely sought than when they are routinely examined during colonoscopy. MATERIALS AND METHODS: Patients undergoing colonoscopy were randomized into groups A and B. Before colonoscopy was performed, endoscopists were instructed to seek polyps for group A purposely but not for group B. Polypectomy was electively completed. In groups A and B, the cases of elective polypectomy were named groups AR and BR, including groups AR-1 and BR-1, during the first colonoscopy and groups AR-2 and BR-2 during the second colonoscopy for polypectomy, respectively. The following data were calculated: the number of polyps detected (NPD) and the polyp detection rate (PDR) in all cases and the number of polyps missed (NPM) and partial polyp miss rate (PPMR) in the cases of colorectal polyps. RESULTS: A total of 419 cases were included in group A, 421 in group B, 43 in group AR, and 35 in group BR. No significant differences in PDR were found between groups A and B and in PPMR between groups AR-1 and BR-1 (P > .05), although PPMR in group AR-1 was higher than in group AR-2 (P < .05), similar results were found in PPMR between groups BR-1 and BR-2 (P < .05). CONCLUSION: Purposely seeking for colorectal polyps did not result in more polyps detected compared with routine colonoscopy. Lippincott Williams & Wilkins 2020-10-16 /pmc/articles/PMC7572006/ /pubmed/33080734 http://dx.doi.org/10.1097/MD.0000000000022738 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | 4500 Chu, Yanliu Zhang, Juan Wang, Ping Li, Tian Jiang, Shuyi Zhao, Qinfu Liu, Feng Gao, Xiaozhong Qiao, Xiuli Wang, Xiaofeng Song, Zhenhe Liang, Heye Yue, Jing Linghu, Enqiang Will purposely seeking detect more colorectal polyps than routine performing during colonoscopy? |
title | Will purposely seeking detect more colorectal polyps than routine performing during colonoscopy? |
title_full | Will purposely seeking detect more colorectal polyps than routine performing during colonoscopy? |
title_fullStr | Will purposely seeking detect more colorectal polyps than routine performing during colonoscopy? |
title_full_unstemmed | Will purposely seeking detect more colorectal polyps than routine performing during colonoscopy? |
title_short | Will purposely seeking detect more colorectal polyps than routine performing during colonoscopy? |
title_sort | will purposely seeking detect more colorectal polyps than routine performing during colonoscopy? |
topic | 4500 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7572006/ https://www.ncbi.nlm.nih.gov/pubmed/33080734 http://dx.doi.org/10.1097/MD.0000000000022738 |
work_keys_str_mv | AT chuyanliu willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT zhangjuan willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT wangping willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT litian willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT jiangshuyi willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT zhaoqinfu willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT liufeng willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT gaoxiaozhong willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT qiaoxiuli willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT wangxiaofeng willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT songzhenhe willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT liangheye willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT yuejing willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy AT linghuenqiang willpurposelyseekingdetectmorecolorectalpolypsthanroutineperformingduringcolonoscopy |