Clinical outcomes of colonoscopic polypectomy with strategic surveillance colonoscopies in patients with 10 or more polyps
Abstract The clinical usefulness of repeat colonoscopic polypectomy in patients with numerous polyps has not been sufficiently determined. We aimed to analyze the clinical outcomes of colonoscopic polypectomy with surveillance colonoscopies in patients with ≥ 10 polyps. We reviewed the medical recor...
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| Format: | Article |
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Nature Portfolio
2023-02-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-29604-x |
| _version_ | 1827984113797169152 |
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| author | Jin Hwa Park Seung Wook Hong Sung Wook Hwang Sang Hyoung Park Dong-Hoon Yang Byong Duk Ye Seung-Jae Myung Suk-Kyun Yang Jeong-Sik Byeon |
| author_facet | Jin Hwa Park Seung Wook Hong Sung Wook Hwang Sang Hyoung Park Dong-Hoon Yang Byong Duk Ye Seung-Jae Myung Suk-Kyun Yang Jeong-Sik Byeon |
| author_sort | Jin Hwa Park |
| collection | DOAJ |
| description | Abstract The clinical usefulness of repeat colonoscopic polypectomy in patients with numerous polyps has not been sufficiently determined. We aimed to analyze the clinical outcomes of colonoscopic polypectomy with surveillance colonoscopies in patients with ≥ 10 polyps. We reviewed the medical records of 152 patients who underwent polypectomy of ≥ 10 polyps at the baseline colonoscopy. We investigated polyp number, polyp size, polypectomy method, procedure time, and adverse events of the baseline colonoscopy. We also investigated the frequency and interval of surveillance colonoscopies and their findings. The mean number of polyps detected at the baseline colonoscopy was 20.0, of which 16.0 polyps were endoscopically resected. The mean size of the largest polyp was 13.4 mm. The mean procedure time was 54.9 min. Post-polypectomy bleeding occurred in 6 (3.9%) patients, all of whom were treated conservatively. No patients developed perforation. With an increasing number of surveillance colonoscopies, the number of detected polyps and the procedure time decreased. Surveillance colonoscopies identified colorectal cancer only in three patients (2.0%), all of which were mucosal cancers that could be curatively treated by polypectomy. Colonoscopic polypectomy with repeat surveillance colonoscopies is a clinically effective, efficient, and safe management option in patients with ≥ 10 polyps. |
| first_indexed | 2024-04-09T22:55:56Z |
| format | Article |
| id | doaj.art-37b110041c4349e793a436b8226729b6 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-09T22:55:56Z |
| publishDate | 2023-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-37b110041c4349e793a436b8226729b62023-03-22T11:15:36ZengNature PortfolioScientific Reports2045-23222023-02-011311910.1038/s41598-023-29604-xClinical outcomes of colonoscopic polypectomy with strategic surveillance colonoscopies in patients with 10 or more polypsJin Hwa Park0Seung Wook Hong1Sung Wook Hwang2Sang Hyoung Park3Dong-Hoon Yang4Byong Duk Ye5Seung-Jae Myung6Suk-Kyun Yang7Jeong-Sik Byeon8Department of Gastroenterology, University of Hanyang College of MedicineDepartment of Gastroenterology, University of Ulsan College of Medicine, Asan Medical CenterDepartment of Gastroenterology, University of Ulsan College of Medicine, Asan Medical CenterDepartment of Gastroenterology, University of Ulsan College of Medicine, Asan Medical CenterDepartment of Gastroenterology, University of Ulsan College of Medicine, Asan Medical CenterDepartment of Gastroenterology, University of Ulsan College of Medicine, Asan Medical CenterDepartment of Gastroenterology, University of Ulsan College of Medicine, Asan Medical CenterDepartment of Gastroenterology, University of Ulsan College of Medicine, Asan Medical CenterDepartment of Gastroenterology, University of Ulsan College of Medicine, Asan Medical CenterAbstract The clinical usefulness of repeat colonoscopic polypectomy in patients with numerous polyps has not been sufficiently determined. We aimed to analyze the clinical outcomes of colonoscopic polypectomy with surveillance colonoscopies in patients with ≥ 10 polyps. We reviewed the medical records of 152 patients who underwent polypectomy of ≥ 10 polyps at the baseline colonoscopy. We investigated polyp number, polyp size, polypectomy method, procedure time, and adverse events of the baseline colonoscopy. We also investigated the frequency and interval of surveillance colonoscopies and their findings. The mean number of polyps detected at the baseline colonoscopy was 20.0, of which 16.0 polyps were endoscopically resected. The mean size of the largest polyp was 13.4 mm. The mean procedure time was 54.9 min. Post-polypectomy bleeding occurred in 6 (3.9%) patients, all of whom were treated conservatively. No patients developed perforation. With an increasing number of surveillance colonoscopies, the number of detected polyps and the procedure time decreased. Surveillance colonoscopies identified colorectal cancer only in three patients (2.0%), all of which were mucosal cancers that could be curatively treated by polypectomy. Colonoscopic polypectomy with repeat surveillance colonoscopies is a clinically effective, efficient, and safe management option in patients with ≥ 10 polyps.https://doi.org/10.1038/s41598-023-29604-x |
| spellingShingle | Jin Hwa Park Seung Wook Hong Sung Wook Hwang Sang Hyoung Park Dong-Hoon Yang Byong Duk Ye Seung-Jae Myung Suk-Kyun Yang Jeong-Sik Byeon Clinical outcomes of colonoscopic polypectomy with strategic surveillance colonoscopies in patients with 10 or more polyps Scientific Reports |
| title | Clinical outcomes of colonoscopic polypectomy with strategic surveillance colonoscopies in patients with 10 or more polyps |
| title_full | Clinical outcomes of colonoscopic polypectomy with strategic surveillance colonoscopies in patients with 10 or more polyps |
| title_fullStr | Clinical outcomes of colonoscopic polypectomy with strategic surveillance colonoscopies in patients with 10 or more polyps |
| title_full_unstemmed | Clinical outcomes of colonoscopic polypectomy with strategic surveillance colonoscopies in patients with 10 or more polyps |
| title_short | Clinical outcomes of colonoscopic polypectomy with strategic surveillance colonoscopies in patients with 10 or more polyps |
| title_sort | clinical outcomes of colonoscopic polypectomy with strategic surveillance colonoscopies in patients with 10 or more polyps |
| url | https://doi.org/10.1038/s41598-023-29604-x |
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