Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition
Colonoscopic polypectomy is effective in decreasing the incidence and mortality of colorectal cancer (CRC). Premalignant polyps discovered during colonoscopy are associated with the risk of metachronous advanced neoplasia. Postpolypectomy surveillance is the most important method for managing advanc...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Jin Publishing & Printing Co.
2022-09-01
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| Series: | The Korean Journal of Gastroenterology |
| Subjects: | |
| Online Access: | https://www.kjg.or.kr/journal/view.html?uid=5850&vmd=Full |
| _version_ | 1797272357584240640 |
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| author | Su Young Kim Min Seob Kwak Soon Man Yoon Yunho Jung Jong Wook Kim Sun-Jin Boo Eun Hye Oh Seong Ran Jeon Seung-Joo Nam Seon-Young Park Soo-Kyung Park Jaeyoung Chun Dong Hoon Baek Mi-Young Choi Suyeon Park Jeong-Sik Byeon Hyung Kil Kim Joo Young Cho Moon Sung Lee Oh Young Lee The Korean Society of Gastroenterology , Korean Association for the Study of Intestinal Diseases |
| author_facet | Su Young Kim Min Seob Kwak Soon Man Yoon Yunho Jung Jong Wook Kim Sun-Jin Boo Eun Hye Oh Seong Ran Jeon Seung-Joo Nam Seon-Young Park Soo-Kyung Park Jaeyoung Chun Dong Hoon Baek Mi-Young Choi Suyeon Park Jeong-Sik Byeon Hyung Kil Kim Joo Young Cho Moon Sung Lee Oh Young Lee The Korean Society of Gastroenterology , Korean Association for the Study of Intestinal Diseases |
| author_sort | Su Young Kim |
| collection | DOAJ |
| description | Colonoscopic polypectomy is effective in decreasing the incidence and mortality of colorectal cancer (CRC). Premalignant polyps discovered during colonoscopy are associated with the risk of metachronous advanced neoplasia. Postpolypectomy surveillance is the most important method for managing advanced metachronous neoplasia. A more efficient and evidence-based guideline for postpolypectomy surveillance is required because of the limited medical resources and concerns regarding colonoscopy complications. In these consensus guidelines, an analytic approach was used to address all reliable evidence to interpret the predictors of CRC or advanced neoplasia during surveillance colonoscopy. The key recommendations state that the high-risk findings for metachronous CRC following polypectomy are as follows: 1) adenoma ≥10 mm in size; 2) 3-5 (or more) adenomas; 3) tubulovillous or villous adenoma; 4) adenoma containing high-grade dysplasia; 5) traditional serrated adenoma; 6) sessile serrated lesion (SSL) containing any grade of dysplasia; 7) serrated polyp of at least 10 mm in size; and 8) 3-5 (or more) SSLs. More studies are needed to fully comprehend the patients who are most likely to benefit from surveillance colonoscopy and the ideal surveillance interval to prevent metachronous CRC. |
| first_indexed | 2024-03-07T14:27:09Z |
| format | Article |
| id | doaj.art-794baa52bbca434e99ec74ef1e5215db |
| institution | Directory Open Access Journal |
| issn | 1598-9992 2233-6869 |
| language | English |
| last_indexed | 2024-03-07T14:27:09Z |
| publishDate | 2022-09-01 |
| publisher | Jin Publishing & Printing Co. |
| record_format | Article |
| series | The Korean Journal of Gastroenterology |
| spelling | doaj.art-794baa52bbca434e99ec74ef1e5215db2024-03-06T07:43:13ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922233-68692022-09-0180311513410.4166/kjg.2022.103Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised EditionSu Young Kim0Min Seob Kwak1Soon Man Yoon2Yunho Jung3Jong Wook Kim4Sun-Jin Boo 5Eun Hye Oh6Seong Ran Jeon7 Seung-Joo Nam8Seon-Young Park9Soo-Kyung Park10Jaeyoung Chun11Dong Hoon Baek12Mi-Young Choi13Suyeon Park14Jeong-Sik Byeon15Hyung Kil Kim16Joo Young Cho17Moon Sung Lee18Oh Young Lee19The Korean Society of Gastroenterology , Korean Association for the Study of Intestinal DiseasesDepartment of Gastroenterology, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, KoreaDepartment of Gastroenterology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Soon Chun Hyang University Cheonan Hospital, Cheonan, KoreaDepartment of Gastroenterology, Inje University Ilsan Paik Hospital, Goyang, KoreaDepartment of Internal Medicine, Jeju National University School of Medicine, Jeju, KoreaDepartment of Gastroenterology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, KoreaDigestive Disease Center, Institute for Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, KoreaDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, KoreaDepartment of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Gastroenterology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, KoreaNational Evidence-based Healthcare Collaborating Agency, Seoul, KoreaDepartment of Biostatistics, Soonchunhyang University College of Medicine, Seoul; Department of Applied Statistics, Chung-Ang University, Seoul, KoreaDepartment of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Gastroenterology, Inha University Hospital, Inha University School of Medicine, Incheon, KoreaDepartment of Gastroenterology, CHA Gangnam Medical Center, Seoul, KoreaDivision of Gastroenterology, Department of Internal Medicine, Soon Chun Hyang University Bucheon Hospital20, Bucheon, Korea Department of Internal Medicine, Hanyang University School of Medicine, Seoul, KoreaColonoscopic polypectomy is effective in decreasing the incidence and mortality of colorectal cancer (CRC). Premalignant polyps discovered during colonoscopy are associated with the risk of metachronous advanced neoplasia. Postpolypectomy surveillance is the most important method for managing advanced metachronous neoplasia. A more efficient and evidence-based guideline for postpolypectomy surveillance is required because of the limited medical resources and concerns regarding colonoscopy complications. In these consensus guidelines, an analytic approach was used to address all reliable evidence to interpret the predictors of CRC or advanced neoplasia during surveillance colonoscopy. The key recommendations state that the high-risk findings for metachronous CRC following polypectomy are as follows: 1) adenoma ≥10 mm in size; 2) 3-5 (or more) adenomas; 3) tubulovillous or villous adenoma; 4) adenoma containing high-grade dysplasia; 5) traditional serrated adenoma; 6) sessile serrated lesion (SSL) containing any grade of dysplasia; 7) serrated polyp of at least 10 mm in size; and 8) 3-5 (or more) SSLs. More studies are needed to fully comprehend the patients who are most likely to benefit from surveillance colonoscopy and the ideal surveillance interval to prevent metachronous CRC.https://www.kjg.or.kr/journal/view.html?uid=5850&vmd=Fullcolonoscopycolorectal cancerguidelinepolypectomysurveillance |
| spellingShingle | Su Young Kim Min Seob Kwak Soon Man Yoon Yunho Jung Jong Wook Kim Sun-Jin Boo Eun Hye Oh Seong Ran Jeon Seung-Joo Nam Seon-Young Park Soo-Kyung Park Jaeyoung Chun Dong Hoon Baek Mi-Young Choi Suyeon Park Jeong-Sik Byeon Hyung Kil Kim Joo Young Cho Moon Sung Lee Oh Young Lee The Korean Society of Gastroenterology , Korean Association for the Study of Intestinal Diseases Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition The Korean Journal of Gastroenterology colonoscopy colorectal cancer guideline polypectomy surveillance |
| title | Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition |
| title_full | Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition |
| title_fullStr | Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition |
| title_full_unstemmed | Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition |
| title_short | Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition |
| title_sort | korean guidelines for postpolypectomy colonoscopic surveillance 2022 revised edition |
| topic | colonoscopy colorectal cancer guideline polypectomy surveillance |
| url | https://www.kjg.or.kr/journal/view.html?uid=5850&vmd=Full |
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