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 |
| Published: |
Korean Association for the Study of Intestinal Diseases
2023-01-01
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| Series: | Intestinal Research |
| Subjects: | |
| Online Access: | http://www.irjournal.org/upload/pdf/ir-2022-00096.pdf |
| _version_ | 1828039466191683584 |
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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 |
| 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 |
| 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: adenoma ≥10 mm in size; 3 to 5 (or more) adenomas; tubulovillous or villous adenoma; adenoma containing high-grade dysplasia; traditional serrated adenoma; sessile serrated lesion containing any grade of dysplasia; serrated polyp of at least 10 mm in size; and 3 to 5 (or more) sessile serrated lesions. 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 | 2024-04-10T16:42:34Z |
| format | Article |
| id | doaj.art-c96222692b9048e8a9ea1345477b0e5c |
| institution | Directory Open Access Journal |
| issn | 1598-9100 2288-1956 |
| language | English |
| last_indexed | 2024-04-10T16:42:34Z |
| publishDate | 2023-01-01 |
| publisher | Korean Association for the Study of Intestinal Diseases |
| record_format | Article |
| series | Intestinal Research |
| spelling | doaj.art-c96222692b9048e8a9ea1345477b0e5c2023-02-08T06:31:29ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562023-01-01211204210.5217/ir.2022.00096991Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 revised editionSu Young Kim0Min Seob Kwak1Soon Man Yoon2Yunho Jung3Jong Wook Kim4Sun-Jin Boo5Eun Hye Oh6Seong Ran Jeon7Seung-Joo Nam8Seon-Young Park9Soo-Kyung Park10Jaeyoung Chun11Dong Hoon Baek12Mi-Young Choi13Suyeon Park14Jeong-Sik Byeon15Hyung Kil Kim16Joo Young Cho17Moon Sung Lee18Oh Young Lee19 Department of Gastroenterology, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea Department of Gastroenterology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea Department of Gastroenterology, Inje University Ilsan Paik Hospital, Goyang, Korea Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea Department of Gastroenterology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea Digestive Disease Center, Institute for Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Gastroenterology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea National Evidence-based Healthcare Collaborating Agency, Seoul, Korea Department of Biostatistics, Soonchunhyang University College of Medicine, Seoul, Korea Department 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, Korea Department of Gastroenterology, CHA Gangnam Medical Center, CHA University, Seoul, Korea Digestive Disease Center, Institute for Digestive Research, Soonchunhyang University College of Medicine, 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: adenoma ≥10 mm in size; 3 to 5 (or more) adenomas; tubulovillous or villous adenoma; adenoma containing high-grade dysplasia; traditional serrated adenoma; sessile serrated lesion containing any grade of dysplasia; serrated polyp of at least 10 mm in size; and 3 to 5 (or more) sessile serrated lesions. 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.http://www.irjournal.org/upload/pdf/ir-2022-00096.pdfcolonoscopycolorectal cancerguidelinespolypectomysurveillance |
| 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 Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 revised edition Intestinal Research colonoscopy colorectal cancer guidelines 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 guidelines polypectomy surveillance |
| url | http://www.irjournal.org/upload/pdf/ir-2022-00096.pdf |
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