Establishment of standards for the referral of large nonpedunculated colorectal polyps: an international expert consensus using a modified Delphi process

被引：0

作者：

Khalaf, Kareem ^{[1
,2
]}

Seleq, Samir ^{[1
,2
]}

Bourke, Michael J. ^{[3
]}

Alkandari, Asma ^{[4
]}

Bapaye, Amol ^{[5
]}

Bechara, Robert ^{[6
]}

Calo, Natalia C. ^{[1
,2
]}

Fedorov, Evgeniy D. ^{[7
]}

Hassan, Cesare ^{[8
,9
]}

Kalauz, Mirjana ^{[10
]}

Kandel, Gabor P. ^{[1
,2
]}

Matsuda, Takahisa ^{[11
]}

May, Gary R. ^{[1
,2
]}

Monkemuller, Klaus ^{[12
]}

Mosko, Jeffrey D. ^{[1
,2
]}

Ohno, Akiko ^{[13
]}

Pavic, Tajana ^{[14
]}

Pellise, Maria ^{[15
]}

Raos, Zoe ^{[16
]}

Repici, Alessandro ^{[8
,9
]}

Rex, Douglas K. ^{[17
]}

Saxena, Payal ^{[18
,19
]}

Schauer, Cameron ^{[16
]}

Sethi, Amrita ^{[20
]}

Sharma, Prateek ^{[21
]}

Shaukat, Aasma ^{[22
]}

Siddiqui, Uzma D. ^{[23
]}

Singh, Rajvinder ^{[24
,25
]}

Smith, Lesley-Ann ^{[16
]}

Tanabe, Mayo ^{[26
]}

Teshima, Christopher W. ^{[1
,2
]}

von Renteln, Daniel ^{[27
]}

Gimpaya, Nikko ^{[1
,2
]}

Pawlak, Katarzyna M. ^{[1
,2
]}

Fujiyoshi, Mary Raina Angeli ^{[1
,2
]}

Fujiyoshi, Yusuke ^{[1
,2
]}

Lamba, Mehul ^{[1
,2
]}

Li, Suqing ^{[28
]}

Malipatil, Sharan B. ^{[1
,2
]}

Grover, Samir C. ^{[1
,2
,29
]}

机构：

[1] Univ Toronto, St Michaels Hosp, Div Gastroenterol, Toronto, ON, Canada

[2] Canadian Endoscopy Res Network CanENDO, Toronto, ON, Canada

[3] Univ Sydney, Westmead Hosp, Sydney, NSW, Australia

[4] Alamiri Hosp, Thanyan Alghanim Ctr Gastroenterol & Hepatol, Kuwait, Kuwait

[5] Deenanath Mangeshkar Hosp & Res Ctr, Shivanand Desai Ctr Digest Disorders, Pune, Maharashtra, India

[6] Queens Univ, Div Gastroenterol, Dept Med, Kingston, ON, Canada

[7] Pirogov Russia Natl Res Med Univ, Moscow, Russia

[8] Humanitas Clin & Res Ctr IRCCS, Endoscopy Unit, Milan, Italy

[9] Humanitas Univ, Dept Biomed Sci, Rozzano, Italy

[10] Univ Hosp Ctr Zagreb, Div Gastroenterol & Hepatol, Dept Internal Med, Zagreb, Croatia

[11] Toho Univ, Div Gastroenterol & Hepatol, Omori Med Ctr, Tokyo, Japan

[12] Virginia Tech, Carilion Sch Med, Dept Gastroenterol, Roanoke, VA USA

[13] Kyorin Univ, Dept Gastroenterol & Hepatol, Sch Med, Tokyo, Japan

[14] Univ Hosp Ctr Sestre Milosrdnice, Dept Gastroenterol & Hepatol, Zagreb, Croatia

[15] Univ Barcelona, IDIBAPS, Hosp Clin, Gastroenterol Dept,Inst Malalties Digest & Metab, Barcelona, Spain

[16] Univ Auckland, Fac Med, Dept Gastroenterol, Te Whatu Ora Waitemata, Auckland, New Zealand

[17] Indiana Univ Sch Med, Div Gastroenterol & Hepatol, Indianapolis, IN 46202 USA

[18] Royal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, Sydney, NSW, Australia

[19] Chris OBrien Lifehouse, Sydney, NSW, Australia

[20] Columbia Univ, Div Digest & Liver Dis, Irving Med Ctr, New York, NY USA

[21] Univ Kansas, Sch Med, VA Med Ctr, Kansas City, KS USA

[22] NYU Grossman Sch Med, Dept Med, Div Gastroenterol, New York, NY USA

[23] Univ Chicago, CERT, Chicago, IL 60637 USA

[24] Lyell McEwin Hosp, NALHN, Adelaide, SA, Australia

[25] Univ Adelaide, Adelaide, SA, Australia

[26] Showa Univ, Koto Toyosu Hosp, Ctr Digest Dis, Tokyo, Japan

[27] Univ Montreal, CHUM, Montreal, PQ, Canada

[28] Univ Calgary, Dept Med, Div Gastroenterol & Hepatol, Calgary, AB, Canada

[29] Scarborough Hlth Network, Toronto, ON, Canada

来源：

GASTROINTESTINAL ENDOSCOPY | 2024年 / 100卷 / 03期

关键词：

ENDOSCOPIC MUCOSAL RESECTION; SOCIETY TASK-FORCE; CANCER; RECOMMENDATIONS; POLYPECTOMY; PREVENTION; STRATEGIES; OUTCOMES; EMR;

D O I：

10.1016/j.gie.2024.02.001

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background and aims: Resection of colorectal polyps has been shown to decrease the incidence and mortality of colorectal cancer. Large nonpedunculated colorectal polyps are often referred to expert centers for endoscopic resection, which requires relevant information to be conveyed to the therapeutic endoscopist to allow for triage and planning of resection technique. The primary objective of this study was to establish minimum expected standards for the referral of large nonpedunculated colonic polyps for potential endoscopic resection. Methods: A Delphi method was used to establish consensus on minimum expected standards for the referral of large colorectal polyps among a panel of international endoscopy experts. The expert panel was recruited through purposive sampling, and 3 rounds of surveys were conducted to achieve consensus. Quantitative and qualitative data were analyzed for each round. Results: A total of 24 international experts from diverse continents participated in the Delphi study, resulting in consensus on 19 statements related to the referral of large colorectal polyps. The identified factors, including patient demographic characteristics, relevant medications, lesion factors, photodocumentation, and the presence of a tattoo, were deemed important for conveying the necessary information to therapeutic endoscopists. The mean scores for the statements, which were scored on a scale of 1 to 10, ranged from 7.04 to 9.29, with high percentages of experts considering most statements as a very high priority. Subgroup analysis according to continent revealed some variations in consensus rates among experts from different regions. Conclusions: The identified consensus statements can aid in improving the triage and planning of resection techniques for large colorectal polyps, ultimately contributing to the reduction of colorectal cancer incidence and mortality.

引用

页码：510 / +

页数：13

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