Current management of diminutive colorectal polyps in Taiwan

被引：6

作者：

Chiu, Han-Mo ^{[1
,4
]}

Chang, Li-Chun ^{[3
]}

Shun, Chia-Tung ^{[2
]}

Wu, Ming-Shiang ^{[1
,4
]}

Wang, Hsiu-Po ^{[1
,4
]}

机构：

[1] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei 100, Taiwan

[2] Natl Taiwan Univ Hosp, Dept Pathol, Taipei 100, Taiwan

[3] Natl Taiwan Univ, Bei Hu Branch, Dept Internal Med, Taipei 10764, Taiwan

[4] Digest Endoscopy Soc Taiwan, Colonoscopy Qual Assurance Working Grp, Taipei, Taiwan

来源：

DIGESTIVE ENDOSCOPY | 2014年 / 26卷

关键词：

advanced neoplasm; image-enhanced endoscopy; colon polyp; colonoscopy; colorectal cancer; REAL-TIME; COLONOSCOPY; CANCER; DIAGNOSIS; HISTOLOGY; ACCURACY; RISK; MAGNIFICATION; SURVEILLANCE; GUIDELINES;

D O I：

10.1111/den.12260

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The majority of polyps detected during colonoscopy are diminutive polyps, for which the cost of pathological analysis is substantial. In our analysis of a screening cohort of 10 737 subjects undergoing screening colonoscopy, a total of 15 877 neoplastic lesions were detected, of which 10 816 (68.1%) were diminutive lesions. Of those diminutive lesions, 90 (0.83%) had a villous component, 14 (0.1%) had high-grade dysplasia, and none had invasive cancer. Only 1.3% of patients were advised to decrease their surveillance interval because of unfavorable histology. Laws regulating medical practice, uncertainty regarding the accuracy of endoscopic diagnosis of diminutive polyps outside of academic centers, and the relatively low cost of pathological analysis are among the barriers to adopting a 'resect and discard' practice in Taiwan.

引用

页码：64 / 67

页数：4

共 50 条

[31] Evolving management of colorectal polyps
Ichkhanian, Yervant
Zuchelli, Tobias
Watson, Andrew
Piraka, Cyrus
THERAPEUTIC ADVANCES IN GASTROINTESTINAL ENDOSCOPY, 2021, 14
[32] Guidance for setting easy-to-adopt competence criteria for optical diagnosis of diminutive colorectal polyps: a simulation approach
Houwen, Britt B. S. L.
Greuter, Marjolein J. E.
Vleugels, Jasper L. A.
Hazewinkel, Yark
Bisschops, Raf
Dekker, Evelien
Coupe, Veerle M. H.
GASTROINTESTINAL ENDOSCOPY, 2021, 94 (04) : 812 - +
[33] The Utility of Narrow-Band Imaging International Colorectal Endoscopic Classification in Predicting the Histologies of Diminutive Colorectal Polyps Using I-Scan Optical Enhancement: A Prospective Study
Kang, Yeo Wool
Lee, Jong Hoon
Lee, Jong Yoon
DIAGNOSTICS, 2023, 13 (16)
[34] A survey of patient acceptance of resect and discard for diminutive polyps
Rex, Douglas K.
Patel, Nedhi J.
Vemulapalli, Krishna C.
GASTROINTESTINAL ENDOSCOPY, 2015, 82 (02) : 376 - +
[35] Natural history of diminutive colorectal polyps: Long-term prospective observation by colonoscopy
Mizuno, Ken-ichi
Suzuki, Yutaka
Takeuchi, Manabu
Kobayashi, Masaaki
Aoyagi, Yutaka
DIGESTIVE ENDOSCOPY, 2014, 26 : 84 - 89
[36] Clinical Significance of Diminutive Colonic Polyps in Elderly Patients
Akarsu, Murat
Kones, Osman
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 2018, 22 (04)
[37] Should hot biopsy forceps be abandoned for polypectomy of diminutive colorectal polyps?
Panteris, Vasileios
Vezakis, Antonios
Triantafillidis, J. K.
WORLD JOURNAL OF GASTROENTEROLOGY, 2018, 24 (14) : 1579 - 1582
[38] Time to reduce the burden of removing diminutive polyps in colorectal cancer screening
Brenner, Hermann
Hoffmeister, Michael
Stock, Christian
GASTROINTESTINAL ENDOSCOPY, 2017, 85 (06) : 1177 - 1179
[39] The American Society for Gastrointestinal Endoscopy PIVI (Preservation and Incorporation of Valuable Endoscopic Innovations) on real-time endoscopic assessment of the histology of diminutive colorectal polyps
Rex, Douglas K.
Kahi, Charles
O'Brien, Michael
Levin, T. R.
Pohl, Heiko
Rastogi, Amit
Burgart, Larry
Imperiale, Tom
Ladabaum, Uri
Cohen, Jonathan
Lieberman, David A.
GASTROINTESTINAL ENDOSCOPY, 2011, 73 (03) : 419 - 422
[40] Diminutive polyps and rectal bleeding: An overview
Bouzakis, I.
ANNALS OF GASTROENTEROLOGY, 2006, 19 (03): : 232 - 242

← 1 2 3 4 5 →