Personalizing Polypectomy Techniques Based on Polyp Characteristics

Rutter, Matthew D.; Jover, Rodrigo

doi:10.1016/j.cgh.2019.09.025

Cited by 15 publications

(7 citation statements)

References 63 publications

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“…About 80–90% of adenomatous polyps are less than 1 cm in diameter, [ 15 ] which facilitates the endoscopic removal of these polyps [ 44 ]. Polypectomy is the technique during which the polyps are eliminated in totality [ 45 ].…”

Section: Conventional Treatment For Adenomatous Colon Polypsmentioning

confidence: 99%

An Overview of Gut Microbiota and Colon Diseases with a Focus on Adenomatous Colon Polyps

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Diaconeasa

et al. 2020

IJMS

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It is known and accepted that the gut microbiota composition of an organism has an impact on its health. Many studies deal with this topic, the majority discussing gastrointestinal health. Adenomatous colon polyps have a high prevalence as colon cancer precursors, but in many cases, they are hard to diagnose in their early stages. Gut microbiota composition correlated with the presence of adenomatous colon polyps may be a noninvasive and efficient tool for diagnosis with a high impact on human wellbeing and favorable health care costs. This review is meant to analyze the gut microbiota correlated with the presence of adenomatous colon polyps as the first step for early diagnosis, prophylaxis, and treatment.

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Section: Conventional Treatment For Adenomatous Colon Polypsmentioning

confidence: 99%

An Overview of Gut Microbiota and Colon Diseases with a Focus on Adenomatous Colon Polyps

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Vodnar

Diaconeasa

et al. 2020

IJMS

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“…This unit has surgical facilities that facilitate immediate rescue surgery in case of perforation, bleeding, or other adverse events and it facilitates high-risk endoscopic procedures. The same unit contains the regional SATC-C center for advanced adenomas and early colorectal cancers [5]. The center EndoConf was initially implemented at one unit (Nyborg) in three to four endoscopy rooms daily (Monday-Friday).…”

Section: Workflowmentioning

confidence: 99%

“…This unit has surgical facilities that facilitate immediate rescue surgery in case of perforation, bleeding, or other adverse events and it facilitates high-risk endoscopic procedures. The same unit contains the regional SATC-C center for advanced adenomas and early colorectal cancers 5 . The center is dedicated to ensuring that state-of-the-art treatment of uniform quality if provided throughout the region of Southern Denmark, which includes other four independent University Hospitals at six different locations with colonoscopy activity.…”

Section: Workflowmentioning

confidence: 99%

“…Furthermore, over the last decade, different polypectomy methods and techniques have been developed, and there has been an increase in the incidence of surgeries for non-malignant polyps 4 . Therefore, endoscopists need to be familiar with these techniques and comfortable deciding when to proceed and when to refer, which guarantees the selection of the best possible care for each patient 5 . Familiarity with and training in endoscopic techniques can also affect the outcome for patients 6 .…”

Section: Introductionmentioning

confidence: 99%

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EndoConf: real-time video consultation during endoscopy; telemedicine in endoscopy at its best

et al. 2021

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Background and study aims The aim of this study was to introduce EndoConf, a reliable and easy-to-use tool capable of optimizing clinical care in endoscopy by reducing the number of repeat endoscopy procedures, providing continuous on-the-job clinical education, and allowing a smooth transition to the next level of artificial intelligence-supported systems. Patients and methods We prospectively developed and improved a real-time conference system (EndoConf). EndoConf enables endoscopists to contact on-demand and in real time experienced endoscopists across other sites. After the initial introduction period, we registered all EndoConf-assisted procedures from our unit (Surgical Department of Odense University Hospital) over a 3-month period (Autumn of 2019). Results Of 84 EndoConf-supported procedures, 58 were eligible for further analysis. Eventually, 38 calls were made, of which only four were technically of low quality (10.5 %) while three were not answered (7.9 %). Of the 35 (92.1 %) completed EndoConf calls; 24 were referred for endoscopic mucosal resection, six were referred for transanal microsurgery preceded by transrectal ultrasonography and three were referred for multidisciplinary conference, whereas in two cases, the lesion was resected during EndoConf. Conclusions We found the EndoConf system to provide support that could reduce the number of unnecessary repeat endoscopic procedures while at the same time ensuring avoidance of any hazardous attempt at polypectomy.

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“…3 However, CFP is generally not recommended for the removal of polyps ≥ 4 mm in size, regardless of whether jumbo biopsy forceps are employed, considering the limitation imposed by forceps cup size. 4 HSP has been widely used to remove small polyps. However, the risks include delayed bleeding, post-polypectomy syndrome, and perforation caused by electrocautery-associated thermal injury.…”

Section: Introductionmentioning

confidence: 99%

Prediction of Immediate Bleeding After Cold Snare Polypectomy

Lee

Cho

et al. 2023

Preprint

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We aimed to identify risk factors and develop a predictive risk-scoring model for immediate post-polypectomy bleeding (IPPB) after cold snare polypectomy (CSP). This multicenter prospective observational study included 161 polyps (4-9 mm in diameter) that were removed via CSP from 118 patients between June and September 2019. IPPB was defined as post-polypectomy bleeding within 24 h or grade 3/4 intraprocedural bleeding requiring endoscopic hemostasis. IPPB incidences according to grade were 13.0% (21/161) (grade 3) and 0% (grade 4). Univariate analysis showed that polyp size, morphology, and iatrogenic ulcer size and shape were significantly associated with IPPB. Multivariate analysis showed that polyp size [6-9 mm vs. 4-5 mm, odds ratio (OR) 3.72, 95% confidence interval (CI) 1.28-10.79], polyp morphology (polypoid vs. non-polypoid, OR: 3.93, 95% CI: 1.22-12.64), and iatrogenic ulcer size (≥ 10 vs. ≤ 9 mm, OR: 3.12, 95% CI: 1.04-9.38) were significantly associated with IPPB. We created a four-marker risk-scoring model to predict IPPB after CSP; we summed the points assigned for the four factors. At a cut-off of 2, the sensitivity was 85.7% and the specificity was 65.0%; at a cut-off of 3, the sensitivity was 65% and the specificity was 90.0%. The four-marker risk-scoring model appears to effectively predict IPPB after CSP.

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Personalizing Polypectomy Techniques Based on Polyp Characteristics

Cited by 15 publications

References 63 publications

An Overview of Gut Microbiota and Colon Diseases with a Focus on Adenomatous Colon Polyps

An Overview of Gut Microbiota and Colon Diseases with a Focus on Adenomatous Colon Polyps

EndoConf: real-time video consultation during endoscopy; telemedicine in endoscopy at its best

Prediction of Immediate Bleeding After Cold Snare Polypectomy

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