Risk related surveillance following colorectal polypectomy

Nusko, G.; Mansmann, Ulrich; Kirchner, T.; Hahn, Eckhart G.

doi:10.1136/gut.51.3.424

Cited by 81 publications

(74 citation statements)

References 37 publications

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“…We and others (5,26,27) have reported higher incidence of metachronous colorectal adenomas in patients with larger or more advanced colorectal lesions at the initial colonoscopy. A higher incidence of overall neoplasms from the subjects with more advanced lesions at the initial examination was also shown in this study.…”

Section: Discussionmentioning

confidence: 99%

The Malignant Potential of Freshly Developed Colorectal Polyps According to Age

Yamaji

Mitsushima

Yoshida

et al. 2006

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Although malignant colorectal neoplasms are found more frequently in older population, polyps found at one-time colonoscopy may be a mixture of lesions that developed at various earlier ages. Newly developed adenomas found at the follow-up colonoscopies will reflect the exact relation between malignant potential and the age of development of colorectal polyps. Methods: The results of 44,065 follow-up colonoscopies on 11,912 subjects were analyzed. The proportion of invasive cancer or high-grade dysplasia among all neoplasms, ''proportion of malignancy,'' was evaluated in relation to age groups (young: <50 years old; middle: 50-59 years old; and old: z60 years old).

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Section: Discussionmentioning

confidence: 99%

The Malignant Potential of Freshly Developed Colorectal Polyps According to Age

Yamaji

Mitsushima

Yoshida

et al. 2006

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…CRC and adenomas are observed two to three times more frequently in males. Nusko et al (18) reported that 63.7% of patients with polyps were male. Similar to these results, 67.8% of patients with polyps in our study were male.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of risk factors for the recurrence of colorectal polyps and colorectal cancer

Ateş¹,

Sıvrı²,

Kılıçkap³

2017

Turk J Med Sci

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Background/aim: Colorectal adenomatous polyps are precursors of colorectal cancer (CRC), which can be prevented with surveillance colonoscopy. This study aimed to assess risk factors for the recurrence of colorectal polyps and CRC following polypectomy. Materials and methods:In this single-center trial, a total of 510 patients who applied to the endoscopy unit of Hacettepe University Hospital for various reasons and who were diagnosed with at least one colorectal adenomatous polyp between 2000 and 2010 were retrospectively analyzed. Patients with colorectal adenomatous polyps or CRC recurrences were examined in terms of clinical and histological risk factors.Results: A total of 190 (37.1%) patients had surveillance colonoscopy. Among them, 127 (66.3%) were found to have polyp recurrence. Of the parameters defined for polyp recurrence, no association was found between the number of polyps (1-2, ≥3) (1-3, ≥4) in the first colonoscopy and diabetes mellitus, hypertension, hyperlipidemia, sex, family history of colon malignancy, smoking, alcohol usage, size of polyp (<10 mm, ≥10 mm), or advanced histologic type of polyp. The only significant difference was observed in patients who had left-sided colon polyps. In the basal colonoscopy, 130 patients had been diagnosed with CRC, and a significant correlation was found between the number of polyps (1, ≥2) and polyp size (≥10 mm), anemia, high sedimentation rate (>25), and CRC. In the first surveillance colonoscopy, CRC was detected in 12 patients. There was a significant correlation between the development of CRC and advanced histological type, anemia with high erythrocyte sedimentation rate, polyp size (<10 mm, ≥10 mm), and the number of polyps (<3, ≥3). Conclusion:Patients with left-sided colon polyps had a high risk of developing colorectal polyp recurrence. Moreover, the risk of developing CRC increased in patients who had advanced histology, a polyp larger than 10 mm, or more than three polyps.

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“…Most of the patients with polyps are male (25,26). Nusko et al (27) reported that 63.7% of the patients with polyps were male. In our study, 69.3% of the patients with polyps were male, and most polyps were found on the left side of the colon.…”

Section: Discussionmentioning

confidence: 99%

Analysis of 2222 colorectal polyps in 896 patients: A tertiary referreal hospital study

Solakoğlu

Atalay²,

Köseoğlu³

et al. 2014

Turk J Gastroenterol

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Background/Aims: In Turkey, there are a limited number of studies including the characteristics of colorectal polyps, and the number of patients was too small in most of them. The aim of this study was to evaluate histological characteristics of colorectal polyps that were determined by colonoscopy and clinical features of patients who had removal of the polyp. Materials and Methods: Patients who underwent colonoscopy were analyzed retrospectively from January 2007 to December 2011. Adult patients (≥18 years) with no history of previous colorectal neoplasms who had removal of colorectal polyp were included. Results: A total of 2222 colorectal polyps were removed in 896 patients. Of these, 621 were male (69.3%) and 275 were female (30.7%). Most of the patients with polyps presented in the age group of 50-59 years (251 patients, 28%). It was recorded that 1816 (81.7%) of all polyps were adenomas. Of 1816 adenomas, 1577 (86.8%) were tubular adenomas. Of patients with adenomas, 19.7% was younger than 50 years. A total of 337 (37.6%) patients were in the high-risk group. Mean age of the high-risk patients was higher than the others (62±13 years and 58±13 years, respectively, p=0.001). Conclusion: This study is the largest series of colorectal polyps in Turkey to date. We determined the clinical and histologic characteristics of colorectal polyps and consider that the detection rate of colorectal adenomas in patients under the age of 50 years may be increased by the widespread use of colonoscopy as a diagnostic test.

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Risk related surveillance following colorectal polypectomy

Cited by 81 publications

References 37 publications

The Malignant Potential of Freshly Developed Colorectal Polyps According to Age

The Malignant Potential of Freshly Developed Colorectal Polyps According to Age

Evaluation of risk factors for the recurrence of colorectal polyps and colorectal cancer

Analysis of 2222 colorectal polyps in 896 patients: A tertiary referreal hospital study

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