Quality of Polyp Resection During Colonoscopy: Are We Achieving Polyp Clearance?

Liu, Shanglei; Ho, Samuel B.; Krinsky, Mary Lee

doi:10.1007/s10620-012-2115-6

Cited by 43 publications

(34 citation statements)

References 27 publications

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“…This is comparable to prior studies [4]. On average, consultants were not compliant in 12.26% of their cases, and trainees were not compliant in 17.47% of theirs.…”

Section: Discussionsupporting

confidence: 86%

“…Several studies have indicated that there is a considerable rate of residual polyp tissue after what was thought to be a complete polypectomy by cold forceps [4, 10]. Studies prior to the issuing of the guidelines show a significantly higher rate of inappropriate forceps use, sometimes as high as 46%; studies show a decrease of 14.2% in inappropriate forceps use in hospitals since the new guidelines came into place [3].…”

Section: Discussionmentioning

confidence: 99%

“…It has also been estimated that incomplete resection is involved in 19–31% of interval cancers [3]. Studies have shown that, 10–15% of the time, residual polypoid tissue can be found at the post-polypectomy site [4, 5]. This means that, along with correct screening and detection techniques, the method used for resecting of polyps is becoming increasingly important.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adherence to European Polypectomy Guidelines: Retrospective Experience from a Tertiary Irish Hospital

Parihar

Sopheno-Falco

Maheshwari

et al. 2018

Gastrointest Tumors

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Background and Study Aim: The European guidelines for colorectal cancer screening state that snare resection should remove any polyps ≥5 mm. This study aimed to investigate if these new guidelines are adhered to in clinical practice. Patients and Methods: This study consists of patients who underwent colonoscopies in Tallaght Hospital, Dublin (AMNCH), between 2012 and 2015. The size of the polyp, the method of removal, and the subspecialty and grade of the endoscopists were all recorded. Results: 6,000 colonoscopies were reviewed and 687 (12.5%) of these patients were found to have polyps. In 655 (95%) colonoscopies, the caecum was positively identified. In all, 371 (54%) of the polyps detected were < 5 mm; resection via forceps was carried out in n405 cases (59%). Overall, 16% (n = 45) of the polyps > 5 mm underwent resection with forceps, showing that the new European guidelines are not being tightly adhered to. Conclusions: This study found an 84% compliance with polypectomy resection guidelines which is an improvement on previous studies. However, endoscopist grade significantly affected compliance and may reflect overall competency, highlighting the need for specific training in snare polypectomy techniques.

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“…This is comparable to prior studies [4]. On average, consultants were not compliant in 12.26% of their cases, and trainees were not compliant in 17.47% of theirs.…”

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adherence to European Polypectomy Guidelines: Retrospective Experience from a Tertiary Irish Hospital

Parihar

Sopheno-Falco

Maheshwari

et al. 2018

Gastrointest Tumors

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“…Despite the widespread use of standard CFP, there have been only a few studies of the clinical efficacy of this technique, and most of these raised concerns about incomplete polyp eradication [8][9][10][11]. In nonblind prospective studies performed by only one or two experienced endoscopists, microscopic incomplete polyp resection rate ranged from 8 to 38 % [8,10,11].…”

mentioning

confidence: 99%

Treatment outcomes and recurrence following standard cold forceps polypectomy for diminutive polyps

et al. 2016

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“…Pada studi ini, standar polipektomi forcep lebih banyak menyisakan residu dibandingkan peralatan yang lain seperti hot snare dan cold snare. 24 Dengan demikian, kemajuan peralatan dan teknik dinilai dapat memberikan keluaran klinis yang lebih baik. 25 …”

Section: Tingkat Kesesuaian Pemeriksaan Histopatologi Secara Biopsi Punclassified

Tingkat Kesesuaian Pemeriksaan Histopatologi Biopsi Perkolonoskopi Dibandingkan Pemeriksaan Histopatologi Pada Saat Pembedahan Pada Pasien Dengan Tumor Kolon Di Pusat Endoskopi Dan Saluran Cerna RSCM Tahun 2006-2015

Fuadi¹,

Makmun²,

Krisnuhoni³

et al. 2017

JPDI

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ABSTRAKPendahuluan. Tingkat kesesuaian pemeriksaan biopsi perkolonoskopi merupakan salah satu ukuran kualitas dari suatu tindakan kolonoskopi, sehingga perlu diidentifikasi. Penelitian ini dilakukan untuk menganalisis tingkat kesesuaian dari tindakan biopsi perkolonoskopi dibandingkan dengan pemeriksaan histopatologi secara pembedahan.Metode. Studi potong lintang ini menggunakan rekam medik pasien tumor kolon yang telah melakukan pemeriksaan histopatologi secara biopsi perkolonoskopi dan dikonfirmasi dengan pemeriksaan histopatologi secara pembedahan di PESC RSPUN dr. Cipto Mangunkusumo dalam periode 1 Januari 2006-31 Desember 2015. Tingkat kesesuaian dicari dengan menggunakan uji komperatif kesesuaian kategorik, sehingga didapatkan nilai kappa.Hasil. Terdapat 48 subjek yang diikutsertakan pada penelitian ini. Berdasarkan hasil analisis, didapatkan bahwa tingkat kesesuaian pemeriksaan histopatologi secara biopsi perkolonoskopi dibandingkan dengan pemeriksaan histopatologi secara pembedahan adalah sebesar 0,134.Simpulan. Tingkat kesesuaian pemeriksaan histopatologi secara biopsi perkolonoskopi dibandingkan dengan pemeriksaan histopatologi secara pembedahan di PESC RSCM tahun 2006-2015 adalah kurang baik.

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Quality of Polyp Resection During Colonoscopy: Are We Achieving Polyp Clearance?

Abstract: The endoscopist may not be visually accurate in determining when a polyp is completely resected, and alternative devices and techniques for polyp resection should be considered.

Cited by 43 publications

References 27 publications

Adherence to European Polypectomy Guidelines: Retrospective Experience from a Tertiary Irish Hospital

Adherence to European Polypectomy Guidelines: Retrospective Experience from a Tertiary Irish Hospital

Treatment outcomes and recurrence following standard cold forceps polypectomy for diminutive polyps

Tingkat Kesesuaian Pemeriksaan Histopatologi Biopsi Perkolonoskopi Dibandingkan Pemeriksaan Histopatologi Pada Saat Pembedahan Pada Pasien Dengan Tumor Kolon Di Pusat Endoskopi Dan Saluran Cerna RSCM Tahun 2006-2015

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