Risk of Metachronous Advanced Colorectal Neoplasia After Removal of Diminutive Versus Small Nonadvanced Adenomas: A Multicenter Study

Cheng, Chun‐Ying; Chen, Shuo‐Wei; Su, I-Chia; Wu, Chi-Huang; Kuo, Ying-Shiung; Chien, Tsuo-Hsuan; Liu, Yuh-Ying; Huang, Kuang-Chen; Xie, Cheng-Han; Lee, Mu-Hsien; Tang, Jui-Hsiang; Tsui, Yi-Ning; Lee, Bai-Ping; Liu, Nai‐Jen

doi:10.1007/s10620-022-07608-3

Cited by 3 publications

(2 citation statements)

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“…Furthermore, several studies suggest that 5–9 mm adenomas confer an increased risk compared to diminutive (<5 mm) adenomas. ( Cheng et al, 2023 , Hartstein et al, 2020 , Jung et al, 2020 , Kim et al, 2019 , Kim et al, 2020 , Anderson et al, 2019 ) Five to ten small TAs were found in 4.1% of mt-sDNA + exams and 3.3% of FIT + exams classified as negative according to DeeP-C.…”

Section: Discussionmentioning

confidence: 96%

“…While these small adenomas may not have a similar risk for future colorectal neoplasia as advanced adenomas, published data indicate that individuals with these index lesions also have an increased risk for future advanced adenomas. ( Cheng et al, 2023 , Hartstein et al, 2020 , Jung et al, 2020 , Kim et al, 2019 , Kim et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

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Letter to the Editor on “Endoscopic Management of GERD”

2022

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To the Editor, We read with great interest the article by Lee DP et al. [1], which mentioned three endoscopic methods currently used to treat gastroesophageal reflux disease (GERD), including radiofrequency energy treatment (Stretta), transoral incisionless fundoplication (TIF), and endoscopic suturing. Stretta was considered to be the least invasive, well-tolerated, safest, and easiest anti-reflux method currently available. Lacking the adverse effects of Nissen fundoplication, recovery of LES function after TIF is durable and longer lasting. The technique includes overstitching for endoscopic suturing for the approximation of soft tissue.Although we agree that the three treatments are very effective for GERD, we found that another useful therapy was not discussed: clip band ligation anti-reflux therapy (C-BLART), initially described by Professor Linghu [2], which is a novel alternative endoscopic treatment for GERD. The technique constricts the anterior and posterior walls of the cardia through the protrusion of the cardia tissue with two Endoclips, increasing resistance to flow through the LES with good efficacy and few complications [2,3]. The authors enrolled 106 patients (60 patients in the C-BLART with tailored PPI use group and 43 patients in the BID PPI group) [3] finding improvement in GERD symptoms and health-related quality of life after C-BLART. Furthermore, they also reported that 43% of the patients were able to discontinue PPIs and 96.7% decreased their PPI dose 6 months after C-BLART. Compared with the three conventional endoscopic methods, this endoscopic technique could reduce medical costs due to its relative simplicity, with the potential for use in the developing world. A randomized controlled trial to document its long-term efficacy will be needed prior to its widespread use. Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Risk of Metachronous Advanced Colorectal Neoplasia After Removal of Diminutive Versus Small Nonadvanced Adenomas: A Multicenter Study

Cited by 3 publications

References 36 publications

What do ‘false-positive’ stool tests really mean? Data from the New Hampshire colonoscopy registry

What do ‘false-positive’ stool tests really mean? Data from the New Hampshire colonoscopy registry

Surveillance of Non-advanced Adenomas: Small May Be Big

Letter to the Editor on “Endoscopic Management of GERD”

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