Scandinavian surveillance follow-up programmes in patients with malignant colorectal polyps.
| Autor: | Asheer ZE, Bisgaard T, Mjåland O, Angenete E, Bulut O, Souzani KL; katarina.levic@gmail.com. |
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| Jazyk: | angličtina |
| Zdroj: | Danish medical journal [Dan Med J] 2021 Jan 15; Vol. 68 (2). Date of Electronic Publication: 2021 Jan 15. |
| Abstrakt: | Introduction: Following endoscopic removal of malignant colorectal polyps, patients may undergo completion radical resection or surveillance. The optimal surveillance strategy remains unknown. This study included colorectal departments in Scandinavian countries with a focus on follow-up periods and examination modalities for patients with endoscopically removed malignant polyps with a resection margin > 1 mm. Methods: This study was conducted as an internet-based survey. A questionnaire was sent to all Scandinavian surgical departments performing > 20 colorectal procedures annually. Questions differed between follow-up on rectal and colonic malignant polyps with presence or absence of histological risk factors. The follow-up period was defined as short (one year), intermediate (three years) or long (five years). Results: The majority of the departments used a long (five years) (38-59%) or intermediate (three years) (26-38%) follow-up programme. In patients with rectal malignant polyps and presence of histological risk factors, a significant difference was observed in the use of endoscopy according to length of follow-up. No difference in the use of the different modalities was seen according to length of follow-up in patients with colonic malignant polyps. Conclusions: The follow-up on patients with endoscopically removed malignant polyps and a surveillance strategy varies both in terms of length and performed modalities. Future studies should compare long-term patient outcomes in departments employing different follow-up strategies. Funding: none. Trial Registration: not relevant. (Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.) |
| Databáze: | MEDLINE |
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