PWE-060 Polypectomy Practices In The English Bowel Cancer Screening Programme: Abstract PWE-060 Table 1
| Autor: | EJ Taylor, A J Ball, S Din, Stuart A. Riley, S S Johal, M Rutter |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Gut. 63:A149.2-A150 |
| ISSN: | 1468-3288 0017-5749 |
| Popis: | Introduction Most polyps are Methods Data relating to removal of polyps x 2 . Results 147174 polyps were removed during 62679 colonoscopies. A range of techniques was used (cold biopsy forceps (CBF) 19.7%, cold snare (CS) 22.1%, hot biopsy forceps (HBF) 12.2%, hot snare (HS) 35.1%, EMR 10.9%). EMR was used more frequently in the right colon compared to the left (14.3 vs. 8.3%, OR = 1.84, 95% CI: 1.78–1.90). Most pedunculated polyps were removed using HS; this was lower in the right vs. left colon (69.6 vs. 88.3%, OR = 0.30, CI: 0.28–0.33). CS was most common for non-pedunculated polyps in the right colon (29.8 vs. 19.0% in left, OR = 1.81 CI: 1.76–1.85); whereas most common in the left colon was HS (34.8 vs. 22.5% in right, OR = 1.84 CI: 1.79–1.88). Surgeons were more likely than physicians to use diathermy irrespective of site or morphology (65.6 vs. 56.5%, OR = 1.46 CI: 1.43–1.5). In 60% of polyps removed completeness of excision was not histologically assessable. 21.2% were completely excised, 5.8% incomplete and 13% not stated. For non-pedunculated polyps, histologically-confirmed complete excision was more common after EMR (23.4 vs. 6.2%, OR = 1.16, CI: 1.08–1.25) compared to other techniques (CBF 17.7%, CS 15.1%, HBF 19.1%, HS 21.5%); for pedunculated polyps it was more common after EMR (42.3%) and HS (42.0%). Complications were rare for colonoscopies (45227) where only polyps Between 2010 and 2012, use of CBF, CS and EMR increased, whereas HBF and HS decreased (p Conclusion The removal of polyps Disclosure of Interest None Declared. |
| Databáze: | OpenAIRE |
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