Risk factors for incomplete polyp resection during colonoscopy
| Autor: | Giridhar Hanumappa Devadasar, Sheng Dai, Lian Tat Tan, Xuefeng Huang, Gaoyang Cao, Pankaj Prasoon, Weifeng Lao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Colorectal polyps
medicine.medical_specialty RD1-811 Colorectal cancer Incomplete resection of polyp medicine.medical_treatment Incomplete endomucosal resection MEDLINE Colonoscopy Rectum Polyp resection medicine otorhinolaryngologic diseases Colonoscopic Polypectomy neoplasms medicine.diagnostic_test business.industry Potential risk medicine.disease Polypectomy digestive system diseases Colon cancer medicine.anatomical_structure Colonoscopic polypectomy Surgery Radiology business |
| Zdroj: | Laparoscopic, Endoscopic and Robotic Surgery, Vol 4, Iss 4, Pp 105-110 (2021) |
| ISSN: | 2468-9009 |
| Popis: | Colonoscopic polypectomy (CP) is extremely effective in protecting against colorectal cancers, and recognition of adenomas by colonoscopy is of paramount importance in preventing colorectal cancer (CRC) and CRC-associated mortality. Incomplete polyp resection (IPR) occurs routinely in medical practice following polypectomy. We conducted a comprehensive literature search to identify studies that reported on the potential risk factors for IPR using MEDLINE, EMBASE, and PubMed. Publication time was limited between January 2004 and July 2021. Our search revealed assessments of the position, morphology, and histologic variation of the polyps—as well as the relevant skills that may interfere with IPR. The included studies showed that colonic polyps with a diameter >20 mm and proximal in location should be dealt with cautiously. For smaller polyps, cold-snare polypectomy appeared to be the most effective method used to accomplish comprehensive polyp removal. In addition, endoscopist experience in narrow-band imaging in polyp detection were also associated with IPR. Therefore, polypectomy should be performed cautiously if the polyp growth is expected to be cancerous and situated in the proximal portion of the colon or rectum, and modalities should be standardized so as to lower the potential risk for IPR. |
| Databáze: | OpenAIRE |
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