The quality of colorectal polypectomy. Is it enough to have just a visual assessment of the site?
| Autor: | Andreea Doriana Stănculescu, Mirela Marinela Florescu, Mihaela Caliţa, Costin Teodor Streba, Petrică Popa, Dan Nicolae Florescu, Carmen Nicoleta Oancea, Dan Ionuţ Gheonea, Adrian Saftoiu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Embryology
medicine.medical_specialty quality colonoscopy Biopsy medicine.medical_treatment Colonic Polyps Colonoscopy Pathology and Forensic Medicine Resection Internal medicine Visual assessment medicine Retrospective analysis Humans Retrospective Studies Original Paper medicine.diagnostic_test business.industry General surgery polypectomy Cell Biology General Medicine Hepatology long-term assessment Polypectomy Endoscopy incomplete resection margins Colorectal Neoplasms business Biopsy forceps Developmental Biology |
| Zdroj: | Romanian Journal of Morphology and Embryology |
| ISSN: | 2066-8279 1220-0522 |
| Popis: | Introduction Performing a colonoscopy allows the examination of the entire colon and the assessment of polyps. Patients, materials and methods We performed a retrospective analysis of prospectively collected data from January 2018 until February 2020 (two years), in which we enrolled a number of 210 patients performing colonoscopy in the Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Romania. We performed 326 polypectomies. Results We classified the polyps into diminutive (n=169), small (n=103) and large polyps (n=54). Regarding the polypectomy technique, our results indicated that 40 out of 48 (83.3%) polypectomies with the biopsy forceps were complete, as well as 27 out of 31 (87.1%) cold snare polypectomies and 12 out of 14 (85.7%) hot snare polypectomies. The differences were not statistically significant (p=0.116). Regarding the number of incomplete polypectomies, our data suggests that the high expertise endoscopist had two incomplete resections (5.1% of total), the medium expertise endoscopist 1 had also two incomplete resections (11.1% of total), the medium expertise endoscopist 2 had three incomplete resections (15% of total), the limited expertise endoscopist 1 had three incomplete resections (27.27% of total) and the limited expertise endoscopist 2 had four incomplete resections (30.76% of total). Analyzing the data, the differences were statistically significant (p=0.006). Conclusions Our study is able to suggest that high-definition white-light endoscopy (HD-WLE) macroscopic visualization of the polyp resection site is not enough to assess complete polyp resection and follow-up colonoscopy should be performed for cases with incomplete margins of resection. |
| Databáze: | OpenAIRE |
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