지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 404 - 411 (8page)
이용수
초록· 키워드
오류제보하기
Background/Aims: Although a small amount of fecal material can obscure significant colorectal lesions, it has not been well documented whether bowel preparation status affects the missing risk of colorectal polyps and adenomas during a colonoscopy.
Methods: We prospectively enrolled patients with one to nine colorectal polyps and at least one adenoma of >5 mm in size at the screening colonoscopy. Tandem colonoscopy with polypectomy was carried out within 3 months.
Results: A total of 277 patients with 942 polyps and 714 adenomas completed index and tandem examinations. At the index colonoscopy,187 polyps (19.9%) and 127 adenomas (17.8%) were missed. The per-patient miss rate of polyps and adenomas increased significantly as the bowel cleansing rate declined from excellent to poor/inadequate on the Aronchick scale (polyps, p=0.024; adenomas,p=0.040). The patients with poor/inadequate bowel preparation were independently associated with an increased risk of having missed polyps (odds ratio [OR], 3.21; 95% confidence interval [CI], 1.13 to 9.15) or missed adenomas (OR, 3.04; 95% CI, 1.04 to 8.88) compared to the patients with excellent bowel preparation.
Conclusions: The risk of missing polyps and adenomas during screening colonoscopy is significantly affected by bowel preparation status.
It seems appropriate to shorten the colonoscopy follow-up interval for patients with suboptimal bowel preparation.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Aronchick CA / 2000 / A novel tableted purgative for colonoscopic preparation: efficacy and safety comparisons with Colyte and Fleet Phospho-Soda / Gastrointest Endosc 52 :
Ben-Horin S / 2007 / The impact of colon cleanliness assessment on endoscopists’ recommendations for follow-up colonoscopy / Am J Gastroenterol 102 : 2680 ~ 2685
Bond JH / 2007 / Should the quality of preparation impact postcolonoscopy follow-up recommendations? / Am J Gastroenterol 102 : 2686 ~ 2687
Bressler B / 2007 / Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis / Gastroenterology 132 : 96 ~ 102
Citarda F / 2001 / Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence / Gut 48 : 812 ~ 815
Ben-Horin S / 2007 / The impact of colon cleanliness assessment on endoscopists’ recommendations for follow-up colonoscopy / Am J Gastroenterol 102 : 2680 ~ 2685
Bond JH / 2007 / Should the quality of preparation impact postcolonoscopy follow-up recommendations? / Am J Gastroenterol 102 : 2686 ~ 2687
Bressler B / 2007 / Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis / Gastroenterology 132 : 96 ~ 102
Citarda F / 2001 / Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence / Gut 48 : 812 ~ 815
이 논문의 저자 정보
최근 본 자료
댓글(0)
0