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논문 기본 정보

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학술저널
저자정보
Hiroshi Hasegawa (Shiga University of Medical Science) Shigeki Bamba (Shiga University of Medical Science) Kenichiro Takahashi (Shiga University of Medical Science) Masaki Murata (Shiga University of Medical Science) Taketo Otsuka (Shiga University of Medical Science) Hiroshi Matsumoto (Shiga University of Medical Science) Takehide Fujimoto (Shiga University of Medical Science) Rie Osaki (Shiga University of Medical Science) Hirotsugu Imaeda (Shiga University of Medical Science) Atsushi Nishida (Shiga University of Medical Science) Hiromitsu Ban (Kusatsu General Hospital) Ayano Sonoda (Shiga University of Medical Science) Osamu Inatomi (Shiga University of Medical Science) Masaya Sasaki (Shiga University of Medical Science) Mitsushige Sugimoto (Shiga University of Medical Science) Akira Andoh (Shiga University of Medical Science)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.17 No.2
발행연도
2019.1
수록면
265 - 272 (8page)

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Background/Aims: There are few prospective studies on cold forceps polypectomy (CFP) using jumbo cup forceps. Therefore, we examined patients with diminutive polyps (5 mm or smaller) treated with CFP using jumbo cup forceps to achieve an adenoma-free colon and also assessed the safety of the procedure and the recurrence rate of missed or residual polyp after CFP by performing follow-up colonoscopy 1 year later. Methods: We included patients with up to 5 adenomas removed at initial colonoscopy and analyzed data from a total of 361 patients with 573 adenomas. One-year follow-up colonoscopy was performed in 165 patients, at which 251 lesions were confirmed. Results: The one-bite resection rate with CFP was highest for lesions 3 mm or smaller and decreased significantly with increasing lesion size. Post-procedural hemorrhage was observed in 1 of 573 lesions (0.17%). No perforation was noted. The definite recurrence rate was 0.8% (2/251 lesions). The probable recurrence rate, which was defined as recurrence in the same colorectal segment, was 17%. Adenoma-free colon was achieved in 55% of patients at initial resection. Multivariate analysis revealed that achievement of an adenoma-free colon was significantly associated with number of adenomas and years of endoscopic experience. Conclusions: CFP using jumbo biopsy forceps was safe and showed a high one-bite resection rate for diminutive lesions of 3 mm or smaller. The low definite recurrence rate confirms the reliability of CFP using jumbo biopsy forceps. Number of adenomas and years of endoscopic experience were key factors in achieving an adenoma-free colon. (Intest Res 2019;17:265-272)
#Diminutive polyp #Adenoma #One-bite resection #Recurrence #Hemorrhage

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참고문헌 (32)

참고문헌 신청
Ferlay J / 2013 / Cancer incidence and mortality worldwide. GLOBOCAN 2012 v1.0 google schola O’Keefe SJ / 2016 / Diet, microorganisms and their metabolites, and colon cancer / Nat Rev Gastroenterol Hepatol 13:691~706 google schola Vogelstein B / 1988 / Genetic alterations during colorectal-tumor development / N Engl J Med 319:525~532 google schola Lieberman DA / 2012 / Guidelines for colonoscopy surveillance after screening and polypectomy : a consensus update by the US Multi-Society Task Force on Colorectal Cancer / Gastroenterology 143:844~857 google schola Atkin WS / 2012 / European guidelines for quality assurance in colorectal cancer screening and diagnosis. First edition: colonoscopic surveillance following adenoma removal / Endoscopy 44(Suppl 3):SE151~SE153 google schola

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