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
- 2015.1
- 수록면
- 1,559 - 1,565 (7page)
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초록· 키워드
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Purpose: Colonoscopic polypectomy and surveillance are important to prevent colorectal cancer and identify additional relativerisk factors for adequate surveillance. In this study, we evaluated risk factors related to recurrent high-risk polyps during the surveillanceof patients with high-risk polyps.
Materials and Methods: We included 434 patients who had high-risk polyps (adenoma ≥10 mm, ≥3 adenomas, villous histology,or high-grade dysplasia) on the baseline colonoscopy and underwent at least one surveillance colonoscopy from 2005 to 2011 atSeverance Hospital. Data regarding patient characteristics, bowel preparation and polyp size, location, number, and pathologicaldiagnosis were retrospectively collected from medical records. Patients with recurrent high-risk polyps were compared with patientswith low-risk or no polyps during surveillance.
Results: Patients were predominantly male (77.4%), with a mean age of 61.0±8.6 years and mean follow-up of 1.5±0.8 years. Highriskpolyps recurred during surveillance colonoscopy in 51 (11.8%) patients. Results of multivariate analysis showed that malegender, poor bowel preparation, and a larger number of adenomas were independent risk factors for recurrent high-risk polyps(p=0.047, 0.01, and <0.001, respectively). Compared with high-risk polyps found during initial colonoscopy, high-risk polyps onsurveillance colonoscopy had higher proportions of small adenomas, low-risk pathology, and fewer adenomas overall, but therewas no difference in location.
Conclusion: Male patients and those with poor bowel preparation for colonoscopy or higher numbers of adenomas were morelikely to experience recurrent high-risk polyps.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Baxter NN / 2009 / Association of colonoscopy and death from colorectal cancer / Ann Intern Med 150 : 1 ~ 8
Bertario L / 2003 / Predictors of metachronous colorectal neoplasms in sporadic adenoma patients / Int J Cancer 105 : 82 ~ 87
Bonithon-Kopp C / 2004 / Colorectal adenoma characteristics as predictors of recurrence / Dis Colon Rectum 47 : 323 ~ 333
Brenner H / 2010 / Low risk of colorectal cancer and advanced adenomas more than 10 years after negative colonoscopy / Gastroenterology 138 : 870 ~ 876
Chokshi RV / 2012 / Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy / Gastrointest Endosc 75 : 1197 ~ 1203
Bertario L / 2003 / Predictors of metachronous colorectal neoplasms in sporadic adenoma patients / Int J Cancer 105 : 82 ~ 87
Bonithon-Kopp C / 2004 / Colorectal adenoma characteristics as predictors of recurrence / Dis Colon Rectum 47 : 323 ~ 333
Brenner H / 2010 / Low risk of colorectal cancer and advanced adenomas more than 10 years after negative colonoscopy / Gastroenterology 138 : 870 ~ 876
Chokshi RV / 2012 / Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy / Gastrointest Endosc 75 : 1197 ~ 1203
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