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
- 2018.1
- 수록면
- 126 - 133 (8page)
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초록· 키워드
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Background/Aims: Colonoscopic surveillance is currently recommended after polypectomy owing to the risk of newly developed colonic neoplasia. However, few studies have investigated colonoscopy surveillance in Asia. This multicenter and prospective study was undertaken to assess the incidence of advanced adenoma based on baseline adenoma findings at 3 yearsafter colonoscopic polypectomy. Methods: A total of 1,323 patients undergoing colonoscopic polypectomy were prospectivelyassigned to 3-year colonoscopy surveillance at 11 tertiary endoscopic centers. Relative risks for advanced adenoma after 3 years were calculated according to baseline adenoma characteristics. Results: Among 1,323 patients enrolled, 387 patients (29.3%) were followed up, and the mean follow-up interval was 31.0±9.8 months. The percentage of patients with advanced adenoma on baseline colonoscopy was higher in the surveillance group compared to the non-surveillance group (34.4% vs. 25.7%). Advanced adenoma recurrence was observed in 17 patients (4.4%) at follow-up. The risk of advanced adenoma recurrence was 2 times greater in patients with baseline advanced adenoma than in those with baseline non-advanced adenoma,though the difference was not statistically significant (6.8% [9/133] vs. 3.1% [8/254], P =0.09). Advanced adenoma recurrencewas observed only in males and in subjects aged ≥50 years. In contrast, adenoma recurrence was observed in 187 patients (48.3%) at follow-up. Male sex, older age (≥50 years), and multiple adenomas (≥3) at baseline were independent risk factors foradenoma recurrence. Conclusions: A colonoscopy surveillance interval of 3 years in patients with baseline advanced adenomacan be considered appropriate.
목차
등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Lieberman DA / 2000 / Patterns of endoscopy use in the United States / Gastroenterology 118:619~624
Winawer S / 2003 / Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence / Gastroenterology 124:544~560
Chung SJ / 2011 / Five-year risk for advanced colorectal neoplasia after initial colonoscopy according to the baseline risk stratification: a prospective study in 2452 asymptomatic Koreans / Gut 60:1537~1543
Lieberman DA / 2007 / Five-year colon surveillance after screening colonoscopy / Gastroenterology 133:1077~1085
Tae Oh Kim / 2016 / Optimal Colonoscopy Surveillance Interval after Polypectomy / Clinical Endoscopy 49(4):359~363
Winawer S / 2003 / Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence / Gastroenterology 124:544~560
Chung SJ / 2011 / Five-year risk for advanced colorectal neoplasia after initial colonoscopy according to the baseline risk stratification: a prospective study in 2452 asymptomatic Koreans / Gut 60:1537~1543
Lieberman DA / 2007 / Five-year colon surveillance after screening colonoscopy / Gastroenterology 133:1077~1085
Tae Oh Kim / 2016 / Optimal Colonoscopy Surveillance Interval after Polypectomy / Clinical Endoscopy 49(4):359~363
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