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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 182 - 186 (5page)
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초록· 키워드
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Purpose: Because colonoscopy after colorectal cancer surgery is important for detecting synchronous or metachronous colorectal neoplasms, we designed this study to investigate, by using postoperative colonoscopy, the miss rate for and the location of polyps remaining after colorectal cancer surgery. Methods: In a prospectively-collected patient database, 264 patients were shown to have undergone a colorectal cancer resection between May 2012 and June 2013. Of these, 116 who had received a complete colonoscopy preoperatively and postoperatively were included in this study. Results: Of these 116 patients, 68 were males and 48 were females; their mean age was 63 years. The mean time after surgery at which postoperative colonoscopy was performed was 7.1 months (range, 3–15 months). On postoperative colonoscopy, a total of 125 polyps were detected. Of these, there were no cancerous lesions; 46 (36.8%) were neoplastic polyps, and 79 (63.2%) were nonneoplastic polyps. Fifty-nine polyps (47.2%) and 15 polyps (12%) were located in the proximal and the distal parts of the anastomosis, respectively. The miss rates for the total numbers of polyps and of neoplastic polyps remaining after surgery were 37.4% and 24.2%, respectively. The incidence of neoplastic polyps increased during postoperative colonoscopy as it had during preoperative colonoscopy (r = 0.164, P = 0.048). Conclusion: Colonoscopic surveillance after colorectal cancer resection results in the detection of pathologic polyps in one-fourth of the cases. During postoperative colonoscopy, careful examination of the proximal colon is necessary. Patients in whom multiple neoplastic polyps had been detected during preoperative colonoscopy require careful and thorough follow-up.
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참고문헌 (24)
참고문헌 신청
Mulder SA / 2012 / The incidence and risk factors of metachronous colorectal cancer : an indication for follow-up / Dis Colon Rectum 55:522~531
Hollington P / 2011 / Timing and detection of metachronous colorectal cancer / ANZ J Surg 81:272~274
Le Clercq CM / 2015 / Metachronous colorectal cancers result from missed lesions and non-compliance with surveillance / Gastrointest Endosc 82:325~333
Bensen S / 1999 / The colonoscopic miss rate and true one-year recurrence of colorectal neoplastic polyps / Polyp Prevention Study Group Am J Gastroenterol 94:194~199
이강홍 / 2005 / 동시 선종을 동반한 대장암 근치절제술 후 추적 대장내시경검사 / 대한소화기학회지 46(5):381~387
Hollington P / 2011 / Timing and detection of metachronous colorectal cancer / ANZ J Surg 81:272~274
Le Clercq CM / 2015 / Metachronous colorectal cancers result from missed lesions and non-compliance with surveillance / Gastrointest Endosc 82:325~333
Bensen S / 1999 / The colonoscopic miss rate and true one-year recurrence of colorectal neoplastic polyps / Polyp Prevention Study Group Am J Gastroenterol 94:194~199
이강홍 / 2005 / 동시 선종을 동반한 대장암 근치절제술 후 추적 대장내시경검사 / 대한소화기학회지 46(5):381~387
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