Skip Navigation
Skip to contents

Clin Endosc : Clinical Endoscopy

OPEN ACCESS

Author index

Page Path
HOME > Browse Articles > Author index
Search
Lorela Berberi 1 Article
Mis-sizing of Adenomatous Polyps is Common among Endoscopists and Impacts Colorectal Cancer Screening Recommendations
Thu Pham, Aung Bajaj, Lorela Berberi, Chengcheng Hu, Sasha Taleban
Clin Endosc 2018;51(5):485-490.   Published online June 21, 2018
DOI: https://doi.org/10.5946/ce.2017.183
AbstractAbstract PDFPubReaderePub
Background
/Aims: To determine the accuracy of identifying ≥6-mm adenomatous polyps during colonoscopy and define its impact on subsequent interval screening.
Methods
We conducted a retrospective study of patients who underwent colonoscopies at Banner University Medical Center, Tucson from 2011 to 2015. All patients with ≥6-mm adenomatous polyps based on their colonoscopy report were included. Adenomatous polyps were excluded if they did not meet the criteria. Discrepancies in the polyp size were determined by calculating the percentage of size variation (SV). Clinical mis-sizing was defined as SV >33%.
Results
The polyps analyzed were predominantly <10 mm in size. Approximately 13% of the examined polyps met the inclusion criteria, and 40.7% of the adenomas were ≥10 mm. A total of 189 ≥6-mm adenomatous polyps were collected from 10 different gastroenterologists and a colorectal surgeon. Adenomatous polyps were clinically mis-sized in 56.6% of cases and overestimated in 71.4%. Among the adenomas reviewed, 22% of mis-sized polyps and 11% of non-mis-sized polyps resulted in an inappropriate surveillance interval.
Conclusions
We found that more than half of ≥6-mm adenomatous polyps are mis-sized and that there is a tendency to overestimate adenoma size among endoscopists. This frequently leads to inappropriate intervals of surveillance colonoscopy.

Citations

Citations to this article as recorded by  
  • Measuring Size of Colorectal Polyps Using a Virtual Scale Endoscope or Visual Assessment: A Randomized Controlled Trial
    Mahsa Taghiakbari, Roupen Djinbachian, Claire Haumesser, Sacha Sidani, Jeremy Liu Chen Kiow, Benoit Panzini, Daniel von Renteln
    American Journal of Gastroenterology.2024;[Epub]     CrossRef
  • Adenoma-based Colonoscopy Quality Metrics for the 45-49 Years Old Military Screening Population
    Geoffrey A. Bader, Carl L. Kay, Zachary Eagle, Brandon W. Kuiper, Charles B. Miller, John G. Gancayco
    Techniques and Innovations in Gastrointestinal Endoscopy.2024;[Epub]     CrossRef
  • Measuring size of smaller colorectal polyps using a virtual scale function during endoscopies
    Daniel von Renteln, Roupen Djinbachian, Melissa Zarandi-Nowroozi, Mahsa Taghiakbari
    Gut.2023; 72(3): 417.     CrossRef
  • Estimating colorectal polyp size with a virtual scale endoscope and visual estimation during colonoscopy: Prospective, preliminary comparison of accuracy
    Ryo Shimoda, Takashi Akutagawa, Michito Tomonaga, Tatsuro Murano, Kensuke Shinmura, Masato Yoshioka, Yuichi Teramura, Fumiaki Kiyomi, Hiroaki Ikematsu
    Digestive Endoscopy.2022; 34(7): 1471.     CrossRef
  • Accuracy of estimation of polyp size at colonoscopy
    Linda Tang, Angelina Di Re, Toufic El‐Khoury
    ANZ Journal of Surgery.2020; 90(6): 1125.     CrossRef
  • Polyp Characteristics of Nonsyndromic and Potentially Syndromic Juvenile Polyps
    Nadia Ibrahimi, Seth S. Septer, Brian R. Lee, Robert Garola, Raj Shah, Thomas M. Attard
    Journal of Pediatric Gastroenterology and Nutrition.2019; 69(6): 668.     CrossRef
  • Importance of the Size of Adenomatous Polyps in Determining Appropriate Colonoscopic Surveillance Intervals
    Hoon Sup Koo, Kyu Chan Huh
    Clinical Endoscopy.2018; 51(5): 404.     CrossRef
  • 16,568 View
  • 121 Download
  • 8 Web of Science
  • 7 Crossref
Close layer

Clin Endosc : Clinical Endoscopy Twitter Facebook
Close layer
TOP