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Korean guidelines for postpolypectomy colonoscopic surveillance: 2022 revised edition
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Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo Young Cho, Moon Sung Lee, Oh Young Lee, Korean Society of Gastrointestinal Endoscopy, Korean Society of Gastroenterology, Korean Association for the Study of Intestinal Diseases
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Clin Endosc 2022;55(6):703-725. Published online October 13, 2022
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DOI: https://doi.org/10.5946/ce.2022.136
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Abstract
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- Colonoscopic polypectomy is effective in decreasing the incidence and mortality of colorectal cancer (CRC). Premalignant polyps discovered during colonoscopy are associated with the risk of metachronous advanced neoplasia. Postpolypectomy surveillance is the most important method for the management of advanced metachronous neoplasia. A more efficient and evidence-based guideline for postpolypectomy surveillance is required because of limited medical resources and concerns regarding colonoscopy complications. In these consensus guidelines, an analytic approach was used to address all reliable evidence to interpret the predictors of CRC or advanced neoplasia during surveillance colonoscopy. The key recommendations state that the high-risk findings for metachronous CRC following polypectomy are as follows: (1) adenoma ≥10 mm in size; (2) 3 to 5 (or more) adenomas; (3) tubulovillous or villous adenoma; (4) adenoma containing high-grade dysplasia; (5) traditional serrated adenoma; (6) sessile serrated lesion (SSL) containing any grade of dysplasia; (7) serrated polyp of at least 10 mm in size; and (8) 3 to 5 (or more) SSLs. More studies are needed to fully comprehend the patients most likely to benefit from surveillance colonoscopy and the ideal surveillance interval to prevent metachronous CRC.
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Citations
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- Influence of Lifestyles on Polyp Burden and Cancer Development in Hereditary Colorectal Cancer Syndromes
Hye Kyung Hyun, Ji Soo Park, Jihye Park, Soo Jung Park, Jae Jun Park, Jae Hee Cheon, Tae Il Kim Journal of Gastroenterology and Hepatology.2025; 40(2): 433. CrossRef - Minimum Platelet Count Threshold for Safe Colonoscopic Polypectomy: A Large-Scale Propensity Scored-Matched Analysis
Hye Kyung Hyun, Nak-Hoon Son, Cheal Wung Huh, Hyun Chul Lim, So Hyeon Gwon, Jihye Park, Soo Jung Park, Jae Jun Park, Jae Hee Cheon, Tae Il Kim American Journal of Gastroenterology.2025;[Epub] CrossRef - Role of Artificial Intelligence in Improving Quality of Colonoscopy
Ji Hyun Kim, Sung Chul Park, Hyun-Soo Kim The Korean Journal of Gastroenterology.2025; 85(2): 137. CrossRef - Prevalence and Characteristics of Colorectal Serrated Polyps
Soo-Young Na Journal of Digestive Cancer Research.2025; 13(1): 47. CrossRef - Association between Atherosclerosis and High-Risk Colorectal Adenomas based on Cardio-Ankle Vascular Index and Ankle-Brachial Index
Jung Ho Lee, Hyunseok Cho, Sang Hoon Lee, Sung Joon Lee, Chang Don Kang, Dae Hee Choi, Jin Myung Park, Seung-Joo Nam, Tae Suk Kim, Ji Hyun Kim, Sung Chul Park The Korean Journal of Gastroenterology.2024; 83(4): 143. CrossRef - A survey of current practices in post-polypectomy surveillance in Korea
Jeongseok Kim, Tae-Geun Gweon, Min Seob Kwak, Su Young Kim, Seong Jung Kim, Hyun Gun Kim, Eun Ran Kim, Sung Noh Hong, Eun Sun Kim, Chang Mo Moon, Dae Seong Myung, Dong Hoon Baek, Shin Ju Oh, Hyun Jung Lee, Ji Young Lee, Yunho Jung, Jaeyoung Chun, Dong-Hoo Intestinal Research.2024; 22(2): 186. CrossRef - Approaches and considerations in the endoscopic treatment of T1 colorectal cancer
Yunho Jung The Korean Journal of Internal Medicine.2024; 39(4): 563. CrossRef - Utilizing ChatGPT4 in Deciding Follow-up Examination Intervals After Colonoscopy
Hyung-Hoon Oh The Korean Journal of Gastroenterology.2024; 84(5): 239. CrossRef - Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revision
Su Young Kim The Korean Journal of Medicine.2023; 98(3): 102. CrossRef - Detecting colorectal lesions with image-enhanced endoscopy: an updated review from clinical trials
Mizuki Nagai, Sho Suzuki, Yohei Minato, Fumiaki Ishibashi, Kentaro Mochida, Ken Ohata, Tetsuo Morishita Clinical Endoscopy.2023; 56(5): 553. CrossRef - Understanding colorectal polyps to prevent colorectal cancer
Dong-Hoon Yang Journal of the Korean Medical Association.2023; 66(11): 626. CrossRef - Classification and endoscopic diagnosis of colorectal polyps
Ji Hyun Kim, Sung Chul Park Journal of the Korean Medical Association.2023; 66(11): 633. CrossRef - Endoscopic treatment of colorectal polyps and early colorectal cancer
Yunho Jung Journal of the Korean Medical Association.2023; 66(11): 642. CrossRef - Strategy for post-polypectomy colonoscopy surveillance: focus on the revised Korean guidelines
Yong Soo Kwon, Su Young Kim Journal of the Korean Medical Association.2023; 66(11): 652. CrossRef
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Endoscopic Ultrasound-Guided Perirectal Abscess Drainage without Drainage Catheter: A Case Series
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Eun Kwang Choi, Ji Hyun Kim, Seung Uk Jeong, Soo-Young Na, Sun-Jin Boo, Heung Up Kim, Byung-Cheol Song
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Clin Endosc 2017;50(3):297-300. Published online April 11, 2017
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DOI: https://doi.org/10.5946/ce.2016.123
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Abstract
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- A perirectal abscess is a relatively common disease entity that occurs as a postsurgical complication or as a result of various medical conditions. Endoscopic ultrasound (EUS)-guided drainage was recently described as a promising alternative treatment. Previous reports have recommended placement of a drainage catheter through the anus for irrigation, which is inconvenient to the patient and carries a risk of accidental dislodgement. We report four cases of perirectal abscess that were successfully treated with only one or two 7 F double pigtail plastic stent placements and without a drainage catheter for irrigation.
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- Recurrent vaginal squamous cell carcinoma mimicking peri-rectal abscess: The role of endoscopic ultrasound
Taha Bin Arif, Tahir Shaikh Radiology Case Reports.2025; 20(6): 2723. CrossRef - Pelvic abscess treatment: A novel experience with UNICO drainage
Salvatore Fazzotta, Paolo Locurto, Marco Airò Farulla, Luigi Antonio Lazzaro, Giovanni D’Ippolito, Maria Amico, Pietro Fodale, Pietro Termini, Giovanni Ciaccio Il Giornale di Chirurgia - Journal of the Italian Association of Hospital Surgeons.2024; 44(1): e42. CrossRef - Endoscopic techniques for management of large colorectal polyps, strictures and leaks
Stuart R. Gordon, Lauren S. Eichenwald, Hannah K. Systrom Surgery Open Science.2024; 20: 156. CrossRef - Anorectal pathology in the HIV population: a guide for radiologists
Derek Vos, Margaret Wang, Sita Ramaiya, Elias G. Kikano, Sree H. Tirumani, Daniel A. Smith Abdominal Radiology.2022; 47(5): 1762. CrossRef - Practical approach to linear endoscopic ultrasound examination of the rectum and anal canal
Hussein Hassan Okasha, Katarzyna M. Pawlak, Amr Abou-elmagd, Ahmed El-Meligui, Hassan Atalla, Mohamed O. Othman, Sameh Abou Elenin, Ahmed Alzamzamy, Reem Ezzat Mahdy Endoscopy International Open.2022; 10(10): E1417. CrossRef - A brief literature review of catheter-based drainage of perirectal abscesses
Vitaley Kovalev, Benjamin Hopkins World Journal of Colorectal Surgery.2022; 11(1): 1. CrossRef - EUS-guided transrectal drainage of pelvic fluid collections using electrocautery-enhanced lumen-apposing metal stents: a case series
Andrea Lisotti, Anna Cominardi, Igor Bacchilega, Romano Linguerri, Pietro Fusaroli VideoGIE.2020; 5(8): 380. CrossRef - Rectal Endoscopic Ultrasound in Clinical Practice
Stephen Hasak, Vladimir Kushnir Current Gastroenterology Reports.2019;[Epub] CrossRef
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Clipping for the Prevention of Immediate Bleeding after Polypectomy of Pedunculated Polyps: A Pilot Study
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Sun-Jin Boo, Jeong-Sik Byeon, Seon Young Park, Jong Sun Rew, Da Mi Lee, Sung Jae Shin, Dong Uk Kim, Geum Am Song
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Clin Endosc 2012;45(1):84-88. Published online March 31, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.1.84
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Abstract
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- Background/Aims
Immediate postpolypectomy bleeding (IPPB) increases the procedure time and it may disturb performing a safe polypectomy. The purpose of this study is to investigate whether clipping before snare polypectomy of large pedunculated polyps is useful for the prevention of IPPB. MethodsThis is a single arm, pilot study. We enrolled patients with pedunculated colorectal polyps that were 1 cm in size or more from 4 university hospitals between June 2009 and June 2010. Clips were applied at the stalk and snare polypectomy was then performed. The complications, including IPPB, were investigated. ResultsFifty six pedunculated polyps in 47 patients (Male:Female=36:11; age, 56±11 years) were included. The size of the polyp heads was 17±8 mm. Tubular adenoma was most common (57%). The number of clips used before snare polypectomy was 2±0.5. The procedure was successful in all cases. IPPB occurred in 2 cases (3.6%), and both of these were managed by additional clipping. Delayed bleeding occurred in another one case (1.8%), which improved with conservative treatment. No perforation occurred. ConclusionsWe suggest that clipping before snare polypectomy of pedunculated polyps may be an easy and effective technique for the prevention of IPPB, and this should be confirmed in large scale, prospective, controlled studies.
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Citations
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- A novel technique using endoscopic band ligation for removal of long-stalked (>10 mm) pedunculated colon polyps
Hyun Ho Choi, Chang Whan Kim, Hyung-Keun Kim, Sang Woo Kim, Sok Won Han, Kyung Jin Seo, Hiun-Suk Chae Saudi Journal of Gastroenterology.2021; 27(5): 296. CrossRef - Endoscopic polypectomy devices
Vinay Chandrasekhara, Nikhil A. Kumta, Barham K. Abu Dayyeh, Manoop S. Bhutani, Pichamol Jirapinyo, Kumar Krishnan, John T. Maple, Joshua Melson, Rahul Pannala, Mansour A. Parsi, Amrita Sethi, Guru Trikudanathan, Arvind J. Trindade, David R. Lichtenstein VideoGIE.2021; 6(7): 283. CrossRef - Prophylactic clip application for large pedunculated polyps before snare polypectomy may decrease immediate postpolypectomy bleeding
Jae Seung Soh, Myeongsook Seo, Kyung-Jo Kim BMC Gastroenterology.2020;[Epub] CrossRef - Management of colonic polyps: an advancing discipline
Amir Klein, Michael J. Bourke ANZ Journal of Surgery.2017; 87(5): 327. CrossRef - Massive post‐polypectomy hemorrhage: Successful tulip‐bundle technique with endoloop for hemostasis
Hsu‐Heng Yen, Chia‐Wei Yang, Shun‐Sheng Wu, Maw‐Soan Soon Advances in Digestive Medicine.2016; 3(3): 128. CrossRef - Advanced Polypectomy and Resection Techniques
Amir Klein, Michael J. Bourke Gastrointestinal Endoscopy Clinics of North America.2015; 25(2): 303. CrossRef - Comparison of clipping with and without epinephrine injection for the prevention of post‐polypectomy bleeding in pedunculated colon polyps
Yehyun Park, Tae Joo Jeon, Ji Young Park, Soo Jung Park, Jae Hee Cheon, Tae Il Kim, Won Ho Kim, Sung Pil Hong Journal of Gastroenterology and Hepatology.2015; 30(10): 1499. CrossRef - Endoscopic haemostasis: An overview of procedures and clinical scenarios
Jérémie Jacques, Romain Legros, Stanislas Chaussade, Denis Sautereau Digestive and Liver Disease.2014; 46(9): 766. CrossRef - Advanced Endoscopic Resection of Colorectal Lesions
Andres Sanchez-Yague, Tonya Kaltenbach, Gottumukkala Raju, Roy Soetikno Gastroenterology Clinics of North America.2013; 42(3): 459. CrossRef - A Cost-efficacy Decision Analysis of Prophylactic Clip Placement After Endoscopic Removal of Large Polyps
Neehar D. Parikh, Kyle Zanocco, Rajesh N. Keswani, Andrew J. Gawron Clinical Gastroenterology and Hepatology.2013; 11(10): 1319. CrossRef - Fat Polyp, Thin Blood: Think Clip!
Laura Borodyansky, John R. Saltzman Clinical Gastroenterology and Hepatology.2013; 11(10): 1333. CrossRef
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