Skip Navigation
Skip to contents

Clin Endosc : Clinical Endoscopy

OPEN ACCESS

Search

Page Path
HOME > Search
84 "Polypectomy"
Filter
Filter
Article category
Keywords
Publication year
Authors
Funded articles
Original Article
Endoscopic management of giant colonic polyps: a retrospective Italian study
Paolo Quitadamo, Sara Isoldi, Germana De Nucci, Giulia Muzi, Flora Caruso
Received September 12, 2023  Accepted January 14, 2024  Published online June 5, 2024  
DOI: https://doi.org/10.5946/ce.2023.229    [Epub ahead of print]
AbstractAbstract PDFPubReaderePub
Background
/Aims: Polyps greater than 30 mm are classified as “giants”. Their endoscopic removal represents a technical challenge. The choice of the endoscopic removal technique is important because it provides a resection sample for precise histopathological staging. This is pivotal for diagnostic, prognostic, and management purposes.
Methods
From a retrospective analysis, we obtained a sample of 38 giant polyps. Eighteen polypectomies were performed using the epinephrine volume reduction (EVR) method, nine polypectomies utilized endo-looping or clipping methods, and 11 patients underwent surgery.
Results
We obtained en bloc resection with the EVR method in all cases; histology confirmed the correct indication for endoscopic resection in all cases. Moreover, no early or delayed complications were observed, and no patient required hospitalization. Using endo-looping or clipping methods, we observed advanced histology in 1/9 (11.1%) cases, while another patient (1/9, 11.1%) had delayed bleeding. Among patients who underwent surgery, 5/11 (45.5%) were deemed overtreated and three had post-surgical complications.
Conclusions
We propose EVR as an alternative technique for giant polyp resection due to its safety, effectiveness, cost-efficiency, and the advantage of avoiding the need to postpone polypectomy to a later time. Further prospective studies might help improve this experience and enhance the technique.
  • 1,598 View
  • 75 Download
Close layer
Systematic Review and Meta-Analysis
Outcomes of thin versus thick-wire snares for cold snare polypectomy: a systematic review and meta-analysis
Suprabhat Giri, Vaneet Jearth, Harish Darak, Sridhar Sundaram
Clin Endosc 2022;55(6):742-750.   Published online November 9, 2022
DOI: https://doi.org/10.5946/ce.2022.141
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Cold snare polypectomy (CSP) is commonly used for the resection of colorectal polyps ≤10 mm. Data regarding the influence of snare type on CSP effectiveness are conflicting. Hence, this meta-analysis aimed to compare the outcomes and safety of thin- and thick-wire snares for CSP.
Methods
A comprehensive search of the literature published between 2000 and 2021 was performed of various databases for comparative studies evaluating the outcomes of thin- versus thick-wire snares for CSP.
Results
Five studies with data on 1,425 polyps were included in the analysis. The thick-wire snare was comparable to the thin-wire snare with respect to complete histological resection (risk ratio [RR], 1.03; 95% confidence interval [CI], 0.97–1.09), overall bleeding (RR, 0.98; 95% CI, 0.40–2.40), polyp retrieval (RR, 1.01; 95% CI, 0.97–1.04), and involvement of submucosa in the resection specimen (RR, 1.28; 95% CI, 0.72–2.28). There was no publication bias and a small study effect, and the relative effects remained the same in the sensitivity analysis.
Conclusions
CSP using a thin-wire snare has no additional benefit over thick-wire snares in small colorectal polyps. Factors other than snare design may play a role in improving CSP outcomes.

Citations

Citations to this article as recorded by  
  • Factors determining the resection ability of snares in cold snare polypectomy: Construction of an ex vivo model for accurately evaluating resection ability
    Ryohei Hirose, Takuma Yoshida, Naohisa Yoshida, Katsuma Yamauchi, Hajime Miyazaki, Naoto Watanabe, Risa Bandou, Ken Inoue, Hiroshi Ikegaya, Takaaki Nakaya, Yoshito Itoh
    Digestive Endoscopy.2024; 36(5): 573.     CrossRef
  • Effectiveness and safety of thin vs. thick cold snare polypectomy of small colorectal polyps: Systematic review and meta-analysis
    Rishad Khan, Sunil Samnani, Marcus Vaska, Samir C Grover, Catharine M Walsh, Jeffrey Mosko, Michael Bourke, Steven J Heitman, Nauzer Forbes
    Endoscopy International Open.2024; 12(01): E99.     CrossRef
  • International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
    Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee
    Clinical Endoscopy.2024; 57(2): 141.     CrossRef
  • IDEN Consensus on Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy
    Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee
    The Korean Journal of Gastroenterology.2024; 83(6): 217.     CrossRef
  • Does the wire diameter really determine the outcomes in cold snare polypectomy?
    S Giri, S Sundaram
    Journal of Gastroenterology and Hepatology.2023; 38(4): 665.     CrossRef
  • Cold resection for colorectal polyps: where we are and where we are going?
    Antonio Capogreco, Ludovico Alfarone, Davide Massimi, Alessandro Repici
    Expert Review of Gastroenterology & Hepatology.2023; 17(7): 719.     CrossRef
  • Endoscopic treatment of colorectal polyps and early colorectal cancer
    Yunho Jung
    Journal of the Korean Medical Association.2023; 66(11): 642.     CrossRef
  • 2,671 View
  • 160 Download
  • 6 Web of Science
  • 7 Crossref
Close layer
Reviews
Korean guidelines for postpolypectomy colonoscopic surveillance: 2022 revised edition
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
Clin Endosc 2022;55(6):703-725.   Published online October 13, 2022
DOI: https://doi.org/10.5946/ce.2022.136
AbstractAbstract PDFSupplementary MaterialPubReaderePub
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.

Citations

Citations to this article as recorded by  
  • 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
  • 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
  • 5,412 View
  • 518 Download
  • 8 Web of Science
  • 9 Crossref
Close layer
Post-polypectomy surveillance: the present and the future
Masau Sekiguchi, Takahisa Matsuda, Kinichi Hotta, Yutaka Saito
Clin Endosc 2022;55(4):489-495.   Published online July 11, 2022
DOI: https://doi.org/10.5946/ce.2022.097
AbstractAbstract PDFPubReaderePub
An appropriate post-polypectomy surveillance program requires the effectiveness of reducing colorectal cancer and safety. In addition, the post-polypectomy surveillance program should consider the burden of limited medical resource capacity, cost-effectiveness, and patient adherence. In this sense, a risk-stratified surveillance program based on baseline colonoscopy results is ideal. Major international guidelines for post-polypectomy surveillance, such as those from the European Union and the United States, have recommended risk-stratified surveillance programs. Both guidelines have recently been updated to better differentiate between high- and low-risk individuals. In both updated guidelines, more individuals have been downgraded to lower-risk groups that require less frequent or no surveillance. Furthermore, increased attention has been paid to the surveillance of patients who undergo serrated polyp removal. Previous guidelines in Japan did not clearly outline the risk stratification in post-polypectomy surveillance. However, the new colonoscopy screening and surveillance guidelines presented by the Japan Gastroenterological Endoscopy Society include a risk-stratified post-polypectomy surveillance program. Further discussion and analysis of unresolved issues in this field, such as the optimal follow-up after the first surveillance, the upper age limit for surveillance, and the ideal method for improving adherence to surveillance guidelines, are warranted.

Citations

Citations to this article as recorded by  
  • Protocolo diagnóstico del seguimiento de pólipos colónicos
    S. Redondo Evangelista, M. Sierra Morales, I. Bartolomé Oterino, P. García Centeno, A. Santos Rodríguez
    Medicine - Programa de Formación Médica Continuada Acreditado.2024; 14(4): 219.     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
  • Metabolic‐associated fatty liver disease is associated with colorectal adenomas in young and older Korean adults
    Jiwon Chang, Yoosoo Chang, Yoosun Cho, Hyun‐Suk Jung, Dong‐Il Park, Soo‐Kyung Park, Soo‐Youn Ham, Sarah H. Wild, Christopher D. Byrne, Seungho Ryu
    Liver International.2023; 43(11): 2548.     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
  • 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
  • Endoscopic treatment of colorectal polyps and early colorectal cancer
    Yunho Jung
    Journal of the Korean Medical Association.2023; 66(11): 642.     CrossRef
  • Understanding colorectal polyps to prevent colorectal cancer
    Dong-Hoon Yang
    Journal of the Korean Medical Association.2023; 66(11): 626.     CrossRef
  • 3,673 View
  • 256 Download
  • 5 Web of Science
  • 7 Crossref
Close layer
Current Treatment Strategy for Superficial Nonampullary Duodenal Epithelial Tumors
Tetsuya Suwa, Kohei Takizawa, Noboru Kawata, Masao Yoshida, Yohei Yabuuchi, Yoichi Yamamoto, Hiroyuki Ono
Clin Endosc 2022;55(1):15-21.   Published online September 29, 2021
DOI: https://doi.org/10.5946/ce.2021.141
AbstractAbstract PDFPubReaderePub
Endoscopic submucosal dissection (ESD) is the standard treatment method for esophageal, gastric, and colorectal cancers. However, it has not been standardized for duodenal lesions because of its high complication rates. Recently, minimally invasive and simple methods such as cold snare polypectomy and underwater endoscopic mucosal resection have been utilized more for superficial nonampullary duodenal epithelial tumors (SNADETs). Although the rate of complications associated with duodenal ESD has been gradually decreasing because of technical advancements, performing ESD for all SNADETs is unnecessary. As such, the appropriate treatment plan for SNADETs should be chosen according to the lesion type, patient condition, and endoscopist’s skill.

Citations

Citations to this article as recorded by  
  • International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
    Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee
    Clinical Endoscopy.2024; 57(2): 141.     CrossRef
  • IDEN Consensus on Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy
    Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee
    The Korean Journal of Gastroenterology.2024; 83(6): 217.     CrossRef
  • Underwater Endoscopic Mucosal Resection Versus Conventional Endoscopic Mucosal Resection for Superficial Non-ampullary Duodenal Epithelial Tumors ≤20 mm
    Zhikun Yin, Ji Li, Weilin Yang, Weifeng Huang, Dong Xu, Xiaoyi Lei, Jinyan Zhang
    Journal of Clinical Gastroenterology.2023; 57(9): 928.     CrossRef
  • Long-term outcomes of endoscopic resection for duodenal neuroendocrine tumors
    Kiyoun Yi, Gwang Ha Kim, Su Jin Kim, Cheol Woong Choi, Moon Won Lee, Bong Eun Lee, Geun Am Song
    Scientific Reports.2023;[Epub]     CrossRef
  • Endoscopic management of NADTs
    Enrique Pérez-Cuadrado-Robles, Pierre H. Deprez
    Endoscopy International Open.2022; 10(06): E733.     CrossRef
  • Duodenaladenome und -karzinome: chirurgische Therapiekonzepte
    Michael Ghadimi, Jochen Gaedcke
    Allgemein- und Viszeralchirurgie up2date.2022; 16(03): 257.     CrossRef
  • Issues and Prospects of Current Endoscopic Treatment Strategy for Superficial Non-Ampullary Duodenal Epithelial Tumors
    Tetsuya Suwa, Masao Yoshida, Hiroyuki Ono
    Current Oncology.2022; 29(10): 6816.     CrossRef
  • Duodenaladenome und -karzinome: chirurgische Therapiekonzepte
    Michael Ghadimi, Jochen Gaedcke
    Onkologie up2date.2022; 4(04): 325.     CrossRef
  • 5,090 View
  • 357 Download
  • 4 Web of Science
  • 8 Crossref
Close layer
Case Report
Extracutaneous mastocytoma of colon: a case report and literature review
Min Su Chu, Eui Joong Kim
Clin Endosc 2022;55(6):810-814.   Published online July 7, 2021
DOI: https://doi.org/10.5946/ce.2021.003
AbstractAbstract PDFPubReaderePub
Extracutaneous mastocytoma is a rare benign tumor composed of mature mast cells and is located in tissues other than the skin. We report the case of a 61-year-old male who was diagnosed with extracutaneous mastocytoma via colonoscopic polypectomy and biopsy. To our knowledge, this was the first case of a solitary extracutaneous mastocytoma of the colon. We reported this case and reviewed the literature.

Citations

Citations to this article as recorded by  
  • Incidental discovery of KIT‐mutated mastocytoma in a colon polyp
    Naseema Gangat, Ellen McPhail, Kaaren Reichard, Attilio Orazi, Animesh Pardanani, Ayalew Tefferi
    American Journal of Hematology.2024; 99(5): 973.     CrossRef
  • 3,457 View
  • 163 Download
  • 1 Web of Science
  • 1 Crossref
Close layer
Original Articles
Is Submucosal Injection Helpful in Cold Snare Polypectomy for Small Colorectal Polyps?
Ji Hyun Song, Shai Friedland
Clin Endosc 2021;54(3):397-403.   Published online February 9, 2021
DOI: https://doi.org/10.5946/ce.2020.226
AbstractAbstract PDFPubReaderePub
Background
/Aims: Cold snare polypectomy (CSP) is an effective method of polyp removal for small colorectal polyps. However, the effect of submucosal injection in cold snare endoscopic mucosal resection (CS-EMR) for small polyps is unclear. Therefore, this study aimed to evaluate the effect of submucosal injection in CS-EMR for small polyps.
Methods
Between 2018 and 2019, 100 consecutive small colorectal polyps (5–10 mm) were identified in 58 patients. The first 50 consecutive polyps were removed by CS-EMR, and the remaining 50 were removed by CSP. Demographic data, clinical data, endoscopic findings, procedure times, complication rates, and pathology data were collected.
Results
No difference in the complete resection rate was observed between the CS-EMR and CSP groups. A total of 9 polyps showed post-polypectomy bleeding (7 had immediate bleeding, 1 had delayed bleeding, and 1 had both immediate and delayed bleeding). No difference in the bleeding rate was observed between the two groups. In multivariate analysis, warfarin (odds ratio [OR], 42.334; 95% confidence interval [CI], 1.006–1,781.758) and direct-acting oral anticoagulants (OR, 35.244; 95% CI, 3.853–322.397) showed a significantly increased risk of bleeding.
Conclusions
The effect of submucosal injection in CSP was not significant for small colorectal polyps.

Citations

Citations to this article as recorded by  
  • Cold sub-mucosal injection versus traditional cold snare polypectomy for diminutive and small colorectal polyps: A systematic review and meta-analysis
    Yong-Cai Lv, Quan Dong, Yan-Hua Yao, Jing-Jing Lei
    Indian Journal of Gastroenterology.2024;[Epub]     CrossRef
  • Colorectal cold snare polypectomy: Current standard technique and future perspectives
    Fumiaki Ishibashi, Sho Suzuki, Mizuki Nagai, Kentaro Mochida, Tetsuo Morishita
    Digestive Endoscopy.2023; 35(3): 278.     CrossRef
  • The efficacy and safety of cold snare polypectomy with submucosal injection for the removal of polyps less than 20 mm in size: a systematic review and meta‐analysis
    Zheng Liang, Yongqiu Wei, Shutian Zhang, Peng Li
    Journal of Gastroenterology and Hepatology.2023; 38(11): 1892.     CrossRef
  • Impact of Submucosal Saline Injection During Cold Snare Polypectomy for Colorectal Polyps Sized 3–9 mm: A Multicenter Randomized Controlled Trial
    Yi Mou, Liansong Ye, Xiaobo Qin, Rui Feng, Lifan Zhang, Qin Hu, Tingting Cao, Xinyue Zhou, Wu Wen, Chuanming Zhang, Zonghua Chen, Yi Liu, Zhimin Yang, Tao Huo, Fang Pan, Xuelian Li, Bing Hu
    American Journal of Gastroenterology.2023; 118(10): 1848.     CrossRef
  • Cold resection for colorectal polyps: where we are and where we are going?
    Antonio Capogreco, Ludovico Alfarone, Davide Massimi, Alessandro Repici
    Expert Review of Gastroenterology & Hepatology.2023; 17(7): 719.     CrossRef
  • Cold snare endoscopic mucosal resection for colon polyps: a systematic review and meta-analysis
    Mohamed Abdallah, Khalid Ahmed, Daniyal Abbas, Mouhand F. H. Mohamed, Gaurav Suryawanshi, Nicholas McDonald, Natalie Wilson, Shifa Umar, Aasma Shaukat, Mohammad Bilal
    Endoscopy.2023; 55(12): 1083.     CrossRef
  • Endoscopic treatment of colorectal polyps and early colorectal cancer
    Yunho Jung
    Journal of the Korean Medical Association.2023; 66(11): 642.     CrossRef
  • 4,426 View
  • 167 Download
  • 7 Web of Science
  • 7 Crossref
Close layer
Dedicated Cold Snare vs. Traditional Snare for Polypectomy of Diminutive and Small Lesions in a Porcine Model: A Research Group for Endoscopic Instruments and Stents (REIS) Study
Han Hee Lee, Bo-In Lee, Jung-Wook Kim, Hyun Lim, Si Hyung Lee, Jun-Hyung Cho, Yunho Jung, Kyoung Oh Kim, Chan Gyoo Kim, Kee Myung Lee, Jong-Jae Park, Myung-Gyu Choi, Hoon Jai Chun, Ho Gak Kim
Clin Endosc 2021;54(3):390-396.   Published online September 10, 2020
DOI: https://doi.org/10.5946/ce.2020.096
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: The aim of this in vivo animal study was to evaluate the effectiveness and safety of dedicated cold snare (DCS) compared with those of traditional snare (TS) for cold snare polypectomy (CSP).
Methods
A total of 36 diminutive (5 mm) and 36 small (9 mm) pseudolesions were made by electrocoagulation in the colons of mini-pigs.
Results
For the diminutive lesions, there were no significant differences in technical success rate, procedure time, or complete resection rate between the DCS and TS groups; the rate of uneven resection margin in the DCS group was significantly lower than that of the TS group. For small lesions, technical success rate and complete resection rate were significantly higher in the DCS group than in the TS group (100% [18/18] vs. 55.6% [10/18], p=0.003; 94.4% [17/18] vs. 40% [4/10], p=0.006). In addition, the procedure duration was significantly shorter, and the rate of uneven resection margin was significantly lower in the DCS group (28.5 sec vs. 66.0 sec, p=0.006; 11.1% [2/18] vs. 100% [10/10], p<0.001). Two cases of perforation occurred in the DCS group. Multivariate analysis revealed that DCS use was independently associated with complete resection.
Conclusions
DCS is superior to TS in terms of technical success, complete resection, and reducing the duration of the procedure for CSP of small polyps.

Citations

Citations to this article as recorded by  
  • Comparison of complete resection rates in cold snare polypectomy using two different wire diameter snares: A randomized controlled study
    Toshiki Horii, Sho Suzuki, Akihiro Sugita, Misa Yamauchi, Hisatomo Ikehara, Chika Kusano, Takuji Gotoda
    Journal of Gastroenterology and Hepatology.2023; 38(5): 752.     CrossRef
  • Comparison of the clinical efficacy of cold snare polypectomy using a thin-wire snare and thick-wire snare for small colorectal polyps
    Hong Jin Yoon, Yunho Jung, Young Sin Cho, Il-Kwun Chung
    International Journal of Gastrointestinal Intervention.2023; 12(4): 183.     CrossRef
  • Big Issues on Small Polyps: An Ideal Device, But Is It for an Ideal Indication?
    Yoji Takeuchi
    Clinical Endoscopy.2021; 54(3): 297.     CrossRef
  • Cold versus hot polypectomy/endoscopic mucosal resection–A review of current evidence
    Raquel Ortigão, Jochen Weigt, Ahmed Afifi, Diogo Libânio
    United European Gastroenterology Journal.2021; 9(8): 938.     CrossRef
  • 8,501 View
  • 222 Download
  • 4 Web of Science
  • 4 Crossref
Close layer
Review
Endoscopic Management of Post-Polypectomy Bleeding
Aditya Gutta, Mark A. Gromski
Clin Endosc 2020;53(3):302-310.   Published online September 17, 2019
DOI: https://doi.org/10.5946/ce.2019.062
AbstractAbstract PDFPubReaderePub
Post-polypectomy bleeding (PPB) is one of the most common complications of endoscopic polypectomy. There are multiple risk factors related to patient and polyp characteristics that should be considered. In most cases, immediate PPB can be effectively managed endoscopically when recognized and managed promptly. Delayed PPB can manifest in a myriad of ways. In severe delayed PPB, resuscitation for hemodynamic stabilization should be prioritized, followed by endoscopic evaluation and therapy once the patient is stabilized. Future areas of research in PPB include the risks of direct oral anticoagulants and of specific electrosurgical settings for hot-snare polypectomy vs. cold-snare polypectomy, benefits of closure of post-polypectomy mucosal defects using through-the-scope clips, and prospective comparative evaluation of newer hemostasis agents such as hemostatic spray powder and over-the-scope clips.

Citations

Citations to this article as recorded by  
  • Colonoscopic polypectomy of juvenile polyps in children: Experience from a tertiary centre of Bangladesh
    Salahuddin Mahmud, Mashud Parvez, Madhabi Baidya, Farhana Tasneem, Ahmed Rashidul Hasan, Tanzila Farhana, Md Jahangir Alam, Syed Shafi Ahmed
    Gastroenterology & Endoscopy.2024; 2(1): 1.     CrossRef
  • Review article: Advances in the management of lower gastrointestinal bleeding
    Ali A. Alali, Majid A. Almadi, Alan N. Barkun
    Alimentary Pharmacology & Therapeutics.2024; 59(5): 632.     CrossRef
  • Endoscopic management of intraprocedural bleeding during endoscopic interventions
    Ali A. Alali, Asma A. Alkandari
    Best Practice & Research Clinical Gastroenterology.2024; 69: 101912.     CrossRef
  • Effect of Cold Versus Hot Snare Polypectomy on Colon Postpolypectomy Bleeding in Patients with End-Stage Renal Disease: A Retrospective Cohort Study
    Hsueh-Chien Chiang, Chien-Ming Chiang, Xi-Zhang Lin, Po-Jun Chen
    Digestive Diseases and Sciences.2024;[Epub]     CrossRef
  • Isolated ischaemic appendicitis as a rare complication of selective angioembolization for lower gastrointestinal bleed
    Luke S. Crawford, Nadim S. Jafri, Dingle Foote, Melissa M. Felinski, Peter A. Walker, Kulvinder S. Bajwa, Shinil K. Shah
    ANZ Journal of Surgery.2023; 93(1-2): 404.     CrossRef
  • JAG consensus statements for training and certification in colonoscopy
    Keith Siau, Stavroula Pelitari, Susi Green, Brian McKaig, Arun Rajendran, Mark Feeney, Mo Thoufeeq, John Anderson, Vathsan Ravindran, Paul Hagan, Neil Cripps, Ian L P Beales, Karen Church, Nicholas I Church, Elizabeth Ratcliffe, Said Din, Rupert D Pullan,
    Frontline Gastroenterology.2023; 14(3): 201.     CrossRef
  • JAG consensus statements for training and certification in flexible sigmoidoscopy
    Keith Siau, Stavroula Pelitari, Susi Green, Brian McKaig, Arun Rajendran, Mark Feeney, Mo Thoufeeq, John Anderson, Vathsan Ravindran, Paul Hagan, Neil Cripps, Ian L P Beales, Karen Church, Nicholas I Church, Elizabeth Ratcliffe, Said Din, Rupert D Pullan,
    Frontline Gastroenterology.2023; 14(3): 181.     CrossRef
  • Management of Patients With Acute Lower Gastrointestinal Bleeding: An Updated ACG Guideline
    Neil Sengupta, Joseph D. Feuerstein, Vipul Jairath, Amandeep K. Shergill, Lisa L. Strate, Robert J. Wong, David Wan
    American Journal of Gastroenterology.2023; 118(2): 208.     CrossRef
  • Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 revised edition
    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
    Intestinal Research.2023; 21(1): 20.     CrossRef
  • A Review of Colonoscopy in Intestinal Diseases
    Seung Hong, Dong Baek
    Diagnostics.2023; 13(7): 1262.     CrossRef
  • Bleeding After Endoscopic Resection of Colonic Adenomatous Polyps Sized 4-10 mm
    Violeta Hristova Janik
    PRILOZI.2023; 44(2): 157.     CrossRef
  • Updates on the Prevention and Management of Post-Polypectomy Bleeding in the Colon
    Hisham Wehbe, Aditya Gutta, Mark A. Gromski
    Gastrointestinal Endoscopy Clinics of North America.2023;[Epub]     CrossRef
  • Endoscopic management of delayed bleeding after polypectomy of small colorectal polyps: two or more clips may be safe
    Xue-Feng Guo, Xiang-An Yu, Jian-Cong Hu, De-Zheng Lin, Jia-Xin Deng, Ming-Li Su, Juan Li, Wei Liu, Jia-Wei Zhang, Qing-Hua Zhong
    Gastroenterology Report.2022;[Epub]     CrossRef
  • Clinical progress note: Diagnostic approach to lower gastrointestinal bleeding
    Daniel J. Stein, Hyder Said, Joseph D. Feuerstein
    Journal of Hospital Medicine.2022; 17(7): 547.     CrossRef
  • Safety of Cold Snare Polypectomy for Small Colorectal Polyps in Patients Receiving Antithrombotic Therapy
    Dai Nakamatsu, Tsutomu Nishida, Yoshifumi Fujii, Sho Yamaoka, Naoto Osugi, Aya Sugimoto, Kaori Mukai, Kengo Matsumoto, Masashi Yamamoto, Shiro Hayashi, Sachiko Nakajima
    Techniques and Innovations in Gastrointestinal Endoscopy.2022; 24(3): 246.     CrossRef
  • Postcolonoscopy Complications
    Jetsen A. Rodriguez-Silva, Justin A. Maykel
    Diseases of the Colon & Rectum.2022; 65(5): 622.     CrossRef
  • Expanding rather than closing the wound can rescue the endoscopic procedure when massive bleeding occurs during endoscopic submucosal dissection
    Ming-Ching Yuan, Ching-Tai Lee, Kun-Feng Tsai, Chao-Wen Hsu, Chu-Kuang Chou
    Endoscopy.2022; 54(S 02): E1036.     CrossRef
  • Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition
    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
    The Korean Journal of Gastroenterology.2022; 80(3): 115.     CrossRef
  • Korean guidelines for postpolypectomy colonoscopic surveillance: 2022 revised edition
    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
    Clinical Endoscopy.2022; 55(6): 703.     CrossRef
  • Can prophylactic argon plasma coagulation reduce delayed post‐papillectomy bleeding? A prospective multicenter trial
    Jae Kook Yang, Jong Jin Hyun, Tae Hoon Lee, Jun‐Ho Choi, Yun Nah Lee, Jung Wan Choe, Jin‐Seok Park, Chang‐Il Kwon, Seok Jeong, Hong Ja Kim, Jong Ho Moon, Sang‐Heum Park
    Journal of Gastroenterology and Hepatology.2021; 36(2): 467.     CrossRef
  • Diagnosis and management of acute lower gastrointestinal bleeding: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
    Konstantinos Triantafyllou, Paraskevas Gkolfakis, Ian M. Gralnek, Kathryn Oakland, Gianpiero Manes, Franco Radaelli, Halim Awadie, Marine Camus Duboc, Dimitrios Christodoulou, Evgeny Fedorov, Richard J. Guy, Marcus Hollenbach, Mostafa Ibrahim, Ziv Neeman,
    Endoscopy.2021; 53(08): 850.     CrossRef
  • Estimation and influence of blood loss under endoscope for percutaneous endoscopic lumbar discectomy (PELD): a clinical observational study combined with in vitro experiment
    Dong Dong Sun, Dan Lv, Wei Zhou Wu, He Fei Ren, Bu He Bao, Qun Liu, Ming Lin Sun
    Journal of Orthopaedic Surgery and Research.2020;[Epub]     CrossRef
  • 14,821 View
  • 592 Download
  • 19 Web of Science
  • 22 Crossref
Close layer
Case Report
First Characterization with Ultrasound Contrast Agent of a Fibrovascular Polyp Before Its Endoscopic Resection: A Case Report (with Videos)
Nicolas Williet, Radwan Kassir, Francois Casteillo, Violaine Yvorel, Cyril Habougit, Xavier Roblin, Jean-Marc Phelip
Clin Endosc 2019;52(2):186-190.   Published online October 5, 2018
DOI: https://doi.org/10.5946/ce.2018.083
AbstractAbstract PDFSupplementary MaterialPubReaderePub
We described for the first time the contrast enhancement of a giant fibrovascular esophageal polyp using ultrasound contrast agent, Sonovue® (Bracco, Milan, Italy) during echoendoscopy. Fine Doppler was unsuccessful in showing vascularization due to the mobile characteristic of the tumor. In contrast, via Sonovue® , tissue microcirculation was highlighted inside the entire head of the polyp, leading to better appreciate the risk of bleeding related to its resection. In a second part, we showed the feasibility of classic polypectomy for this giant polyp (5×5 cm) without complication and results of control endoscopy at 3 months. The present case is summarized in a video.

Citations

Citations to this article as recorded by  
  • Hybrid laparo-endoscopic access: New approach to surgical treatment for giant fibrovascular polyp of esophagus: A case report and review of literature
    Seda Dzhantukhanova, Lyudmila Grigori Avetisyan, Amina Badakhova, Yury Starkov, Andrey Glotov
    World Journal of Gastrointestinal Endoscopy.2023; 15(11): 666.     CrossRef
  • Hybrid laparo-endoscopic access for giant fibrovascular esophageal polyp: a case report
    Yu.G. Starkov, S.V. Dzhantukhanova, R.D. Zamolodchikov, A.B. Badakhova
    Khirurgiya. Zhurnal im. N.I. Pirogova.2023; (11): 123.     CrossRef
  • 4,802 View
  • 79 Download
  • 1 Web of Science
  • 2 Crossref
Close layer
Original Article
Colonic Postpolypectomy Bleeding Is Related to Polyp Size and Heparin Use
Flavia Pigò, Helga Bertani, Mauro Manno, Vincenzo Giorgio Mirante, Angelo Caruso, Santi Mangiafico, Raffaele Manta, Anna Maria Rebecchi, Rita Luisa Conigliaro
Clin Endosc 2017;50(3):287-292.   Published online February 9, 2017
DOI: https://doi.org/10.5946/ce.2016.126
AbstractAbstract PDFPubReaderePub
Background
/Aims: We studied factors influencing colon postpolypectomy bleeding (PPB), with a focus on antithrombotic and anticoagulation therapy.
Methods
We conducted a retrospective case-control study of all patients who underwent polypectomy at our tertiary referral center in Italy between 2007 and 2014. Polyp characteristics (number of polyps removed per patient, size, morphology, location, resection technique, prophylactic hemostasis methods) and patient characteristics (age, sex, comorbidities, medication) were analyzed.
Results
The case and control groups included 118 and 539 patients, respectively. The two groups differed in the frequency of comorbidities (69% vs. 40%, p=0.001), polyps removed (27% vs. 18%, p=0.02), and use of heparin therapy (23% vs. 1%, p<0.001). A total of 279 polyps in the case group and 966 in the control group were nonpedunculated (69% vs. 81%, p=0.01) and measured ≥10 mm (78% vs. 32%, p=0.001). Multivariate analysis showed that polyps ≥10 mm (odds ratio [OR], 6.1; 95% confidence interval [CI], 2.3–15.5), administration of heparin (OR, 16.5; 95% CI, 6.2–44), comorbidity (OR, 2.3; 95% CI, 1.4–3.9), and presence of ≥2 risk factors (OR, 3.2; 95% CI, 1.7–6.0) were associated with PPB.
Conclusions
The incidence of PPB increases with polyp size ≥10 mm, heparin use, comorbidity, and presence of ≥2 risk factors.

Citations

Citations to this article as recorded by  
  • Risk factors for post-polypectomy bleeding in patients with end-stage renal disease undergoing colonoscopic polypectomy
    Jung Hyun Ji, Hyun Woo Kim, Jihye Park, Soo Jung Park, Jae Hee Cheon, Tae Il Kim, Jae Jun Park
    Surgical Endoscopy.2024; 38(2): 846.     CrossRef
  • Polypectomy for Diminutive and Small Colorectal Polyps
    Melissa Zarandi-Nowroozi, Roupen Djinbachian, Daniel von Renteln
    Gastrointestinal Endoscopy Clinics of North America.2022; 32(2): 241.     CrossRef
  • Effects of antithrombotic agents on post-operative bleeding after endoscopic resection of gastrointestinal neoplasms and polyps: A systematic review and meta-analysis
    Bing-Jie Xiang, Yu-Hong Huang, Min Jiang, Cong Dai
    World Journal of Meta-Analysis.2020; 8(5): 410.     CrossRef
  • Effects of antithrombotic agents on post-operative bleeding after endoscopic resection of gastrointestinal neoplasms and polyps: A systematic review and meta-analysis
    Bing-Jie Xiang, Yu-Hong Huang, Min Jiang, Cong Dai
    World Journal of Meta-Analysis.2020; 8(5): 411.     CrossRef
  • Post-polypectomy Visible Vessel
    Matthew Woo, Robert Bechara
    Journal of the Canadian Association of Gastroenterology.2018; 1(2): 51.     CrossRef
  • Colorectal cancer screening program using FIT: quality of colonoscopy varies according to hospital type
    Isabel Portillo, Isabel Idigoras, Isabel Bilbao, Eunate Arana-Arri, María José Fernández-Landa, Jose Luis Hurtado, Cristina Sarasaqueta, Luis Bujanda
    Endoscopy International Open.2018; 06(09): E1149.     CrossRef
  • Prediction and Prevention of Postpolypectomy Bleeding: Necessity of a Different Approach for Patients Using Antithrombotic Agents
    Duk Hwan Kim
    Clinical Endoscopy.2017; 50(3): 217.     CrossRef
  • 7,463 View
  • 202 Download
  • 5 Web of Science
  • 7 Crossref
Close layer
Reviews
Optimal Colonoscopy Surveillance Interval after Polypectomy
Tae Oh Kim
Clin Endosc 2016;49(4):359-363.   Published online July 29, 2016
DOI: https://doi.org/10.5946/ce.2016.080
AbstractAbstract PDFPubReaderePub
The detection and removal of adenomatous polyps and postpolypectomy surveillance are considered important for the control of colorectal cancer (CRC). Surveillance using colonoscopy is an effective tool for preventing CRC after colorectal polypectomy, especially if compliance is good. In current practice, the intervals between colonoscopies after polypectomy are variable. Different recommendations for recognizing at risk groups and defining surveillance intervals after an initial finding of colorectal adenomas have been published. However, high-grade dysplasia and the number and size of adenomas are known major cancer predictors. Based on this, a subgroup of patients that may benefit from intensive surveillance colonoscopy can be identified.

Citations

Citations to this article as recorded by  
  • Gender disparities in colorectal polyps
    A. K. Safiyeva
    Klinicheskaia khirurgiia.2021; 88(1-2): 57.     CrossRef
  • Three-year colonoscopy surveillance after polypectomy in Korea: a Korean Association for the Study of Intestinal Diseases (KASID) multicenter prospective study
    Won Seok Choi, Dong Soo Han, Chang Soo Eun, Dong Il Park, Jeong-Sik Byeon, Dong-Hoon Yang, Sung-Ae Jung, Sang Kil Lee, Sung Pil Hong, Cheol Hee Park, Suck-Ho Lee, Jeong-Seon Ji, Sung Jae Shin, Bora Keum, Hyun Soo Kim, Jung Hye Choi, Sin-Ho Jung
    Intestinal Research.2018; 16(1): 126.     CrossRef
  • 9,660 View
  • 209 Download
  • 2 Web of Science
  • 2 Crossref
Close layer
Endoscopic Instruments and Electrosurgical Unit for Colonoscopic Polypectomy
Hong Jun Park
Clin Endosc 2016;49(4):350-354.   Published online July 11, 2016
DOI: https://doi.org/10.5946/ce.2016.059
AbstractAbstract PDFPubReaderePub
Colorectal polypectomy is an effective method for prevention of colorectal cancer. Many endoscopic instruments have been used for colorectal polypectomy, such as snares, forceps, endoscopic clips, a Coagrasper, retrieval net, injector, and electrosurgery generator unit (ESU). Understanding the characteristics of endoscopic instruments and their proper use according to morphology and size of the colorectal polyp will enable endoscopists to perform effective polypectomy. I reviewed the characteristics of endoscopic instruments for colorectal polypectomy and their appropriate use, as well as the basic principles and settings of the ESU.

Citations

Citations to this article as recorded by  
  • Expert consensus on the clinical application of high‐frequency electrosurgery in digestive endoscopy (2020, Shanghai)
    Yu Bai, Fan Yang, Cui Liu, De Feng Li, Shi Wang, Rong Lin, Zhen Ding, Wen Bo Meng, Zhao Shen Li, En Qiang Linghu
    Journal of Digestive Diseases.2022; 23(1): 2.     CrossRef
  • Thermic Epidermic Tissue Surgical Generator Using Bipolar Electrode
    Dhanalakshmi K.S, Azhagu Jaisudhan Pazhani A, Anusha Padmavathy R
    Innovations in Information and Communication Technology Series.2021; : 68.     CrossRef
  • 11,956 View
  • 384 Download
  • 1 Web of Science
  • 2 Crossref
Close layer
Original Articles
Use of a Double-Channel Gastroscope Reduces Procedural Time in Large Left-Sided Colonic Endoscopic Mucosal Resections
Evangelos Voudoukis, Georgios Tribonias, Aikaterini Tavernaraki, Angeliki Theodoropoulou, Emmanouil Vardas, Konstantina Paraskeva, Gregorios Chlouverakis, Gregorios A. Paspatis
Clin Endosc 2015;48(2):136-141.   Published online March 27, 2015
DOI: https://doi.org/10.5946/ce.2015.48.2.136
AbstractAbstract PDFPubReaderePub
Background/Aims

Endoscopic mucosal resection (EMR) of large colorectal lesions is associated with increased procedural time. The objective of this study was to evaluate the effect of double-channel gastroscope (DCG) use on the procedural time of EMRs in the rectosigmoid area.

Methods

All EMRs for sessile or flat rectosigmoid lesions ≥2 cm performed between July 2011 and September 2012 were retrospectively analyzed.

Results

There were 55 lesions ≥2 cm in the rectosigmoid area in 55 patients, of which 26 were removed by EMR using a DCG (DC group) and 29 by using an ordinary colonoscope or gastroscope (OS group). The mean size of the removed polyps, morphology, adverse effects, and other parameters were similar between the two groups. The mean procedural time was significantly lower in the DC group than in the OS group (24.4±18.3 minutes vs. 36.3±24.4 minutes, p=0.015). Moreover, in a subgroup of patients with polyps >40 mm, the statistical difference in the mean procedural time between the DC and OS groups was even more pronounced (33±21 minutes vs. 58.7±20.6 minutes, p=0.004).

Conclusions

Our data suggest that the use of a DCG in the resection of large nonpedunculated rectosigmoid lesions significantly reduces the procedural time.

Citations

Citations to this article as recorded by  
  • Dual Channel Endoscopic Mucosal Resection
    Julia T. Saraidaridis, Racquel S. Gaetani, Peter W. Marcello
    Clinics in Colon and Rectal Surgery.2023;[Epub]     CrossRef
  • Endoscopic management of difficult laterally spreading tumors in colorectum
    Edgar Castillo-Regalado, Hugo Uchima
    World Journal of Gastrointestinal Endoscopy.2022; 14(3): 113.     CrossRef
  • Novel technique for endoscopic en bloc resection (EMR+) – Evaluation in a porcine model
    Benjamin Meier, Andreas Wannhoff, Christoph Klinger, Karel Caca
    World Journal of Gastroenterology.2019; 25(28): 3764.     CrossRef
  • Endoscopic mucosal resection and endoscopic submucosal dissection for colorectal lesions: A systematic review
    Antonella De Ceglie, Cesare Hassan, Benedetto Mangiavillano, Takahisa Matsuda, Yutaka Saito, Lorenzo Ridola, Pradeep Bhandari, Federica Boeri, Massimo Conio
    Critical Reviews in Oncology/Hematology.2016; 104: 138.     CrossRef
  • Is the Double Channel Gastroscope Useful in Endoscopic Mucosal Resection for Large Sessile Colon Polyps?
    Kwang An Kwon
    Clinical Endoscopy.2015; 48(2): 89.     CrossRef
  • 7,123 View
  • 57 Download
  • 6 Web of Science
  • 5 Crossref
Close layer
Postpolypectomy Fever, a Rare Adverse Event of Polypectomy: Nested Case-Control Study
Seung-Hoon Lee, Kyung-Jo Kim, Dong-Hoon Yang, Kee Wook Jeong, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang, Jin-Ho Kim
Clin Endosc 2014;47(3):236-241.   Published online May 31, 2014
DOI: https://doi.org/10.5946/ce.2014.47.3.236
AbstractAbstract PDFPubReaderePub
Background/Aims

Although postpolypectomy fever (PPF) without colon perforation or hemorrhage is rare, its incidence and risk factors have not been investigated. The objective of this study was to analyze the incidence and risk factors for PPF among inpatients.

Methods

Seven patients with PPF were matched with 70 patients without PPF from a total of 3,444 patients who underwent colonoscopic polypectomy. The PPF incidence during index hospitalization after colonoscopy was calculated, and univariate and multivariate analyses were performed to calculate the adjusted odds ratios (ORs) for risk factors.

Results

PPF without bleeding or perforation in the colon occurred in seven patients (0.2%). The median age was 58 years for cases and 61 years for controls. The median interval from polypectomy to occurrence of fever was 7 hours, and the median duration of fever was 9 hours. Polyp size >2 cm (adjusted OR, 1.08; 95% confidence interval [CI], 1.01 to 1.15; p=0.02) and hypertension (adjusted OR, 14.40; 95% CI, 1.23 to 180.87; p=0.03) were associated with a significantly increased risk of PPF. PPF increased the length of hospitalization.

Conclusions

Although the crude incidence of PPF is low, PPF may prolong hospitalization. Risk factors for PPF include hypertension and large polyps.

Citations

Citations to this article as recorded by  
  • Cold Endoscopic Mucosal Resection (c-EMR) of Nonpedunculated Colorectal Polyps ≥20 mm
    Daryl Ramai, Benjamin Clement, Marcello Maida, Melissa Previtera, Olivia W. Brooks, Yichen Wang, Saurabh Chandan, Banreet Dhindsa, Smit Deliwala, Antonio Facciorusso, Mouen Khashab, Andrew Ofosu
    Journal of Clinical Gastroenterology.2024; 58(7): 661.     CrossRef
  • Cold Snare Cut Versus Avulsion for Colonic Mucosal Resection: A Randomized Ex Vivo Porcine Study (the CONVINCE Study)
    Neal A. Mehta, James K. Stone, Roberto Trasolini, Yuho Ono, Mandeep S. Sawhney
    Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(4): 315.     CrossRef
  • Risk factors of medication‐related osteonecrosis of the jaw in preventive tooth extraction before bone resorption inhibitor administration: A multicenter nested case–control study
    Taro Saito, Atsushi Nishikawa, Yuko Hara‐Saito, Andrea Rei Estacio Salazar, Akira Kurokawa, Akihiko Iida, Masahiro Yamaga, Hiroyuki Kano, Yusuke Kato, Yoshiyuki Takata, Hideyoshi Nishiyama, Nobutaka Kitamura, Takahiro Tanaka, Ritsuo Takagi
    Oral Science International.2022; 19(2): 79.     CrossRef
  • Postpolypectomy fever in patients with serious infection: a report of two cases
    Wang Jing, Li Qinghua, Yang Zhiwen
    BMC Gastroenterology.2022;[Epub]     CrossRef
  • RoboCap: Robotic mucus-clearing capsule for enhanced drug delivery in the gastrointestinal tract
    Shriya S. Srinivasan, Amro Alshareef, Alexandria V. Hwang, Ziliang Kang, Johannes Kuosmanen, Keiko Ishida, Joshua Jenkins, Sabrina Liu, Wiam Abdalla Mohammed Madani, Jochen Lennerz, Alison Hayward, Josh Morimoto, Nina Fitzgerald, Robert Langer, Giovanni T
    Science Robotics.2022;[Epub]     CrossRef
  • Pylephlebitis after sigmoid colonic polypectomy
    Yuna Saito, Toshinori Nishizawa, Hiroko Arioka
    BMJ Case Reports.2022; 15(12): e253095.     CrossRef
  • Management of Pediatric Postendoscopy Fever
    Julia M. Boster, Melissa Iwanowski, Robert E. Kramer
    Journal of Pediatric Gastroenterology and Nutrition.2021; 72(2): 250.     CrossRef
  • Cold versus hot polypectomy/endoscopic mucosal resection–A review of current evidence
    Raquel Ortigão, Jochen Weigt, Ahmed Afifi, Diogo Libânio
    United European Gastroenterology Journal.2021; 9(8): 938.     CrossRef
  • Periprocedural adverse events after endoscopic resection of T1 colorectal carcinomas
    Steffi E.M. van de Ven, Yara Backes, Mirrian Hilbink, Tom C.J. Seerden, Koen Kessels, Wouter H. de Vos tot Nederveen Cappel, John N. Groen, Frank H.J. Wolfhagen, Joost M.J. Geesing, Frank ter Borg, Jeroen van Bergeijk, B.W.M. Spanier, Marco W. Mundt, H.J.
    Gastrointestinal Endoscopy.2020; 91(1): 142.     CrossRef
  • Colección abscesificada en pared abdominal secundaria a polipectomía colonoscópica. Manejo radiológico
    María Luisa García-García, Miguel Ángel Jiménez-Ballester, Enrique Girela-Baena, José Luis Aguayo-Albasini
    Gastroenterología y Hepatología.2017; 40(7): 463.     CrossRef
  • Endoscopic shielding technique with a newly developed hydrogel to prevent thermal injury in two experimental models
    Vicente Lorenzo‐Zúñiga, Jaume Boix, Vicente Moreno de Vega, Ignacio Bon, Ingrid Marín, Ramón Bartolí
    Digestive Endoscopy.2017; 29(6): 702.     CrossRef
  • Colorectal endoscopic mucosal resection (EMR)
    Pujan Kandel, Michael B. Wallace
    Best Practice & Research Clinical Gastroenterology.2017; 31(4): 455.     CrossRef
  • Abdominal wall abscess secondary to colonoscopic polypectomy. Radiological management
    María Luisa García-García, Miguel Ángel Jiménez-Ballester, Enrique Girela-Baena, José Luis Aguayo-Albasini
    Gastroenterología y Hepatología (English Edition).2017; 40(7): 463.     CrossRef
  • Complications of endoscopic polypectomy, endoscopic mucosal resection and endoscopic submucosal dissection in the colon
    Michael X. Ma, Michael J. Bourke
    Best Practice & Research Clinical Gastroenterology.2016; 30(5): 749.     CrossRef
  • What Is Different between Postpolypectomy Fever and Postpolypectomy Coagulation Syndrome?
    Hyung Wook Kim
    Clinical Endoscopy.2014; 47(3): 205.     CrossRef
  • 7,325 View
  • 90 Download
  • 15 Web of Science
  • 15 Crossref
Close layer
Case Report
A Polypoid Mucosa-Associated Lymphoid Tissue Lymphoma of the Stomach Treated with Endoscopic Polypectomy
Shin Young Min, Jun Haeng Lee, Poong-Lyul Rhee
Clin Endosc 2013;46(6):647-650.   Published online November 19, 2013
DOI: https://doi.org/10.5946/ce.2013.46.6.647
AbstractAbstract PDFPubReaderePub

Mucosa-associated lymphoid tissue (MALT) lymphoma of the stomach is the most common extranodal lymphoma of the gastrointestinal tract. It is usually accompanied by Helicobacter pylori infection, and eradication of H. pylori remains the mainstay of treatment for gastric MALT lymphoma. However, there is no consensus on the second-line treatment for patients with gastric MALT lymphoma who do not improve after successful H. pylori eradication. Here, we report the case of a 34-year-old woman who presented with a polypoid type of gastric MALT lymphoma on the greater curvature side of the upper body. Despite successful H. pylori eradication, the tumor did not regress after 6 months. Because the tumor had a semipedunculated polypoid morphology, gastric polypectomy was implemented as a second-line treatment. No recurrence occurred during the 3-year follow-up period. We suggest that gastric polypectomy be considered an alternative treatment modality for polypoid gastric MALT lymphoma that is unresponsive to H. pylori eradication.

  • 6,248 View
  • 42 Download
Close layer
Focused Review Series: Optical Diagnosis and New Management Strategy of Colorectal Polyps
New Paradigms for Colonoscopic Management of Diminutive Colorectal Polyps: Predict, Resect, and Discard or Do Not Resect?
Cesare Hassan, Alessandro Repici, Angelo Zullo, Prateek Sharma
Clin Endosc 2013;46(2):130-137.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.130
AbstractAbstract PDFPubReaderePub

The possibility to predict in vivo the histology of colorectal polyps by advanced endoscopic imaging has resulted in the implementation of a more conservative management for diminutive lesions detected at colonoscopy. In detail, a predict-and-do-not-resect strategy has been proposed for diminutive lesions located in the rectosigmoid tract, whilst a predict-resect-and-discard policy has been advocated for nonrectosigmoid diminutive polyps. Recently, the American Society for Gastrointestinal Endoscopy set required thresholds to be met, before allowing the adoption of these policies in the clinical field. The ability of current endoscopic imaging in reaching these thresholds would depend on a complex interaction among the accuracy of advanced endoscopic imaging in differentiating between adenomatous and hyperplastic lesions, the prevalence of (advanced) neoplasia within diminutive lesions, and the type of surveillance intervals recommended. Aim of this review is to summarize the data supporting the application of both a predict-and-do-not-resect and a predict-resect-and-discard policies, also addressing the potential pitfalls associated with these strategies.

Citations

Citations to this article as recorded by  
  • Pit pattern analysis of colorectal polyps using Storz professional image enhancement system (SPIES) endoscopy: A pilot study
    Emeka Ray-Offor, FatimahBiade Abdulkareem, NzeJ Jebbin
    Journal of West African College of Surgeons.2022; 12(2): 17.     CrossRef
  • Diminutif ve Küçük Kolorektal Poliplerde Kanser Riskinin Değerlendirilmesi
    Nurhan DEMİR
    Artuklu International Journal of Health Sciences.2022; 2(3): 20.     CrossRef
  • POLYP AND ADENOMA DETECTION RATE AND EVALUATION OF DIFFERENT POLYP RETRIEVAL METHODS IN PATIENTS UNDERGOING COLONOSCOPY IN KURDISTAN CENTER FOR GASTROENTEROLOGY AND HEPATOLOGY/SULAIMANI CITY (KCGH)
    Sarkawt Ameen, Muhsin Mohammed, Mohammed Alshaikhani, Mohammed Mohammed, Taha Al-Karbuly, Dana Gharib, Araz Latif
    JOURNAL OF SULAIMANI MEDICAL COLLEGE.2021; 11(4): 407.     CrossRef
  • Efficacy and safety of cold versus hot snare polypectomy for resecting small colorectal polyps: Systematic review and meta‐analysis
    Satoshi Shinozaki, Yasutoshi Kobayashi, Yoshikazu Hayashi, Hirotsugu Sakamoto, Alan Kawarai Lefor, Hironori Yamamoto
    Digestive Endoscopy.2018; 30(5): 592.     CrossRef
  • Clinical, endoscopic and pathological characteristics of colorectal polyps in elderly patients: Single-center experience
    Lei Zhou, Heng Zhang, Shengbin Sun, Manling Huang, Jing Liu, Dan Xu, Min Song, Chenming Sun, Hui Li, Dan Zheng, Yan Fan, Yusheng Liao, Ping Wang, Jie Wu
    Molecular and Clinical Oncology.2017; 7(1): 81.     CrossRef
  • Results of total colonoscopy in the diagnosis of polyps. Case studies in Villavicencio, Colombia
    Mauricio Alberto Melo-Peñaloza
    Revista de la Facultad de Medicina.2017; 65(3): 433.     CrossRef
  • Narrow-band Imaging International Colorectal Endoscopic Classification to predict polyp histology: REDEFINE study (with videos)
    Alessandro Repici, Camilla Ciscato, Loredana Correale, Raf Bisschops, Pradeep Bhandari, Evelien Dekker, Oliver Pech, Franco Radaelli, Cesare Hassan
    Gastrointestinal Endoscopy.2016; 84(3): 479.     CrossRef
  • The Assessment of the Colo-rectal Polyps in Order to the New Diagnostic and Therapeutic Strategies
    Diac Andreea Raluca, Brusnic Olga, Gabos Gabriella, Onisor Danusia, Drasoveanu Silvia Cosmina, Boeriu Alina, Dobru Daniela Ecaterina
    Acta Medica Marisiensis.2015; 61(3): 161.     CrossRef
  • Risk factors for polyp retrieval failure in colonoscopy
    Carlos Fernandes, Rolando Pinho, Iolanda Ribeiro, Joana Silva, Ana Ponte, João Carvalho
    United European Gastroenterology Journal.2015; 3(4): 387.     CrossRef
  • Accuracy of visual prediction of pathology of colorectal polyps: how accurate are we?
    Prashant Sharma, John Frye, Frank Frizelle
    ANZ Journal of Surgery.2014; 84(5): 365.     CrossRef
  • 7,321 View
  • 67 Download
  • 10 Crossref
Close layer
Original Articles
Endoscopic Resection for Rectal Carcinoid Tumors: Comparision of Polypectomy and Endoscopic Submucosal Resection with Band Ligation
Sang Heon Lee, Seun Ja Park, Hyung Hun Kim, Kyung Sun Ok, Ji Hyun Kim, Sam Ryong Jee, Sang Young Seol, Bo Mi Kim
Clin Endosc 2012;45(1):89-94.   Published online March 31, 2012
DOI: https://doi.org/10.5946/ce.2012.45.1.89
Retraction in: Clin Endosc 2015;48(1):87
  • 8,245 View
  • 49 Download
  • 17 Crossref
Close layer
Clipping for the Prevention of Immediate Bleeding after Polypectomy of Pedunculated Polyps: A Pilot Study
Sun-Jin Boo, Jeong-Sik Byeon, Seon Young Park, Jong Sun Rew, Da Mi Lee, Sung Jae Shin, Dong Uk Kim, Geum Am Song
Clin Endosc 2012;45(1):84-88.   Published online March 31, 2012
DOI: https://doi.org/10.5946/ce.2012.45.1.84
AbstractAbstract PDFPubReaderePub
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.

Methods

This 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.

Results

Fifty 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.

Conclusions

We 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.

Citations

Citations to this article as recorded by  
  • A novel technique using endoscopic band ligation for removal of long-stalked (>10 mm) pedunculated colon polyps: A prospective pilot study
    HyunHo Choi, ChangWhan Kim, Hyung-Keun Kim, SangWoo Kim, SokWon Han, KyungJin 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
  • 9,186 View
  • 75 Download
  • 11 Crossref
Close layer
Reviews
Korean Guidelines for Postpolypectomy Colonoscopy Surveillance
Dong-Hoon Yang, Sung Noh Hong, Young-Ho Kim, Sung Pil Hong, Sung Jae Shin, Seong-Eun Kim, Bo In Lee, Suck-Ho Lee, Dong Il Park, Hyun-Soo Kim, Suk-Kyun Yang, Hyo Jong Kim, Se Hyung Kim, Hyun Jung Kim, Multi-Society Task Force for Development of Guidelines for Colorectal Polyp Screening, Surveillance and Management
Clin Endosc 2012;45(1):44-61.   Published online March 31, 2012
DOI: https://doi.org/10.5946/ce.2012.45.1.44
AbstractAbstract PDFSupplementary MaterialPubReaderePub

Postpolypectomy surveillance has become a major indication for colonoscopy as a result of increased use of screening colonoscopy in Korea. In this report, a careful analytic approach was used to address all available evidences to delineate the predictors for advanced neoplasia at surveillance colonoscopy and we elucidated the high risk findings of the index colonoscopy as follows: 3 or more adenomas, any adenoma larger than 10 mm, any tubulovillous or villous adenoma, any adenoma with high-grade dysplasia, and any serrated polyps larger than 10 mm. Surveillance colonoscopy should be performed five years after the index colonoscopy for those without any high-risk findings and three years after the index colonoscopy for those with one or more high risk findings. However, the surveillance interval can be shortened considering the quality of the index colonoscopy, the completeness of polypectomy, the patient's general condition, and family and medical history.

Citations

Citations to this article as recorded by  
  • Post-colonoscopy colorectal cancers in a national fecal immunochemical test-based colorectal cancer screening program
    Pieter H. A. Wisse, Sybrand Y. de Boer, Marco Oudkerk Pool, Jochim S Terhaar sive Droste, Claudia Verveer, Gerrit A. Meijer, Evelien Dekker, Manon C. W. Spaander
    Endoscopy.2024; 56(05): 364.     CrossRef
  • Recurrence rates of advanced colorectal neoplasia (ACN) in subjects with baseline ACN followed up at different surveillance intervals
    Martin C.S. Wong, Eman Yee-man Leung, Sam C.C. Chun, Yunyang Deng, Thomas Lam, Raymond S.Y. Tang, Junjie Huang
    Digestive and Liver Disease.2023; 55(12): 1742.     CrossRef
  • Risk of recurrent advanced colorectal neoplasia in individuals with baseline non‐advanced neoplasia followed up at 5 vs 7–10 years
    Martin C. S. Wong, Eman Yee‐man Leung, Sam C. C. Chun, Yunyang Deng, Thomas Lam, Raymond S. Y. Tang, Junjie Huang
    Journal of Gastroenterology and Hepatology.2023; 38(12): 2122.     CrossRef
  • Third Asia-Pacific consensus recommendations on colorectal cancer screening and postpolypectomy surveillance
    Joseph J Y Sung, Han-Mo Chiu, David Lieberman, Ernst J Kuipers, Matthew D Rutter, Finlay Macrae, Khay-Guan Yeoh, Tiing Leong Ang, Vui Heng Chong, Sneha John, Jingnan Li, Kaichun Wu, Simon S M Ng, Govind K Makharia, Murdani Abdullah, Nozomu Kobayashi, Masa
    Gut.2022; 71(11): 2152.     CrossRef
  • Optimization of the surveillance strategy in patients with colorectal adenomas: A combination of clinical parameters and index colonoscopy findings
    Chan Hyuk Park, Yoon Suk Jung, Nam Hee Kim, Jung Ho Park, Dong Il Park, Chong Il Sohn
    Journal of Gastroenterology and Hepatology.2021; 36(4): 974.     CrossRef
  • Increasing changes in visceral adiposity is associated with higher risk for colorectal adenoma: Multilevel analysis in a prospective cohort
    Jung Min Moon, Jong Pil Im, Donghee Kim, Yoo Min Han, Hosim Soh, Ji Hyun Song, Sun Young Yang, Young Sun Kim, Jeong Yoon Yim, Seon Hee Lim, Joo Sung Kim
    Journal of Gastroenterology and Hepatology.2021; 36(7): 1836.     CrossRef
  • Strategies for colorectal cancer screening and post-polypectomy surveillance for young adults under age 50
    Yoon Suk Jung
    Precision and Future Medicine.2021; 5(2): 69.     CrossRef
  • Adherence to Surveillance Guidelines after the Removal of Colorectal Polyps: A Multinational, Multicenter, Prospective Survey
    Chang Kyo Oh, Satimai Aniwan, Panida Piyachaturawat, Zhiqin Wong, Thida Soe, Bayasgalan Luvsandagva, Quang Trung Tran, Achmad Fauzi, Jeong-Sik Byeon, Young-Seok Cho
    Gut and Liver.2021; 15(6): 878.     CrossRef
  • Colon Polyp Detection in Primary Health Care Institutions of Korea: Detection Rate and Issues with Following the Guidelines
    Sang Hyun Park, Kwang Il Hong, Hyun Chul Park, Young Sun Kim, Gene Hyun Bok, Kyung Ho Kim, Dong Suk Shin, Jae Yong Han, Young Kwan Kim, Yeun Jong Choi, Soo Hoon Eun, Byung Hoon Lim, Kyeong Kun Kwack
    The Korean Journal of Gastroenterology.2021; 78(6): 328.     CrossRef
  • Effect of Cotinine-Verified Change in Smoking Status on Risk of Metachronous Colorectal Neoplasia After Polypectomy
    Yoon Suk Jung, Nam Hee Kim, Mi Yeon Lee, Jung Ho Park, Dong Il Park, Chong Il Sohn
    Clinical Gastroenterology and Hepatology.2020; 18(1): 163.     CrossRef
  • Risk of developing metachronous advanced colorectal neoplasia after resection of low-risk diminutive versus small adenomas
    Nam Hee Kim, Yoon Suk Jung, Jung Ho Park, Dong Il Park, Chong Il Sohn
    Gastrointestinal Endoscopy.2020; 91(3): 622.     CrossRef
  • Colorectal sessile serrated lesion with large size or synchronous neoplasm: a prospective study
    Laxmi B. Chavali, Kun Hu, Anish Sheth, Nan Gao, Wei Xiong, Lanjing Zhang
    European Journal of Gastroenterology & Hepatology.2020; 32(2): 199.     CrossRef
  • Colorectal Polyp Prevalence According to Alcohol Consumption, Smoking and Obesity
    Kyujin Lee, Yong Hwan Kim
    International Journal of Environmental Research and Public Health.2020; 17(7): 2387.     CrossRef
  • Comparative systematic review and meta-analysis of 1- to 5-mm versus 6- to 9-mm adenomas on the risk of metachronous advanced colorectal neoplasia
    Yoon Suk Jung, Tae Jun Kim, Eunwoo Nam, Chan Hyuk Park
    Gastrointestinal Endoscopy.2020; 92(3): 692.     CrossRef
  • The current capacity and quality of colonoscopy in Korea
    Jae Ho Choi, Jae Myung Cha, Jin Young Yoon, Min Seob Kwak, Jung Won Jeon, Hyun Phil Shin
    Intestinal Research.2019; 17(1): 119.     CrossRef
  • Appropriate Surveillance Interval after Colonoscopic Polypectomy in Patients Younger than 50 Years
    Yoon Suk Jung, Nam Hee Kim, Jung Ho Park, Dong Il Park, Chong Il Sohn
    Journal of Korean Medical Science.2019;[Epub]     CrossRef
  • Terminology, Molecular Features, Epidemiology, and Management of Serrated Colorectal Neoplasia
    Seth D. Crockett, Iris D. Nagtegaal
    Gastroenterology.2019; 157(4): 949.     CrossRef
  • Risk of Developing Metachronous Advanced Colorectal Neoplasia After Polypectomy in Patients With Multiple Diminutive or Small Adenomas
    Nam Hee Kim, Yoon Suk Jung, Mi Yeon Lee, Jung Ho Park, Dong Il Park, Chong Il Sohn
    American Journal of Gastroenterology.2019; 114(10): 1657.     CrossRef
  • Visceral obesity as a risk factor for colorectal adenoma occurrence in surveillance colonoscopy
    Jong Pil Im, Donghee Kim, Su Jin Chung, Eun Hyo Jin, Yoo Min Han, Min Jung Park, Ji Hyun Song, Sun Young Yang, Young Sun Kim, Jeong Yoon Yim, Seon Hee Lim, Joo Sung Kim
    Gastrointestinal Endoscopy.2018; 88(1): 119.     CrossRef
  • Guideline Adherence to Colonoscopic Surveillance Intervals after Polypectomy in Korea: Results from a Nationwide Survey
    Seri Hong, Mina Suh, Kui Son Choi, Boyoung Park, Jae Myung Cha, Hyun-Soo Kim, Jae Kwan Jun, Dong Soo Han
    Gut and Liver.2018; 12(4): 426.     CrossRef
  • Risk factors of nonadherence to colonoscopy surveillance after polypectomy and its impact on clinical outcomes: a KASID multicenter study
    Chung Hyun Tae, Chang Mo Moon, Seong-Eun Kim, Sung-Ae Jung, Chang Soo Eun, Jae Jun Park, Geom Seog Seo, Jae Myung Cha, Sung Chul Park, Jaeyoung Chun, Hyun Jung Lee, Yunho Jung, Jin Oh Kim, Young-Eun Joo, Dong Il Park
    Journal of Gastroenterology.2017; 52(7): 809.     CrossRef
  • Unusual Local Recurrence with Distant Metastasis after Successful Endoscopic Submucosal Dissection for Colorectal Mucosal Cancer
    Hyo Jeong Lee, Byong Duk Ye, Jeong-Sik Byeon, Jihun Kim, Young Soo Park, Yong Sang Hong, Yong Sik Yoon, Dong-Hoon Yang
    Clinical Endoscopy.2017; 50(1): 91.     CrossRef
  • Determining the optimal surveillance interval after a colonoscopic polypectomy for the Korean population?
    Jung Lok Lee, Jae Myung Cha, Hye Min Lee, Jung Won Jeon, Min Seob Kwak, Jin Young Yoon, Hyun Phil Shin, Kwang Ro Joo, Joung Il Lee, Dong Il Park
    Intestinal Research.2017; 15(1): 109.     CrossRef
  • Advanced Colonic Neoplasia at Follow-up Colonoscopy According to Risk Components and Adenoma Location at Index Colonoscopy: A Retrospective Study of 1,974 Asymptomatic Koreans
    Su Jung Baik, Hyojin Park, Jae Jun Park, Hyun Ju Lee, So Young Jo, Yoo Mi Park, Hye Sun Lee
    Gut and Liver.2017; 11(5): 667.     CrossRef
  • The Serrated Polyp Pathway: Is It Time to Alter Surveillance Guidelines?
    Brendon O’Connell, Nazar Hafiz, Seth Crockett
    Current Gastroenterology Reports.2017;[Epub]     CrossRef
  • Optimizing post‐polypectomy surveillance: A practical guide for the endoscopist
    Roel Bogie, Silvia Sanduleanu
    Digestive Endoscopy.2016; 28(3): 348.     CrossRef
  • Cap-assisted EMR for rectal neuroendocrine tumors: comparisons with conventional EMR and endoscopic submucosal dissection (with videos)
    Dong-Hoon Yang, Yangsoon Park, Sang Hyoung Park, Kyung-Jo Kim, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang
    Gastrointestinal Endoscopy.2016; 83(5): 1015.     CrossRef
  • Colorectal cancer screening of the general population in East Asia
    Yasushi Sano, Jeong‐Sik Byeon, Xiao‐Bo Li, Martin C.S. Wong, Han‐Mo Chiu, Rungsun Rerknimitr, Takahiro Utsumi, Santa Hattori, Wataru Sano, Mineo Iwatate, Philip Chiu, Joseph Sung
    Digestive Endoscopy.2016; 28(3): 243.     CrossRef
  • Surveillance colonoscopy after endoscopic treatment for colorectal neoplasia: From the standpoint of the Asia–Pacific region
    Takahisa Matsuda, Han‐Mo Chiu, Yasushi Sano, Takahiro Fujii, Akiko Ono, Yutaka Saito
    Digestive Endoscopy.2016; 28(3): 342.     CrossRef
  • Long-Term Outcome and Surveillance Colonoscopy after Successful Endoscopic Treatment of Large Sessile Colorectal Polyps
    Bun Kim, A Ra Choi, Soo Jung Park, Jae Hee Cheon, Tae Il Kim, Won Ho Kim, Sung Pil Hong
    Yonsei Medical Journal.2016; 57(5): 1106.     CrossRef
  • Probability of High-Risk Colorectal Neoplasm Recurrence Based on the Results of Two Previous Colonoscopies
    Hye Won Park, Seungbong Han, Ji Young Lee, Hye-Sook Chang, Jaewon Choe, Yunsik Choi, Hoonsub So, Dong-Hoon Yang, Seung-Jae Myung, Suk-Kyun Yang, Jin-Ho Kim, Jeong-Sik Byeon
    Digestive Diseases and Sciences.2015; 60(1): 226.     CrossRef
  • Distribution of the Colonoscopic Adenoma Detection Rate According to Age: Is Recommending Colonoscopy Screening for Koreans Over the Age of 50 Safe?
    Taeseok Bae, Yunhyung Ha, Changkyun Kim, Jihyun Lee, Kwangil Ha, Sanghyun Shin, Youngcheol Lee, Yoonsik Kang
    Annals of Coloproctology.2015; 31(2): 46.     CrossRef
  • Risk of adenomas with high‐risk characteristics based on two previous colonoscopy
    Kang‐Heum Suh, Ja Seol Koo, Jong Jin Hyun, Jungsoon Choi, Jang Soo Han, Seung Young Kim, Sung Woo Jung, Yoon Tae Jeen, Sang Woo Lee, Jai Hyun Choi
    Journal of Gastroenterology and Hepatology.2014; 29(12): 1985.     CrossRef
  • Only the Size of Resected Polyps Is an Independent Risk Factor for Delayed Postpolypectomy Hemorrhage: A 10-Year Single-Center Case-Control Study
    Hee Seok Moon, Sun Wook Park, Dong Hwan Kim, Sun Hyung Kang, Jae Kyu Sung, Hyun Yong Jeong
    Annals of Coloproctology.2014; 30(4): 182.     CrossRef
  • Prevalence of and Risk Factors for Gastrointestinal Diseases in Korean Americans and Native Koreans Undergoing Screening Endoscopy
    Hee Sun Kim, Su Jung Baik, Kyung Hee Kim, Cho Rong Oh, Jung Hyun Lee, Wan Jae Jo, Hye Kyoung Kim, Eun Young Kim, Min Jung Kim
    Gut and Liver.2013; 7(5): 539.     CrossRef
  • Proximal colon cancer and serrated adenomas – hunting the missing 10%
    Pelvender Gill, Hannah Rafferty, David Munday, Adam Bailey, Lai Mun Wang, James E East, Runjan Chetty, Simon J Leedham
    Clinical Medicine.2013; 13(6): 557.     CrossRef
  • Relationship of Non-Alcoholic Fatty Liver Disease to Colorectal Neoplasia
    Jue Yong Lee, Ja Won Kim
    Korean Journal of Medicine.2013; 84(3): 363.     CrossRef
  • Highlights of International Digestive Endoscopy Network 2013
    Kwang An Kwon, Il Ju Choi, Eun Young Kim, Seok Ho Dong, Ki Baik Hahm
    Clinical Endoscopy.2013; 46(5): 425.     CrossRef
  • 10,276 View
  • 161 Download
  • 38 Crossref
Close layer
Korean Guideline for Colonoscopic Polypectomy
Suck-Ho Lee, Sung Jae Shin, Dong Il Park, Seong-Eun Kim, Hae Jeong Jeon, Se Hyung Kim, Sung Pil Hong, Sung Noh Hong, Dong-Hoon Yang, Bo In Lee, Young-Ho Kim, Hyun-Soo Kim, Hyun Jung Kim, Suk-Kyun Yang, Hyo Jong Kim, Multi-Society Task Force for Development of Guidelines for Colorectal Polyp Screening, Surveillance and Management
Clin Endosc 2012;45(1):11-24.   Published online March 31, 2012
DOI: https://doi.org/10.5946/ce.2012.45.1.11
AbstractAbstract PDFSupplementary MaterialPubReaderePub

There is indirect evidence to suggest that 80% of colorectal cancers (CRC) develop from adenomatous polyps and that, on average, it takes 10 years for a small polyp to transform into invasive CRC. In multiple cohort studies, colonoscopic polypectomy has been shown to significantly reduce the expected incidence of CRC by 76% to 90%. Colonoscopic polypectomy is performed frequently in primary outpatient clinics and secondary and tertiary medical centers in Korea. However, there are no evidence-based, procedural guidelines for the appropriate performance of this procedure, including the technical aspects. For the guideline presented here, PubMed, Medline, and Cochrane Library literature searches were performed. When little or no data from well-designed prospective trials were available, an emphasis was placed on the results from large series and reports from recognized experts. Thus, these guidelines for colonoscopic polypectomy are based on a critical review of the available data as well as expert consensus. Further controlled clinical studies are needed to clarify aspects of this statement, and revision may be necessary as new data become available. This guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients. This guideline is not a rule and should not be construed as a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment. Clinical decisions for any particular case involve a complex analysis of the patient's condition and the available courses of action.

Citations

Citations to this article as recorded by  
  • Modified underwater endoscopic mucosal resection for intermediate-sized sessile colorectal polyps
    Dong Hyun Kim, Seon-Young Park, Hye-Su You, Yong-Wook Jung, Young-Eun Joo, Dae-Seong Myung, Hyun-Soo Kim, Nah Ihm Kim, Seong-Jung Kim, Jae Kyun Ju
    Frontiers in Medicine.2023;[Epub]     CrossRef
  • Endoscopic treatment of colorectal polyps and early colorectal cancer
    Yunho Jung
    Journal of the Korean Medical Association.2023; 66(11): 642.     CrossRef
  • Circumferential submucosal incision prior to endoscopic mucosal resection versus conventional endoscopic mucosal resection for colorectal lesions with endoscopic features of sessile serrated lesions
    Chang Kyo Oh, Bo-In Lee, Sung Hak Lee, Seung-Jun Kim, Han Hee Lee, Chul-Hyun Lim, Jin Su Kim, Yu Kyung Cho, Jae Myung Park, Young-Seok Cho, In Seok Lee, Myung-Gyu Choi
    Surgical Endoscopy.2022; 36(3): 2087.     CrossRef
  • Polypectomy for Diminutive and Small Colorectal Polyps
    Melissa Zarandi-Nowroozi, Roupen Djinbachian, Daniel von Renteln
    Gastrointestinal Endoscopy Clinics of North America.2022; 32(2): 241.     CrossRef
  • Risk of post-polypectomy bleeding after endoscopic mucosal resection in patients receiving antiplatelet medication: comparison between the continue and hold groups
    Sang Hyun Park, Soo-Kyung Park, Hyo-Joon Yang, Yoon Suk Jung, Jung Ho Park, Chong Il Sohn, Dong Il Park
    Surgical Endoscopy.2022; 36(9): 6410.     CrossRef
  • Hot snare polypectomy versus endoscopic mucosal resection for small colorectal polyps: a randomized controlled trial
    Seung-Jun Kim, Bo-In Lee, Eun Sun Jung, Joon Sung Kim, Sun-Young Jun, Woohyeon Kim, Hyoju Ham, Minah Kim, Sung Hak Lee, Han Hee Lee, Jae Myung Park, Myung-Gyu Choi
    Surgical Endoscopy.2021; 35(9): 5096.     CrossRef
  • Gastrointestinal and Nongastrointestinal Complications of Esophagogastroduodenoscopy and Colonoscopy in the Real World: A Nationwide Standard Cohort Using the Common Data Model Database
    Ha Il Kim, Jin Young Yoon, Min Seob Kwak, Jae Myung Cha
    Gut and Liver.2021; 15(4): 569.     CrossRef
  • Clinical Practice Guideline for the Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy
    Hyun Lim, Eun Jeong Gong, Byung-Hoon Min, Seung Joo Kang, Cheol Min Shin, Jeong-Sik Byeon, Miyoung Choi, Chan Guk Park, Joo Young Cho, Soo Teik Lee, Ho Gak Kim, Hoon Jai Chun
    The Korean Journal of Gastroenterology.2020; 76(6): 282.     CrossRef
  • Endoscopic Submucosal Dissection for Colitis-Associated Dysplasia
    Dong-Hoon Yang, Imelda Rey
    Clinical Endoscopy.2019; 52(2): 120.     CrossRef
  • Prospective analysis of delayed colorectal post-polypectomy bleeding
    Soo-Kyung Park, Jeong Yeon Seo, Min-Gu Lee, Hyo-Joon Yang, Yoon Suk Jung, Kyu Yong Choi, Hungdai Kim, Hyung Ook Kim, Kyung Uk Jung, Ho-Kyung Chun, Dong Il Park
    Surgical Endoscopy.2018; 32(7): 3282.     CrossRef
  • Endoscopic Instruments and Electrosurgical Unit for Colonoscopic Polypectomy
    Hong Jun Park
    Clinical Endoscopy.2016; 49(4): 350.     CrossRef
  • Effectiveness of adjuvant radiotherapy after local excision of rectal cancer with deep submucosal invasion: a single-hospital, case–control analysis
    Seohyun Lee, Chang Gok Woo, Hyo Jeong Lee, Kyung-Jo Kim, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang, Young Soo Park, Jin-hong Park, Jong Hoon Kim, Seok-Byung Lim, Jin Cheon Kim, Chang Sik Yu, Dong-Hoon Yang
    Surgical Endoscopy.2015; 29(11): 3231.     CrossRef
  • The Feasibility of Performing Colorectal Endoscopic Submucosal Dissection Without Previous Experience in Performing Gastric Endoscopic Submucosal Dissection
    Dong-Hoon Yang, Gwi Hong Jeong, Yerim Song, Sang Hyoung Park, Soo-Kyung Park, Jong Wook Kim, Kee Wook Jung, Kyung-Jo Kim, Byong Duk Ye, Seung-Jae Myung, Suk-Kyun Yang, Jin-Ho Kim, Young Soo Park, Jeong-Sik Byeon
    Digestive Diseases and Sciences.2015; 60(11): 3431.     CrossRef
  • Association between the Position of Colorectal Polyps and Clinical Outcomes of Polypectomy: Focused on Procedure Time, Complication and Histopatholgic Result
    Jung Hyun Park, Jae Hyeok Choi, Hyeong Jung Na, Won Geon Kwak, Jong Sun Choi, Eo Jin Kim, Jae Hak Kim
    Intestinal Research.2013; 11(3): 191.     CrossRef
  • Preparation and Patient Evaluation for Safe Gastrointestinal Endoscopy
    Seong Hee Kang, Jong Jin Hyun
    Clinical Endoscopy.2013; 46(3): 212.     CrossRef
  • International Digestive Endoscopy Network to Strengthen Network for Lower Gastrointestinal Diseases Including Inflammatory Bowel Disease and Colorectal Cancer
    Kwang An Kwon
    Clinical Endoscopy.2012; 45(3): 251.     CrossRef
  • 10,436 View
  • 138 Download
  • 16 Crossref
Close layer
A Case of Postpolypectomy Coagulation Syndrome Had a Hemicolectomy
Song Yi Song, M.D., Young Kyung Sung, M.D., Hye Jeong Kim, M.D., Soyoung Bae, M.D., Silvia Park, M.D., Yong Beom Cho, M.D.*, Jin Yong Kim, M.D. and Seung Min Chung, M.D.
Korean J Gastrointest Endosc 2010;41(4):236-239.   Published online October 30, 2010
AbstractAbstract PDF
Colonoscopy is commonly used as a screening tool for colorectal polyps and cancer. It also offers a chance to remove polyps via the polypectomy technique. Colonoscopic polypectomy is a relatively safe procedure, yet there is the possibility of serious complications such as perforation and bleeding. Postpolypectomy coagulation syndrome presents with pain, fever, an elevated white blood cell count and signs of peritoneal irritation, and usually within 12 hours of the procedure. No free air is seen on plain films or a CT scan, which is different from frank bowel perforation. The management of postpolypectomy coagulation syndrome includes fasting, antibiotics and intravenous hydration. We report here on a case of a 53-year-old woman who underwent right hemicolectomy because she presented with fever, signs of peritoneal irritation and shock after colonoscopic polypectomy. The final diagnosis was postpolypectomy coagulation syndrome as there was no perforation in the resected specimen. (Korean J Gastrointest Endosc 2010;41:236-239)
  • 2,531 View
  • 23 Download
Close layer
Partial Duodenal Obstruction Caused by an Impacted Gastritis Cystica Polyposa
Ju Hwan Kim, M.D., Chang Il Kwon, M.D., Seung Won Koo, M.D., Kwang Ho Yoo, M.D., Gwang Il Kim, M.D.*, So Young Chong, M.D., Kwang Hyun Ko, M.D. and Sung Pyo Hong, M.D.
Korean J Gastrointest Endosc 2010;41(4):228-231.   Published online October 30, 2010
AbstractAbstract PDF
Gastritis cystica polyposa is an uncommon lesion that usually occurs at the gastroenterostomy site, but it may also develop in the non-operated stomach. This malady is characterized by polypoid mucosal changes with hyperplasia and cystic dilatation of glands that infiltrate into the submucosal layer. We report here on a case of gastritis cystica polyposa that presented as a mass impacted in the duodenum in a 63-year-old male, and this patient had been admitted for evaluation of progressive epigastric fullness and dyspepsia. Esophagogastroduodenoscopy revealed that the partial duodenal obstruction was caused by impaction of a huge polypoid mass with a stalk that originated from the lower body of the stomach. We fished out the impacted mass with a forceps catheter while holding the neck with a snare catheter. Thereafter, an endoloop was applied to the stalk of mass, and this was followed by polypectomy using a snare catheter. (Korean J Gastrointest Endosc 2010;41:228-231)
  • 2,114 View
  • 5 Download
Close layer
A Case of Colonic Intussusception Occurring after Colonoscopic Polypectomy
Sa Il Kim, M.D., Yong Cheol Jeon, M.D., Gil Woo Lee, M.D., Young Taek Kim, M.D., Tae Yeob Kim, M.D., Chang Soo Eun, M.D., Dong Soo Han, M.D. and Joo Hyun Sohn, M.D.
Korean J Gastrointest Endosc 2010;41(3):172-175.   Published online September 30, 2010
AbstractAbstract PDF
Intestinal intussusception in adults is a rare disease. Most of the cases of adult intussusception are secondary to a definable lesion, and so surgical treatment generally needed. Intussusception that occurs after colonoscopic polypectomy is apparently a rare malady. A 77-year old man undergoing colonoscopic polypectomy was diagnosed as having colonic intussusception at the hepatic flexure. As there was no clinical improvement with conservative treatment, he underwent segmental resection of the ascending and transverse colon. Pathologic examination revealed that the colonoscopic polypectomy site was a leading point of the intussusception. (Korean J Gastrointest Endosc 2010;41:172-175)
  • 2,292 View
  • 18 Download
Close layer
A Case of Hamartomatous Polyp without Peutz-Jeghers Syndrome Arising from Appendix
Wee Sik Sohn, M.D., Ju Sang Park, M.D., Ji Eun Kim, M.D., Bong Hwan Kim, M.D., Seung Hee Yoo, M.D. and Eun Mee Han, M.D.*
Korean J Gastrointest Endosc 2010;41(1):36-40.   Published online July 31, 2010
AbstractAbstract PDF
Peutz-Jeghers syndrome is a familial syndrome consisting of mucocutaneous pigmentation and gastrointestinal polyposis and appears to be inherited as a single pleiotropic autosomal dominant gene with variable and incomplete penetrance. Cases of hamartomatous polyps of the Peutz-Jeghers type without Peutz-Jeghers syndrome have only rarely been reported. Moreover, only one case of a Peutz-Jeghers polyp at the appendix has been reported; it was resected by appendectomy. We report here on a case of a 45 year old man who had a hamartomatous polyp of the Peutz-Jeghers type arising from the appendix. The polyp was successfully removed by endoscopic polypectomy. To our knowledge, this is the first case of a hamartomatous polyp of the Peutz-Jeghers type that originated from the appendix and that was resected endoscopically. (Korean J Gastrointest Endosc 2010;41:36-40)
  • 2,106 View
  • 15 Download
Close layer
Risk Factors for Delayed Bleeding after Colonoscopic Polypectomy
Woo Jin Han, M.D., Yoon Jae Kim, M.D., Jung Gon Kim, M.D., Tae Kyung Kim, M.D., Seo Young Lee, M.D., Moon Sook Cho, M.D., Jun Won Chung, M.D., Dong Kyun Park, M.D., Ki Baik Hahm, M.D., Yun Soo Kim, M.D. and Ju Hyun Kim, M.D.
Korean J Gastrointest Endosc 2010;40(3):164-169.   Published online March 30, 2010
AbstractAbstract PDF
Background
/Aims: The aim of this study was to identify risk factors for delayed bleeding after colonoscopic polypectomy.
Methods
3,530 polypectomies in 1,542 patients were evaluated. Risk factors were identified among patient-related factors (age, sex, comorbidity, anticoagulants, antiplatelets), polyp-related factors (size, shape, location, histology), and procedure-related factors (experience of the endoscopist, sedation, resection method).
Results
Delayed bleeding occurred in 26 lesions (0.7%) of 24 patients (1.6%). Polyp-based multivariate analysis revealed that polyp size greater than 15 mm (OR, 2.882; 95% CI, 1.106 to 7.506; p=0.030) and sedation-free colonoscopy (OR, 2.606; 95% CI, 1.116 to 6.084; p=0.027) were significant risk factors for delayed bleeding after polypectomy. In colonoscopy-based analysis, hypertension increased the risk of delayed bleeding after polypectomy (OR, 2.938; 95% CI, 1.009 to 8.557; p=0.048).
Conclusions
Large polyp size, sedation-free colonoscopy, and hypertension are associated with delayed bleeding after colonoscopic polypectomy. (Korean J Gastrointest Endosc 2010;40:164-169)
  • 2,387 View
  • 11 Download
Close layer
Endoscopic Polypectomy of Small Intestinal Peutz-Jeghers Polyps with Double Balloon Enteroscopy
Mi-Young Kim, M.D., Jeong-Sik Byeon, M.D., Kee Don Choi, M.D., Byong Duk Ye, M.D., Dong-Hoon Yang, M.D., Soon Man Yoon, M.D., Kyung-Jo Kim, M.D., Seung-Jae Myung, M.D., Suk-Kyun Yang, M.D. and Jin-Ho Kim, M.D.
Korean J Gastrointest Endosc 2009;39(6):338-345.   Published online December 30, 2009
AbstractAbstract PDF
Background
/Aims: Small intestinal polyps in patients with Peutz-Jeghers (PJ) syndrome cause therapeutic difficulties because of the necessity for repeated laparotomy. We evaluated the short-term outcomes and long-term usefulness of double balloon enteroscopy (DBE) polypectomy for treating small intestinal PJ polyps.
Methods
We retrospectively reviewed 10 patients with PJ syndrome (M:F=7:3, mean age 22.7 years) and whose small intestinal polyps were resected with DBE between January 2005 and July 2008. We analyzed their clinical, endoscopic and pathologic features, the short-term outcomes and the long-term follow-up results.
Results
Among 10 patients, 2 complained hematochezia and 2 presented with intussusceptions. DBE polypectomy was performed by the oral route in 4 patients, by the anal route in 1 and by both routes in 5 without significant complications, except for only one perforation. The polyps were 0.5∼6 cm in size and most of them were pedunculated. The histopathology revealed hamartomatous polyps in most cases. Follow-up small bowel series was performed in 6 of 10 patients, and 3 showed remnant polyps. Two of them underwent repeated DBE polypectomy without significant complications.
Conclusions
We suggest that DBE polypectomy is a useful treatment for PJ small intestinal polyps because of the good short-term outcome and the effectiveness of repeated polypectomy for the remnant or recurrent polyps. (Korean J Gastrointest Endosc 2009;39:338-345)
  • 2,189 View
  • 8 Download
Close layer
Endoscopic Polypectomy of Primary Rectal Mature Teratoma: A Case Report
Jongha Park, M.D., Jeong-Sik Byeon, M.D., Jeong-Hyeon Jo, M.D.*, Kyung-Jo Kim, M.D., Byong Duk Ye, M.D., Seung-Jae Myung, M.D., Suk-Kyun Yang, M.D. and Jin-Ho Kim, M.D.
Korean J Gastrointest Endosc 2009;39(5):308-312.   Published online November 30, 2009
AbstractAbstract PDF
Teratoma is a type of benign germ cell tumor that often contains several different types of tissue such as hair, muscle and bone, and these tissues arise from the three germinal layers. It occurs most often in the tailbones of children, the ovaries of women and the testicles of men. Primary rectal teratoma is extremely rare. We report here on a case of a 49-year-old woman with a primary rectal teratoma, and this was incidentally found during routine health screening. The rectal teratoma was a 15 mm-sized pedunculated polyp with a short stalk at the rectum, about 15 cm from anal verge as seen on CT colonography. On sigmoidoscopy and EUS, a fat and calcium containing well-defined polypoid lesion was noted in the upper rectum, with a narrow stalk attached to the colonic wall. The tumor was successfully excised by endoscopic polypectomy in order to obtain the histologic diagnosis and administer the proper treatment. (Korean J Gastrointest Endosc 2009;39:308-312)
  • 1,978 View
  • 18 Download
Close layer
Rectal Leiomyoma Diagnosed by Endoscopic Ultrasonography and Endoscopic Polypectomy
Sung Whan Cho, M.D., Hyung Yook Kim, M.D.* and Ung Suk Yang, M.D.
Korean J Gastrointest Endosc 2009;38(3):151-155.   Published online March 30, 2009
AbstractAbstract PDF
Leiomyoma of the rectum is a rare tumor and it usually present in 40 to 60 year-old individuals, and it is more frequent in men. It originates from either the muscularis mucosa or muscularis externa and those arising from the muscularis mucosa are typically small and they are identified incidentally in patients who are undergoing sigmoidoscopy. In contrast, the larger leiomyomas arising from the muscularis externa generally present symptoms that are consistent with rectal stenosis or a rectal mass. Endoscopic ultrasonography can help to define the tumor location, extension and size. Surgical resection is the treatment for most leiomyomas of the rectum, but endoscopic electroexcision is a safe and appropriate treatment for small polypoid rectal leiomyoma. We report here on a case of a semipedunculated rectal leiomyoma in a 59 year-old female patient. It was found incidentally during a colonoscopic examination and it was diagnosed by endoscopic ultrasonography. We performed endoscopic mucosal resection with colonoscopic snare electrocoagulation. (Korean J Gastrointest Endosc 2009;38:151-155)
  • 2,566 View
  • 16 Download
Close layer
A Case of Delayed Massive Hemorrhage after Endoscopic Resecting a Rectal Carcinoid Tumor
So Mi Kim, M.D., Se Young Yun, M.D., Hoon Choi, M.D., Jae Huan Kong, M.D. and Sung Soo La, M.D.
Korean J Gastrointest Endosc 2009;38(2):111-115.   Published online February 27, 2009
AbstractAbstract PDF
Endoscopic resection is currently accepted as a standard therapy for colon polyp because of its safety and efficiency. The indications for endoscopic resection have been expanded to treat mucosal colon cancer and submucosal tumor. The major complications of endoscopic resection are hemorrhage, perforation and post- polypectomy coagulation syndrome. Hemorrhage is the most common complication, and this can occur immediately following colonoscopic polypectomy or it can be delayed after completion of the procedure. Delayed hemorrhage usually occurs within 7 days and this can stop by itself or the hemorrhage can be controlled endoscopically in the majority of patients, with only the unusual and serious cases requiring transfusion, angiography and surgery. We experienced a case of delayed massive hemorrhage with hypotension that required transfusion 12 days after performing endoscopic resection for rectal carcinoid tumor. We report here on this case to provide a good example and to place emphasis on delayed massive hemorrhage after endoscopic resection. (Korean J Gastrointest Endosc 2009;38: 111-115)
  • 2,467 View
  • 5 Download
Close layer

Close layer
TOP