Skip Navigation
Skip to contents

Clin Endosc : Clinical Endoscopy



Page Path
HOME > Search
17 "Surveillance"
Article category
Publication year
Funded articles
Surveillance for metachronous cancers after endoscopic resection of esophageal squamous cell carcinoma
Ryu Ishihara
Received October 10, 2023  Accepted December 17, 2023  Published online May 10, 2024  
DOI:    [Epub ahead of print]
AbstractAbstract PDFPubReaderePub
The literature pertaining to surveillance following treatment for esophageal squamous cell carcinoma (SCC) was reviewed and summarized, encompassing the current status and future perspectives. Analysis of the standardized mortality and incidence ratios for these cancers indicates an elevated risk of cancer in the oral cavity, pharynx, larynx, and lungs among patients with esophageal SCC compared to the general population. To enhance the efficacy of surveillance for these metachronous cancers, risk stratification is needed. Various factors, including multiple Lugol-voiding lesions, multiple foci of dilated vascular areas, young age, and high mean corpuscular volume, have been identified as predictors of metachronous SCCs. Current practice involves stratifying the risk of metachronous esophageal and head/neck SCCs based on the presence of multiple Lugol-voiding lesions. Endoscopic surveillance, scheduled 6–12 months post-endoscopic resection, has demonstrated effectiveness, with over 90% of metachronous esophageal SCCs treatable through minimally invasive modalities. Narrow-band imaging emerges as the preferred surveillance method for esophageal and head/neck SCC based on comparative studies of various imaging techniques. Innovative approaches, such as artificial intelligence-assisted detection systems and radiofrequency ablation of high-risk background mucosa, may improve outcomes in patients following endoscopic resection.
  • 1,725 View
  • 72 Download
Close layer
Recent advances in surveillance colonoscopy for dysplasia in inflammatory bowel disease
Soo-Young Na, Won Moon
Clin Endosc 2022;55(6):726-735.   Published online November 18, 2022
AbstractAbstract PDFPubReaderePub
Inflammatory bowel disease (IBD) has a global presence with rapidly increasing incidence and prevalence. Patients with IBD including those with ulcerative colitis and Crohn’s disease have a higher risk of developing colorectal cancer (CRC) compared to the general population. Risk factors for CRC in patients with IBD include long disease duration, extensive colitis, primary sclerosing cholangitis, family history of CRC, stricture, and prior dysplasia. Surveillance colonoscopy for CRC in patients with IBD should be tailored to individualized risk factors and requires careful monitoring every year to every five years. The current surveillance techniques are based on several guidelines. Chromoendoscopy with targeted biopsy is being recommended increasingly, and high-definition colonoscopy is gradually replacing standard-definition colonoscopy. However, it remains unclear whether chromoendoscopy, virtual chromoendoscopy, or white-light endoscopy has better efficiency when a high-definition scope is used. With the development of new endoscopic instruments and techniques, the paradigm of surveillance strategy has gradually changed. In this review, we discuss cutting-edge surveillance colonoscopy in patients with IBD including a review of literature.


Citations to this article as recorded by  
  • Inflammatory bowel disease and primary sclerosing cholangitis: One disease or two?
    Kim N. van Munster, Annika Bergquist, Cyriel Y. Ponsioen
    Journal of Hepatology.2024; 80(1): 155.     CrossRef
  • Extrachromosomal Circular DNA: An Emerging Potential Biomarker for Inflammatory Bowel Diseases?
    Valentina Petito, Federica Di Vincenzo, Lorenza Putignani, Maria T. Abreu, Birgitte Regenberg, Antonio Gasbarrini, Franco Scaldaferri
    Genes.2024; 15(4): 414.     CrossRef
  • A Review of Colonoscopy in Intestinal Diseases
    Seung Min Hong, Dong Hoon Baek
    Diagnostics.2023; 13(7): 1262.     CrossRef
  • Potential Oral Microbial Markers for Differential Diagnosis of Crohn’s Disease and Ulcerative Colitis Using Machine Learning Models
    Sang-Bum Kang, Hyeonwoo Kim, Sangsoo Kim, Jiwon Kim, Soo-Kyung Park, Chil-Woo Lee, Kyeong Ok Kim, Geom-Seog Seo, Min Suk Kim, Jae Myung Cha, Ja Seol Koo, Dong-Il Park
    Microorganisms.2023; 11(7): 1665.     CrossRef
  • Update on Endoscopic Dysplasia Surveillance in Inflammatory Bowel Disease
    Nayantara Coelho-Prabhu, James D. Lewis
    American Journal of Gastroenterology.2023; 118(10): 1748.     CrossRef
  • 3,031 View
  • 208 Download
  • 5 Web of Science
  • 5 Crossref
Close layer
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
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 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
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 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
Systematic Review and Meta-Analysis
Contamination Rates in Duodenoscopes Reprocessed Using Enhanced Surveillance and Reprocessing Techniques: A Systematic Review and Meta-Analysis
Shivanand Bomman, Munish Ashat, Navroop Nagra, Mahendran Jayaraj, Shruti Chandra, Richard A Kozarek, Andrew Ross, Rajesh Krishnamoorthi
Clin Endosc 2022;55(1):33-40.   Published online January 3, 2022
AbstractAbstract PDFSupplementary MaterialPubReaderePub
/Aims: Multiple outbreaks of multidrug-resistant organisms have been reported worldwide due to contaminated duodenoscopes. In 2015, the United States Food and Drug Administration recommended the following supplemental enhanced surveillance and reprocessing techniques (ESRT) to improve duodenoscope disinfection: (1) microbiological culture, (2) ethylene oxide sterilization, (3) liquid chemical sterilant processing system, and (4) double high-level disinfection. A systematic review and meta-analysis was performed to assess the impact of ESRT on the contamination rates.
A thorough and systematic search was performed across several databases and conference proceedings from inception until January 2021, and all studies reporting the effectiveness of various ESRTs were identified. The pooled contamination rates of post-ESRT duodenoscopes were estimated using the random effects model.
A total of seven studies using various ESRTs were incorporated in the analysis, which included a total of 9,084 post-ESRT duodenoscope cultures. The pooled contamination rate of the post-ESRT duodenoscope was 5% (95% confidence interval [CI]: 2.3%–10.8%, inconsistency index [I2]=97.97%). Pooled contamination rates for high-risk organisms were 0.8% (95% CI: 0.2%–2.7%, I2=94.96).
While ESRT may improve the disinfection process, a post-ESRT contamination rate of 5% is not negligible. Ongoing efforts to mitigate the rate of contamination by improving disinfection techniques and innovations in duodenoscope design to improve safety are warranted.


Citations to this article as recorded by  
  • Recommendations and guidelines for endoscope reprocessing: Current position statement of digestive endoscopic society of Taiwan
    Wei-Kuo Chang, Chen-Ling Peng, Yen-Wei Chen, Cheuk-Kay Sun, Chieh-Chang Chen, Tao-Chieh Liu, Yin-Yi Chu, I-Fang Tsai, Chen-Shuan Chung, Hsiao-Fen Lin, Fang-Yu Hsu, Wei-Chen Tai, Hsi-Chang Lee, Hsu-Heng Yen, E-Ming Wang, Shu-Hui Chen, Cheng-Hsin Chu, Ming-
    Journal of Microbiology, Immunology and Infection.2024; 57(2): 211.     CrossRef
  • Duodenoscopes With Disposable Elevator Caps—An Incremental Reduction in Infection Risk for Patients
    Melinda Wang, Graham M. Snyder
    JAMA Internal Medicine.2023; 183(3): 200.     CrossRef
  • Transmission of oral microbiota to the biliary tract during endoscopic retrograde cholangiography
    Maria Effenberger, Ramona Al-Zoairy, Ronald Gstir, Ivo Graziadei, Hubert Schwaighofer, Herbert Tilg, Heinz Zoller
    BMC Gastroenterology.2023;[Epub]     CrossRef
  • Role of peroral cholangioscopy and pancreatoscopy in the diagnosis and treatment of biliary and pancreatic disease: past, present, and future
    Harishankar Gopakumar, Neil R. Sharma
    Frontiers in Gastroenterology.2023;[Epub]     CrossRef
  • Performance of single-use duodenoscopes for ERCP: a systematic review and meta-analysis
    Harishankar Gopakumar, Ishaan Vohra, Neil R. Sharma, Srinivas R. Puli
    iGIE.2022; 1(1): 77.     CrossRef
  • 3,961 View
  • 224 Download
  • 4 Web of Science
  • 5 Crossref
Close layer
Assessment of Endoscopic Gastric Atrophy according to the Kimura-Takemoto Classification and Its Potential Application in Daily Practice
Duc Trong Quach, Toru Hiyama
Clin Endosc 2019;52(4):321-327.   Published online July 22, 2019
AbstractAbstract PDFPubReaderePub
The assessment of endoscopic gastric atrophy (EGA) according to the Kimura-Takemoto classification has been reported to correlate well with histological assessment. Although agreement among beginner endoscopists was less than that among experienced endoscopists, it has been shown that agreement level could markedly improve and remained stable after proper training. Several cohort studies have consistently shown that the severity of EGA at baseline is significantly associated with the presence of advanced precancerous gastric lesions and gastric cancer, as well as the development of gastric cancer in future. Patients with moderate-to-severe EGA still have high risk of gastric cancer even after successful Helicobacter pylori eradication and should be candidates for gastric cancer surveillance. The assessment of EGA, therefore, could be used as a preliminary tool to identify individuals at high risk for gastric cancer. In this paper, we review the agreement on mucosal atrophy assessment between the Kimura-Takemoto classification and histology as well as the potential application of this endoscopic classification to identify precancerous gastric lesions and gastric cancer in daily practice.


Citations to this article as recorded by  
  • Endoscopic diagnosis and prevalence of early gastric cancer in India: A prospective study
    Ashutosh Mohapatra, Sonmoon Mohapatra, Shruti Mahawar, Krushna Chandra Pani, Nachiketa Mohapatra, Mohan Ramchandani, Nageshwar Reddy, Mahesh K. Goenka, Noriya Uedo
    DEN Open.2024;[Epub]     CrossRef
  • Clinical and morphological characteristics of patients with chronic gastritis and high risk of gastric cancer
    A. S. Tertychnyy, D. D. Protsenko, N. V. Pachuashvili, D. P. Nagornaya, P. V. Pavlov, A. P. Kiruhin, A. A. Fedorenko
    Experimental and Clinical Gastroenterology.2024; (9): 107.     CrossRef
  • Comparison between the GastroPanel test and the serum pepsinogen assay interpreted with the ABC method—A prospective study
    Sun‐Young Lee, Yeon‐Sun Ahn, Hee‐Won Moon
    Helicobacter.2024;[Epub]     CrossRef
  • The value of LCI-based modified Kyoto classification risk scoring system in predicting the risk of early gastric cancer
    Chao Gao, Guanpo Zhang, Jin Zheng, Yunmeng Zheng, Wulian Lin, Guilin Xu, Yixiang You, Dazhou Li, Wen Wang
    Scandinavian Journal of Gastroenterology.2024; 59(7): 859.     CrossRef
  • Identification of serum microRNAs as potential diagnostic biomarkers for detecting precancerous lesions of gastric cancer
    Hajime Otsu, Sho Nambara, Qingjiang Hu, Yuichi Hisamatsu, Takeo Toshima, Kazuki Takeishi, Yusuke Yonemura, Takaaki Masuda, Eiji Oki, Koshi Mimori
    Annals of Gastroenterological Surgery.2023; 7(1): 63.     CrossRef
  • Evolution of the Correa's cascade steps: A long-term endoscopic surveillance among non-ulcer dyspepsia and gastric ulcer after H. pylori eradication
    Hsiu-Chi Cheng, Yao-Jong Yang, Hsiao-Bai Yang, Yu-Ching Tsai, Wei-Lun Chang, Chung-Tai Wu, Hsin-Yu Kuo, Yu-Ting Yu, Er-Hsiang Yang, Wei-Chun Cheng, Wei-Ying Chen, Bor-Shyang Sheu
    Journal of the Formosan Medical Association.2023; 122(5): 400.     CrossRef
  • Vietnam Association of Gastroenterology (VNAGE) consensus on the management of Helicobacter pylori infection
    Duc Trong Quach, Bang Hong Mai, Mien Kieu Tran, Long Van Dao, Huy Van Tran, Khanh Truong Vu, Khien Van Vu, Ho Thi-Thu Pham, Hoang Huu Bui, Dung Dang-Quy Ho, Dung Tuan Trinh, Vinh Thuy Nguyen, Thai Hong Duong, Tuong Thi-Khanh Tran, Ha Thi-Viet Nguyen, Thin
    Frontiers in Medicine.2023;[Epub]     CrossRef
  • Endoscopic Screening for Missed Lesions of Synchronous Multiple Early Gastric Cancer during Endoscopic Submucosal Dissection
    Jiangnan Wan, Yi Fang, Haizhong Jiang, Bujiang Wang, Lei Xu, Chunjiu Hu, Honghui Chen, Xiaoyun Ding, Tatsuya Toyokawa
    Gastroenterology Research and Practice.2023; 2023: 1.     CrossRef
  • Morphometric features of gastric mucosa in atrophic gastritis: A different pattern between corpus and antrum
    Xue-Mei Lin, Li Wang, Chun-Hui Xi, Jun Wang, Xian-Fei Wang, Qiong Wang, Cong Yuan
    Medicine.2023; 102(14): e33480.     CrossRef
  • Predicting reflux symptom recurrence: The impact of gastroesophageal junction indicators and body mass index among outpatients
    Qing Wang, Junhui Lu, Yue Sui, Jing Fan, Jinnan Ren, Zhenzhen Wang, Xing Chen
    Experimental and Therapeutic Medicine.2023;[Epub]     CrossRef
  • Helicobacter pylori intragastric colonization and migration: Endoscopic manifestations and potential mechanisms
    Tong Mu, Zhi-Ming Lu, Wen-Wen Wang, Hua Feng, Yan Jin, Qian Ding, Li-Fen Wang
    World Journal of Gastroenterology.2023; 29(30): 4616.     CrossRef
  • Factors associated with heterochronic gastric cancer development post-endoscopic mucosal dissection in early gastric cancer patients
    Bing Xie, Yun Xia, Xia Wang, Yan Xiong, Shao-Bo Chen, Jie Zhang, Wei-Wei He
    World Journal of Gastrointestinal Oncology.2023; 15(9): 1644.     CrossRef
  • Kimura–Takemoto Classification: A Tool to Predict Gastric Intestinal Metaplasia Progression to Advanced Gastric Neoplasia
    Leyla Maric, Daniel Castaneda, Harjinder Singh, Pablo Bejarano, Brenda Jimenez Cantisano, Fernando J. Castro
    Digestive Diseases and Sciences.2022; 67(8): 4092.     CrossRef
  • Consistency between the endoscopic Kyoto classification and pathological updated Sydney system for gastritis: A cross‐sectional study
    Osamu Toyoshima, Toshihiro Nishizawa, Shuntaro Yoshida, Tatsuya Matsuno, Nariaki Odawara, Akira Toyoshima, Kosuke Sakitani, Hidenobu Watanabe, Mitsuhiro Fujishiro, Hidekazu Suzuki
    Journal of Gastroenterology and Hepatology.2022; 37(2): 291.     CrossRef
  • Diagnostic Accuracy of H. pylori Status by Conventional Endoscopy: Time-Trend Change After Eradication and Impact of Endoscopic Image Quality
    Duc Trong Quach, Rika Aoki, Akiko Iga, Quang Dinh Le, Toru Kawamura, Ken Yamashita, Shinji Tanaka, Masaharu Yoshihara, Toru Hiyama
    Frontiers in Medicine.2022;[Epub]     CrossRef
  • Relevance of pepsinogen, gastrin, and endoscopic atrophy in the diagnosis of autoimmune gastritis
    Hiroshi Kishikawa, Kenji Nakamura, Keisuke Ojiro, Tadashi Katayama, Kyoko Arahata, Sakiko Takarabe, Aya Sasaki, Soichiro Miura, Yukie Hayashi, Hitomi Hoshi, Takanori Kanai, Jiro Nishida
    Scientific Reports.2022;[Epub]     CrossRef
  • Tauroursodeoxycholic Acid Inhibits Nuclear Factor Kappa B Signaling in Gastric Epithelial Cells and Ameliorates Gastric Mucosal Damage in Mice
    Su Hwan Kim, Ji Won Kim, Seong-Joon Koh, Sang Gyun Kim, Jeong Mo Bae, Jung Ho Kim, Jeong Hwan Park, Mee Soo Chang, Kee Don Choi, Hyoun Woo Kang, Byeong Gwan Kim, Kook Lae Lee
    The Korean Journal of Gastroenterology.2022; 79(4): 161.     CrossRef
  • Serum pepsinogen: A potential non-invasive screening method for moderate and severe atrophic gastritis among an asian population
    Cong Long Nguyen, Tran Tien Dao, Thi-Thuy Ngan Phi, The Phuong Nguyen, Van Tuyen Pham, Truong Khanh Vu
    Annals of Medicine and Surgery.2022; 78: 103844.     CrossRef
  • Risk factors for early gastric cancer: focus on Helicobacter pylori gastritis
    Hee Seok Moon
    Journal of the Korean Medical Association.2022; 65(5): 259.     CrossRef
  • Current status of the gastric cancer screening program in Korea
    Young-Il Kim, Il Ju Choi
    Journal of the Korean Medical Association.2022; 65(5): 250.     CrossRef
  • Endoscopic diagnosis of early gastric cancer
    Dong Chan Joo, Gwang Ha Kim
    Journal of the Korean Medical Association.2022; 65(5): 267.     CrossRef
  • Current Evidence for a Paradigm Shift in Gastric Cancer Prevention From Endoscopic Screening toHelicobacter pyloriEradication in Korea
    Young-Il Kim, Il Ju Choi
    Journal of Gastric Cancer.2022; 22(3): 169.     CrossRef
  • Need for improvement in the evaluation of pre‐malignant upper gastro‐intestinal lesions in India: Results of a nationwide survey
    Deepak Madhu, Veeraraghavan Krishnamurthy, Thirumoorthi Natarajan, Sundeep Lakhtakia
    Journal of Gastroenterology and Hepatology.2022; 37(11): 2113.     CrossRef
  • Usefulness of the Kyoto Classification Score for Prediction of Current Helicobacter pylori Infection
    Heejun Kang, Chul-Hyun Lim, Sukil Kim, Arum Choi, Jung-Hwan Oh
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(4): 281.     CrossRef
  • The simplified Kyoto classification score is consistent with the ABC method of classification as a grading system for endoscopic gastritis
    Toshihiro Nishizawa, Osamu Toyoshima, Ryo Kondo, Kazuma Sekiba, Yosuke Tsuji, Hirotoshi Ebinuma, Hidekazu Suzuki, Chizu Tanikawa, Koichi Matsuda, Kazuhiko Koike
    Journal of Clinical Biochemistry and Nutrition.2021; 68(1): 101.     CrossRef
  • Endoscopic grading of gastric atrophy on risk assessment of gastric neoplasia: A systematic review and meta‐analysis
    Shiyu Xiao, Yihan Fan, Zhihao Yin, Liya Zhou
    Journal of Gastroenterology and Hepatology.2021; 36(1): 55.     CrossRef
  • Gastritis: The clinico-pathological spectrum
    Massimo Rugge, Edoardo Savarino, Marta Sbaraglia, Ludovica Bricca, Peter Malfertheiner
    Digestive and Liver Disease.2021; 53(10): 1237.     CrossRef
  • Efficacy of Seven-Day Potassium-Competitive Acid Blocker-Based First-LineHelicobacter PyloriEradication Therapy Administered with Bismuth
    Ji Yeon Kim, Sun-Young Lee, Hyobin Kim, Jeong Hwan Kim, In-Kyung Sung, Hyung Seok Park
    Yonsei Medical Journal.2021; 62(8): 708.     CrossRef
  • Second-Line Bismuth-Containing Quadruple Therapy for Helicobacterpylori Infection: A 12-Year Study of Annual Eradication Rates
    Kiwon Shin, Min-Jae Cho, Jung-Hwan Oh, Chul-Hyun Lim
    Journal of Clinical Medicine.2021; 10(15): 3273.     CrossRef
  • Predictive Significance of Promoter DNA Methylation of Cysteine Dioxygenase Type 1 (CDO1) in Metachronous Gastric Cancer
    Yo Kubota, Satoshi Tanabe, Mizutomo Azuma, Kazue Horio, Yoshiki Fujiyama, Takafumi Soeno, Yasuaki Furue, Takuya Wada, Akinori Watanabe, Kenji Ishido, Chikatoshi Katada, Keishi Yamashita, Wasaburo Koizumi, Chika Kusano
    Journal of Gastric Cancer.2021; 21(4): 379.     CrossRef
  • Gastrointestinal Microbiota Changes in Patients With Gastric Precancerous Lesions
    Dehua Liu, Si Chen, Yawen Gou, Wenyong Yu, Hangcheng Zhou, Rutong Zhang, Jinghao Wang, Fei Ye, Yingling Liu, Baolin Sun, Kaiguang Zhang
    Frontiers in Cellular and Infection Microbiology.2021;[Epub]     CrossRef
  • Use of endoscopic assessment of gastric atrophy for gastric cancer risk stratification to reduce the need for gastric mapping
    Duc Trong Quach, Toru Hiyama, Huy Minh Le, Trung Sao Nguyen, Takuji Gotoda
    Scandinavian Journal of Gastroenterology.2020; 55(4): 402.     CrossRef
  • Influence of hypergastrinemia secondary to long-term proton pump inhibitor treatment on ECL cell tumorigenesis in human gastric mucosa
    Atsushi Tatsuguchi, Shintaro Hoshino, Noriyuki Kawami, Katya Gudis, Tsutomu Nomura, Akira Shimizu, Katsuhiko Iwakiri
    Pathology - Research and Practice.2020; 216(10): 153113.     CrossRef
  • Chronic atrophic gastritis detection with a convolutional neural network considering stomach regions
    Misaki Kanai, Ren Togo, Takahiro Ogawa, Miki Haseyama
    World Journal of Gastroenterology.2020; 26(25): 3650.     CrossRef
  • Naiv Helicobacter pylori pozitif ve negatif hastaların klinik, demografik ve endoskopik karakteristikleri: Retrospektif analiz
    Muhammet AYDIN
    Endoskopi Gastrointestinal.2020; 28(2): 39.     CrossRef
  • Gastrointestinal Microbiota Changes in Patients With Gastric Precancerous Lesions
    Dehua Liu, Si Chen, Yawen Gou, Wenyong Yu, Hangcheng Zhou, Rutong Zhang, Jinghao Wang, Fei Ye, Yingling Liu, Baolin Sun, Kaiguang Zhang
    SSRN Electronic Journal .2020;[Epub]     CrossRef
  • 10,879 View
  • 476 Download
  • 34 Web of Science
  • 36 Crossref
Close layer
Metachronous Gastric Cancer Following Curative Endoscopic Resection of Early Gastric Cancer
Seiichiro Abe, Ichiro Oda, Takeyoshi Minagawa, Masau Sekiguchi, Satoru Nonaka, Haruhisa Suzuki, Shigetaka Yoshinaga, Amit Bhatt, Yutaka Saito
Clin Endosc 2018;51(3):253-259.   Published online September 18, 2017
AbstractAbstract PDFPubReaderePub
This review article summarizes knowledge about metachronous gastric cancer (MGC) occurring after curative endoscopic resection (ER) of early gastric cancer (EGC), treatment outcomes of patients who developed MGC, and efficacy of Helicobacter pylori eradication to prevent MGC. The incidence of MGC following curative ER increases over time and is higher than in patients undergoing gastrectomy. Increasing age and multifocal EGC are independent risk factors for developing MGC. An MGC following curative ER is usually a small (<20 mm) and differentiated intramucosal cancer. Most MGC lesions are found at an early stage on semiannual or annual surveillance endoscopy and are successfully treated by further ER, with excellent long-term outcomes. Eradication of H. pylori may reduce the risk of MGC following ER of EGC, but further prospective studies with long-term outcomes are required. Surveillance endoscopy following gastric ER should be continued indefinitely, due to the risk of MGC even after successful H. pylori eradication. Risk stratification and tailored endoscopic surveillance schedules need to be developed.


Citations to this article as recorded by  
  • Impact of endoscopy intervals on metachronous gastric cancer after endoscopic submucosal dissection: Comparison between 1 year and half‐a‐year
    Yuichiro Ozeki, Kingo Hirasawa, Atsushi Sawada, Ryosuke Ikeda, Masafumi Nishio, Takehide Fukuchi, Ryosuke Kobayashi, Chiko Sato, Shin Maeda
    Digestive Endoscopy.2024; 36(3): 332.     CrossRef
  • High risk of multiple gastric cancers in Japanese individuals with Lynch syndrome
    Nobuhiko Kanaya, Thijs A. van Schaik, Hideki Aoki, Yumiko Sato, Fumitaka Taniguchi, Kunitoshi Shigeyasu, Kokichi Sugano, Kiwamu Akagi, Hideyuki Ishida, Kohji Tanakaya
    Annals of Gastroenterological Surgery.2024;[Epub]     CrossRef
  • Risk assessment of metachronous gastric cancer development using OLGA and OLGIM systems after endoscopic submucosal dissection for early gastric cancer: a long-term follow-up study
    Yun Suk Na, Sang Gyun Kim, Soo-Jeong Cho
    Gastric Cancer.2023; 26(2): 298.     CrossRef
  • Metachronous lesions after gastric endoscopic submucosal dissection: first assessment of the FAMISH prediction score
    Andreia Rei, Raquel Ortigão, Mariana Pais, Luís P. Afonso, Pedro Pimentel-Nunes, Mário Dinis-Ribeiro, Diogo Libânio
    Endoscopy.2023; 55(10): 909.     CrossRef
  • Variation in the rate of detection of minute and small early gastric cancers at diagnostic endoscopy may reflect the performance of individual endoscopists
    Daisuke Murakami, Masayuki Yamato, Yuji Amano, Takayoshi Nishino, Makoto Arai
    BMJ Open Gastroenterology.2023; 10(1): e001143.     CrossRef
  • Decision to perform additional surgery after non-curative endoscopic submucosal dissection for gastric cancer based on the risk of lymph node metastasis: a long-term follow-up study
    Seunghan Lee, Sang Gyun Kim, Soo-Jeong Cho
    Surgical Endoscopy.2023; 37(10): 7738.     CrossRef
  • Helicobacter pylori Eradication Can Reverse Rho GTPase Expression in Gastric Carcinogenesis
    Jue Lie Kim, Sang Gyun Kim, Enerelt Natsagdorj, Hyunsoo Chung, Soo-Jeong Cho
    Gut and Liver.2023; 17(5): 741.     CrossRef
  • Risk assessment of metachronous gastric cancer after endoscopic submucosal dissection based on endoscopic intestinal metaplasia
    Chino Iizuka, Soichiro Sue, Sho Onodera, Aya Ikeda, Ryosuke Ikeda, Yoshihiro Goda, Kuniyasu Irie, Hiroaki Kaneko, Shin Maeda
    JGH Open.2023; 7(11): 783.     CrossRef
  • Second gastric cancer after curative endoscopic resection of differentiated-type early gastric cancer: post-hoc analysis of a single-arm confirmatory trial
    Masao Yoshida, Kohei Takizawa, Noriaki Hasuike, Hiroyuki Ono, Narikazu Boku, Tomohiro Kadota, Junki Mizusawa, Ichiro Oda, Naohiro Yoshida, Yusuke Horiuchi, Kingo Hirasawa, Yoshinori Morita, Yoshinobu Yamamoto, Manabu Muto, Masao Yoshida, Kohei Takizawa, H
    Gastrointestinal Endoscopy.2022; 95(4): 650.     CrossRef
  • Therapeutic approach to non-curative resection after endoscopic treatment in early gastric cancer
    Eun Jeong Gong, Chang Seok Bang
    Journal of the Korean Medical Association.2022; 65(5): 284.     CrossRef
  • Assessment of Outcomes From 1-Year Surveillance After Detection of Early Gastric Cancer Among Patients at High Risk in Japan
    Yoshinobu Yamamoto, Naohiro Yoshida, Tomonori Yano, Takahiro Horimatsu, Noriya Uedo, Noboru Kawata, Hiromitsu Kanzaki, Shinichiro Hori, Kenshi Yao, Seiichiro Abe, Chikatoshi Katada, Chizu Yokoi, Ken Ohata, Hisashi Doyama, Kenichi Yoshimura, Hideki Ishikaw
    JAMA Network Open.2022; 5(8): e2227667.     CrossRef
  • Management of patients with multiple primary сancer in the practice of a modern oncologist. Case report and literature review
    D. A. Khlanta, G. P. Gens
    Siberian journal of oncology.2022; 21(4): 147.     CrossRef
  • Assigning a different endoscopist for each annual follow-up may contribute to improved gastric cancer detection rates
    Shuhei Unno, Kimihiro Igarashi, Hiroaki Saito, Dai Hirasawa, Toru Okuzono, Yukari Tanaka, Masato Nakahori, Tomoki Matsuda
    Endoscopy International Open.2022; 10(10): E1333.     CrossRef
  • Statistical proof of Helicobacter pylori eradication in preventing metachronous gastric cancer after endoscopic resection in an East Asian population
    Mohsen Karbalaei, Masoud Keikha
    World Journal of Gastrointestinal Surgery.2022; 14(8): 867.     CrossRef
  • Follow-up after endoscopic resection for early gastric cancer in 3 French referral centers
    Bernadette de Rauglaudre, Mathieu Pioche, Fabrice Caillol, Jean-Philippe Ratone, Anna Pellat, Romain Coriat, Jerôme Rivory, Thomas Lambin, Laetitia Dahan, Marc Giovanini, Maximilien Barret
    iGIE.2022; 1(1): 49.     CrossRef
  • Documento de posicionamiento de la AEG, la SEED y la SEAP sobre cribado de cáncer gástrico en poblaciones con baja incidencia
    Joaquín Cubiella, Ángeles Pérez Aisa, Miriam Cuatrecasas, Pilar Díez Redondo, Gloria Fernández Esparrach, José Carlos Marín-Gabriel, Leticia Moreira, Henar Núñez, M. Luisa Pardo López, Enrique Rodríguez de Santiago, Pedro Rosón, José Miguel Sanz Anquela,
    Gastroenterología y Hepatología.2021; 44(1): 67.     CrossRef
  • Incidence of metachronous cancer after endoscopic submucosal dissection: a comparison between undifferentiated-type and differentiated-type early gastric cancer
    Mitsuaki Ishioka, Toshiyuki Yoshio, Yuji Miyamoto, Ken Namikawa, Yoshitaka Tokai, Shoichi Yoshimizu, Yusuke Horiuchi, Akiyoshi Ishiyama, Toshiaki Hirasawa, Tomohiro Tsuchida, Junko Fujisaki
    Gastrointestinal Endoscopy.2021; 93(3): 557.     CrossRef
  • Gastric cancer screening in low incidence populations: Position statement of AEG, SEED and SEAP
    Joaquin Cubiella, Ángeles Pérez Aisa, Miriam Cuatrecasas, Pilar Díez Redondo, Gloria Fernández Esparrach, José Carlos Marín-Gabriel, Leticia Moreira, Henar Núñez, M. Luisa Pardo López, Enrique Rodríguez de Santiago, Pedro Rosón, José Miguel Sanz Anquela,
    Gastroenterología y Hepatología (English Edition).2021; 44(1): 67.     CrossRef
  • Molecular risk markers related to local tumor recurrence at histological margin-free endoscopically resected early gastric cancers: A pilot study
    Ho Suk Kang, Mi Jung Kwon, Premi Haynes, Yan Liang, Yuqi Ren, Hyun Lim, Jae Seung Soh, Nan Young Kim, Hye Kyung Lee
    Pathology - Research and Practice.2021; 222: 153434.     CrossRef
  • Characteristics of metachronous gastric neoplasms after curative endoscopic submucosal dissection for early gastric neoplasms
    Shan-Shan Xu, Ning-Li Chai, Xiao-Wei Tang, En-Qiang Linghu, Sha-Sha Wang, Bao Li
    Chinese Medical Journal.2021; 134(21): 2603.     CrossRef
  • Consenso mexicano sobre detección y tratamiento del cáncer gástrico incipiente
    M.E. Icaza-Chávez, M.A. Tanimoto, F.M. Huerta-Iga, J.M. Remes-Troche, R. Carmona-Sánchez, A. Ángeles-Ángeles, F.J. Bosques-Padilla, J.M. Blancas-Valencia, G. Grajales-Figueroa, O.V. Hernández-Mondragón, A.I. Hernández-Guerrero, M.A. Herrera-Servín, F.D. H
    Revista de Gastroenterología de México.2020; 85(1): 69.     CrossRef
  • The Mexican consensus on the detection and treatment of early gastric cancer
    M.E. Icaza-Chávez, M.A. Tanimoto, F.M. Huerta-Iga, J.M. Remes-Troche, R. Carmona-Sánchez, A. Ángeles-Ángeles, F.J. Bosques-Padilla, J.M. Blancas-Valencia, G. Grajales-Figueroa, O.V. Hernández-Mondragón, A.I. Hernández-Guerrero, M.Á. Herrera-Servín, F.D. H
    Revista de Gastroenterología de México (English Edition).2020; 85(1): 69.     CrossRef
  • Long‐term follow up of serum pepsinogens in patients with gastric cancer or dysplasia after Helicobacter pylori eradication
    Gitark Noh, Nayoung Kim, Yonghoon Choi, Hye Seung Lee, Young Jae Hwang, Hee Jin Kim, Hyuk Yoon, Cheol Min Shin, Young Soo Park, Dong Ho Lee
    Journal of Gastroenterology and Hepatology.2020; 35(9): 1540.     CrossRef
  • Metachronous Gastric Cancer: Another Hurdle for Successful Endoscopic Treatment for Early Gastric Cancer?
    Moon Won Lee, Gwang Ha Kim
    Gut and Liver.2020; 14(2): 145.     CrossRef
  • Clinical Outcomes of Metachronous Gastric Cancer after Endoscopic Resection for Early Gastric Cancer
    Jue Lie Kim, Sang Gyun Kim, Jung Kim, Jae Yong Park, Hyo-Joon Yang, Hyun Ju Kim, Hyunsoo Chung
    Gut and Liver.2020; 14(2): 190.     CrossRef
  • Chemoprevention of gastric cancer development after Helicobacter pylori eradication therapy in an East Asian population: Meta-analysis
    Mitsushige Sugimoto, Masaki Murata, Yoshio Yamaoka
    World Journal of Gastroenterology.2020; 26(15): 1820.     CrossRef
    Tommaso Zurleni, Michele Altomare, Giovanni Serio, Filippo Catalano
    International Journal of Surgery Case Reports.2020;[Epub]     CrossRef
  • Impact of the timing of Helicobacter pylori eradication on the risk of development of metachronous lesions after treatment of early gastric cancer: a population-based cohort study
    Hyun Ju Kim, Yun Jin Kim, Seung In Seo, Woon Geon Shin, Chan Hyuk Park
    Gastrointestinal Endoscopy.2020; 92(3): 613.     CrossRef
  • Gastric cancer prevention strategies: A global perspective
    Leonardo Henry Eusebi, Andrea Telese, Giovanni Marasco, Franco Bazzoli, Rocco Maurizio Zagari
    Journal of Gastroenterology and Hepatology.2020; 35(9): 1495.     CrossRef
  • Metachronous Gastric Cancer Occurring after Endoscopic Resection of Early Gastric Cancer
    Gwang Ha Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2020; 20(4): 295.     CrossRef
  • Somatic alterations and mutational burden are potential predictive factors for metachronous development of early gastric cancer
    Kazuhiro Sakuta, Yu Sasaki, Yasuhiko Abe, Hidenori Sato, Masakuni Shoji, Takao Yaoita, Makoto Yagi, Naoko Mizumoto, Yusuke Onozato, Takashi Kon, Ayumi Koseki, Sonoko Sato, Ryoko Murakami, Yuki Miyano, Yoshiyuki Ueno
    Scientific Reports.2020;[Epub]     CrossRef
  • Clinicopathologic Characteristics of Patients with Gastric Superficial Neoplasia and Risk Factors for Multiple Lesions after Endoscopic Submucosal Dissection in a Western Country
    Gisela Brito-Gonçalves, Diogo Libânio, Pedro Marcos, Inês Pita, Rui Castro, Inês Sá, Mário Dinis-Ribeiro, Pedro Pimentel-Nunes
    GE - Portuguese Journal of Gastroenterology.2020; 27(2): 76.     CrossRef
  • Helicobacter pylori status and risks of metachronous recurrence after endoscopic resection of early gastric cancer: a systematic review and meta-analysis
    Shiyu Xiao, Sizhu Li, Liya Zhou, Wenjun Jiang, Jinzhe Liu
    Journal of Gastroenterology.2019; 54(3): 226.     CrossRef
  • Helicobacter pylori Eradication for Metachronous Gastric Cancer: An Unsuitable Methodology Impeding Broader Clinical Usage
    Alexios-Fotios A. Mentis, Efthimios Dardiotis
    Frontiers in Oncology.2019;[Epub]     CrossRef
  • Common Locations of Gastric Cancer: Review of Research from the Endoscopic Submucosal Dissection Era
    Su Jin Kim, Cheol Woong Choi
    Journal of Korean Medical Science.2019;[Epub]     CrossRef
  • UEG Week 2019 Poster Presentations

    United European Gastroenterology Journal.2019; 7(S8): 189.     CrossRef
  • Helicobacter pylori Infection following Endoscopic Resection of Early Gastric Cancer
    Lan Li, Chaohui Yu
    BioMed Research International.2019; 2019: 1.     CrossRef
  • Prophylaxis and early diagnosis of stomach cancer
    I. G. Bakulin, S. S. Pirogov, N. V. Bakulina, E. A. Stadnik, N. N. Golubev
    Dokazatel'naya gastroenterologiya.2018; 7(2): 44.     CrossRef
  • Linked Color Imaging and Blue Laser Imaging for Upper Gastrointestinal Screening
    Hiroyuki Osawa, Yoshimasa Miura, Takahito Takezawa, Yuji Ino, Tsevelnorov Khurelbaatar, Yuichi Sagara, Alan Kawarai Lefor, Hironori Yamamoto
    Clinical Endoscopy.2018; 51(6): 513.     CrossRef
  • 9,589 View
  • 283 Download
  • 35 Web of Science
  • 39 Crossref
Close layer
Optimal Colonoscopy Surveillance Interval after Polypectomy
Tae Oh Kim
Clin Endosc 2016;49(4):359-363.   Published online July 29, 2016
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 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
Focused Review Series: Endoscopic Screening and Surveillance for Gastrointestinal Cancers
Colon Cancer Screening and Surveillance in Inflammatory Bowel Disease
Song I Bae, You Sun Kim
Clin Endosc 2014;47(6):509-515.   Published online November 30, 2014
AbstractAbstract PDFPubReaderePub

Patients with inflammatory bowel disease (IBD) have an increased risk of developing colorectal cancer (CRC). Accordingly, the duration and anatomic extent of the disease have been known to affect the development of IBD-related CRC. When CRC occurs in patients with IBD, unlike in sporadic CRC, it is difficult to detect the lesions because of mucosal changes caused by inflammation. In addition, the tumor types vary with ill-circumscribed lesions, and the cancer is difficult to diagnose and remedy at an early stage. For the diagnosis of CRC in patients with IBD, screening endoscopy is recommended 8 to 10 years after the IBD diagnosis, and surveillance colonoscopy is recommended every 1 to 2 years thereafter. The recent development of targeted biopsies using chromoendoscopy and relatively newer endoscopic techniques helps in the early diagnosis of CRC in patients with IBD. A total proctocolectomy is advisable when high-grade dysplasia or multifocal low-grade dysplasia is confirmed by screening endoscopy or surveillance colonoscopy or if a nonadenoma-like dysplasia-associated lesion or mass is detected. Currently, pharmacotherapies are being extensively studied as a way to prevent IBD-related CRC.


Citations to this article as recorded by  
  • Risk of Cancer in Inflammatory Bowel Disease and Pitfalls in Oncologic Therapy
    Renata D. Peixoto, Artur R. Ferreira, James M. Cleary, João P. Fogacci, João P. Vasconcelos, Alexandre A. Jácome
    Journal of Gastrointestinal Cancer.2023; 54(2): 357.     CrossRef
  • A20 Restricts NOS2 Expression and Intestinal Tumorigenesis in a Mouse Model of Colitis-Associated Cancer
    David W. Basta, Mandy Vong, Adolat Beshimova, Brooke N. Nakamura, Iulia Rusu, Michael G. Kattah, Ling Shao
    Gastro Hep Advances.2023; 2(1): 96.     CrossRef
  • Association of inflammatory bowel disease in first‐degree relatives with risk of colorectal cancer: A nationwide case‐control study in Sweden
    Kai Wang, Ola Olén, Louise Emilsson, Hamed Khalili, Jonas Halfvarson, Mingyang Song, Jonas F. Ludvigsson
    International Journal of Cancer.2023; 152(11): 2303.     CrossRef
  • Evaluation of intestinal ultrasound for disease activity assessment in patients with inflammatory bowel disease: A cross-sectional study at a tertiary centre in Malaysia
    Kuan Yee Lim, Raja Affendi Raja Ali, Zhiqin Wong, Faizah Mohd Zaki, Juliana Fairuz Maktar, Khairul Najmi Muhammad Nawawi
    Saudi Journal of Gastroenterology.2023; 29(5): 300.     CrossRef
  • Implementing a Combined Phone and Mail Recall to Increase Screening Colonoscopy Rates in Adults With Chronic Ulcerative Colitis
    Gypsy Glover
    Gastroenterology Nursing.2023; 46(4): 275.     CrossRef
  • Impact of previous diverticulitis on 5-year survival and recurrence rates in patients with colorectal cancer
    Hannah Sahli, Cecilia Dahlbäck, Marie-Louise Lydrup, Pamela Buchwald
    Scandinavian Journal of Gastroenterology.2023; 58(11): 1280.     CrossRef
  • Colorectal cancer screening
    Burton James Mollman
    JAAPA.2023; 36(8): 15.     CrossRef
  • Age- and sex-specific risk of colorectal cancer in incident ulcerative colitis during the first 10 years after diagnosis: a nationwide population-based study
    Hee Man Kim, Ji Hoon Kim, Jung Kuk Lee, Dae Ryong Kang, Hyunil Kim, Su Young Kim, Hyun-Soo Kim
    Scandinavian Journal of Gastroenterology.2021; 56(11): 1279.     CrossRef
  • Risks and Safety of Advanced Therapies and Biologics in Inflammatory Bowel Disease
    Cynthia Morvillo, Katherine Vinci, Lauren Hedenschoug, Leah Mancini, Carrie Mize, Kayce Tugg, Steven Stein
    Gastroenterology Nursing.2020; 43(4): E159.     CrossRef
  • Diagnosis and survival values of neutrophil-lymphocyte ratio (NLR) and red blood cell distribution width (RDW) in esophageal cancer
    Fuyan Han, Yiqing Liu, Shiqing Cheng, Zhaohui Sun, Chenchen Sheng, Xiya Sun, Xuming Shang, Wenjun Tian, Xiaoying Wang, Jiamei Li, Dong Liu, Yong Wang, Bingchang Zhang, Ying Ju
    Clinica Chimica Acta.2019; 488: 150.     CrossRef
  • Haem iron reshapes colonic luminal environment: impact on mucosal homeostasis and microbiome through aldehyde formation
    Océane C. B. Martin, Maïwenn Olier, Sandrine Ellero-Simatos, Nathalie Naud, Jacques Dupuy, Laurence Huc, Sylviane Taché, Vanessa Graillot, Mathilde Levêque, Valérie Bézirard, Cécile Héliès-Toussaint, Florence Blas Y. Estrada, Valérie Tondereau, Yannick Li
    Microbiome.2019;[Epub]     CrossRef
  • Optical Diagnosis of Colorectal Cancer
    红梅 于
    Medical Diagnosis.2019; 09(02): 52.     CrossRef
  • Surgical Management of Dysplasia and Cancer in Inflammatory Bowel Disease
    James Ansell, Fabian Grass, Amit Merchea
    Surgical Clinics of North America.2019; 99(6): 1111.     CrossRef
  • Methods of extraction of optical properties from diffuse reflectance measurements of ex-vivo human colon tissue using thin film silicon photodetector arrays
    Ben LaRiviere, N. Lynn Ferguson, Katherine S. Garman, Deborah A. Fisher, Nan M. Jokerst
    Biomedical Optics Express.2019; 10(11): 5703.     CrossRef
  • Intestinal and Extraintestinal Cancers Associated With Inflammatory Bowel Disease
    Minna Chang, Liisa Chang, Hanna M. Chang, Fuju Chang
    Clinical Colorectal Cancer.2018; 17(1): e29.     CrossRef
  • N-Methylcytisine Ameliorates Dextran-Sulfate-Sodium-Induced Colitis in Mice by Inhibiting the Inflammatory Response
    Yan-Fang Jiao, Min Lu, Yu-Ping Zhao, Ning Liu, Ya-Ting Niu, Yang Niu, Ru Zhou, Jian-Qiang Yu
    Molecules.2018; 23(3): 510.     CrossRef
  • Cancer Risk in Patients with Intestinal Behçet’s Disease: A Nationwide Population-Based Study
    Minkyung Han, Yoon Suk Jung, Won Ho Kim, Jae Hee Cheon, Sohee Park
    Gut and Liver.2018; 12(4): 433.     CrossRef
  • Endoscopy in Pediatric Inflammatory Bowel Disease
    Salvatore Oliva, Mike Thomson, Lissy de Ridder, Javier Martín‐de‐Carpi, Stephanie Van Biervliet, Christian Braegger, Jorge Amil Dias, Sanja Kolacek, Erasmo Miele, Stephan Buderus, Jiri Bronsky, Harland Winter, Víctor Manuel Navas‐López, Amit Assa, Sonny K
    Journal of Pediatric Gastroenterology and Nutrition.2018; 67(3): 414.     CrossRef
  • Getting a Low Grade for Missing High-Grade Dysplasia and Colorectal Cancer in IBD
    James R. Conner, Robert H. Riddell
    Digestive Diseases and Sciences.2017; 62(12): 3594.     CrossRef
  • Tianfoshen oral liquid: a CFDA approved clinical traditional Chinese medicine, normalizes major cellular pathways disordered during colorectal carcinogenesis
    Siliang Wang, Hengbin Wang, Yin Lu
    Oncotarget.2017; 8(9): 14549.     CrossRef
  • Cancer surveillance in ulcerative colitis and Crohnʼs disease
    Bincy P. Abraham
    Current Opinion in Gastroenterology.2016; 32(1): 32.     CrossRef
  • C-glycosyl flavonoid orientin improves chemically induced inflammatory bowel disease in mice
    Aning Sun, Gaiyan Ren, Chao Deng, Jingjing Zhang, Xiaoping Luo, Xiaojun Wu, Sridhar Mani, Wei Dou, Zhengtao Wang
    Journal of Functional Foods.2016; 21: 418.     CrossRef
  • Colorectal Cancer in Patients With Inflammatory Bowel Disease: The Need for a Real Surveillance Program
    Rosario Fornaro, Michela Caratto, Elisa Caratto, Giuseppe Caristo, Francesco Fornaro, Davide Giovinazzo, Camilla Sticchi, Marco Casaccia, Enzo Andorno
    Clinical Colorectal Cancer.2016; 15(3): 204.     CrossRef
  • A Comprehensive Meta-Analysis of MicroRNAs for Predicting Colorectal Cancer
    Lin Yan, Wenhua Zhao, Haihua Yu, Yansen Wang, Yuanshui Liu, Chao Xie
    Medicine.2016; 95(9): e2738.     CrossRef
  • The continuing uncertainty about cancer risk in inflammatory bowel disease
    Hans-Olov Adami, Michael Bretthauer, Louise Emilsson, Miguel A Hernán, Mette Kalager, Jonas F Ludvigsson, Anders Ekbom
    Gut.2016; 65(6): 889.     CrossRef
  • Risk factors for developing colorectal cancer in Japanese patients with ulcerative colitis: a retrospective observational study—CAPITAL (Cohort and Practice for IBD total management in Kyoto-Shiga Links) study I
    Takuya Yoshino, Hiroshi Nakase, Tomohisa Takagi, Shigeki Bamba, Yusuke Okuyama, Takuji Kawamura, Teruki Oki, Hirozumi Obata, Chiharu Kawanami, Shinji Katsushima, Toshihiro Kusaka, Tomoyuki Tsujikawa, Yuji Naito, Akira Andoh, Takafumi Kogawa
    BMJ Open Gastroenterology.2016; 3(1): e000122.     CrossRef
  • Introducing Vedolizumab to Clinical Practice: Who, When, and How?
    RV Bryant, WJ Sandborn, SPL Travis
    Journal of Crohn's and Colitis.2015; 9(4): 356.     CrossRef
  • Interaction analysis of IL-12A and IL-12B polymorphisms with the risk of colorectal cancer
    Ruifen Sun, Fu Jia, Yundan Liang, Lijuan Li, Peng Bai, Fang Yuan, Linbo Gao, Lin Zhang
    Tumor Biology.2015; 36(12): 9295.     CrossRef
  • Utility of Peripheral Blood Parameters in Predicting Breast Cancer Risk
    Yildiz Okuturlar, Meral Gunaldi, Elif Eda Tiken, Bugra Oztosun, Yesim Ozdem Inan, Tarik Ercan, Savas Tuna, Ali Osman Kaya, Ozlem Harmankaya, Abdulbaki Kumbasar
    Asian Pacific Journal of Cancer Prevention.2015; 16(6): 2409.     CrossRef
  • Interval colorectal carcinoma: An unsolved debate
    Mark Benedict
    World Journal of Gastroenterology.2015; 21(45): 12735.     CrossRef
  • 11,049 View
  • 130 Download
  • 34 Web of Science
  • 30 Crossref
Close layer
Endoscopic Gastric Cancer Screening and Surveillance in High-Risk Groups
Il Ju Choi
Clin Endosc 2014;47(6):497-503.   Published online November 30, 2014
AbstractAbstract PDFPubReaderePub

Gastric cancer remains a major cancer problem world-wide and future incidence will likely increase due to rapidly aging population demographics. Population-based screening is being undertaken in Korea and Japan, where gastric cancer incidence rates are high, and seems to be effective in reducing mortality from gastric cancer. However, such strategies are difficult to implement in countries with a low incidence or limited resources. Thus, screening strategies should be directed towards high-risk population subgroups. Gastric cancer has a relatively long mean sojourn time, and prognosis of early-stage disease is excellent. In general population, screening at 2-year interval in Korea seems to be effective for early-stage diagnosis. In subjects with atrophic gastritis or intestinal metaplasia, surveillance is recommended at 1 to 3 years intervals according to European and Japanese recommendation. Screening intervals for family members with sporadic gastric cancer has not yet been adequately evaluated, but 1-year interval is recommended for hereditary diffuse gastric cancer family-members. Gastric cancer patients treated by endoscopic resection are the highest-risk group, and 1-year interval surveillance can detect most metachronous gastric cancers at an early stage. Future gastric cancer surveillance strategies using endoscopy should be guided by risk-stratification assessment, and further refinement of optimal surveillance intervals is needed.


Citations to this article as recorded by  
  • Quantitative risk factor analysis of prior disease condition and socioeconomic status with the multiple myeloma development: nationwide cohort study
    Suein Choi, Eunjin Kim, Jinhee Jung, Sung-Soo Park, Chang-Ki Min, Seunghoon Han
    Scientific Reports.2024;[Epub]     CrossRef
  • Trends in Gastric Cancer Mortality in Montenegro, 1990–2018: Joinpoint Regression
    Mirjana Nedović Vuković, Marina Jakšić, Brigita Smolović, Miloš Lukić, Zoran Bukumirić
    Oncology.2024; : 1.     CrossRef
  • Prevalence of Gastric Preneoplastic Lesions in First-Degree Relatives of Patients with Gastric Cancer: a Cross-Sectional Study
    Sergio Sotelo, Carlos Manterola, Tamara Otzen, Erik Morales, Iván Castillo
    Journal of Gastrointestinal Cancer.2023; 54(2): 513.     CrossRef
  • The NCC mathematical modeling framework for decision-making of six major cancers
    Changfa Xia, Wanqing Chen
    Journal of the National Cancer Center.2023; 3(1): 35.     CrossRef
  • Second gastric cancer after curative endoscopic resection of differentiated-type early gastric cancer: post-hoc analysis of a single-arm confirmatory trial
    Masao Yoshida, Kohei Takizawa, Noriaki Hasuike, Hiroyuki Ono, Narikazu Boku, Tomohiro Kadota, Junki Mizusawa, Ichiro Oda, Naohiro Yoshida, Yusuke Horiuchi, Kingo Hirasawa, Yoshinori Morita, Yoshinobu Yamamoto, Manabu Muto, Masao Yoshida, Kohei Takizawa, H
    Gastrointestinal Endoscopy.2022; 95(4): 650.     CrossRef
  • Effect of Hericium Evimaccus Alcohol Extracts on the Expression of Gastrin 17 and PKM2, and Cell Apoptosis in Rats with Gastric Cancer
    Na Li, Mingxuan Jia, Ce Yin, Ge Feng
    Science of Advanced Materials.2022; 14(1): 155.     CrossRef
  • Dyspepsia Challenge in Primary Care Gastroenterology
    Vladimir Milivojevic, Ivan Rankovic, Miodrag N. Krstic, Tomica Milosavljevic
    Digestive Diseases.2022; 40(3): 270.     CrossRef
  • Metabolomics study identified bile acids as potential biomarkers for gastric cancer: A case control study
    Chen Pan, Dawei Deng, Tianfu Wei, Zeming Wu, Biao Zhang, Qihang Yuan, Guogang Liang, Yanfeng Liu, Peiyuan Yin
    Frontiers in Endocrinology.2022;[Epub]     CrossRef
  • Role of Endoscopy in Management of Upper Gastrointestinal Cancers
    Jeff Liang, Yi Jiang, Yazan Abboud, Srinivas Gaddam
    Diseases.2022; 11(1): 3.     CrossRef
  • Scoring model for discriminating gastric cancer risk in patients with negative serum pepsinogen and anti‐Helicobacter pylori antibody results
    Jun‐Hyung Cho, So‐Young Jin, Suyeon Park
    Journal of Gastroenterology and Hepatology.2021; 36(12): 3345.     CrossRef
  • Burden of Gastric Cancer
    Aaron P. Thrift, Hashem B. El-Serag
    Clinical Gastroenterology and Hepatology.2020; 18(3): 534.     CrossRef
  • CD2AP inhibits metastasis in gastric cancer by promoting cellular adhesion and cytoskeleton assembly
    Wangkai Xie, Chao Chen, Zheng Han, Jingjing Huang, Xin Liu, Hongjun Chen, Teming Zhang, Sian Chen, Chenbin Chen, Mingdong Lu, Xian Shen, Xiangyang Xue
    Molecular Carcinogenesis.2020; 59(4): 339.     CrossRef
  • Pepsinogen Serology and Gastritis OLGA Staging in Mucosal Atrophy Assessment: A Cross-Sectional Study Involving East China Endoscopy Population
    Junjun Xia, Zhenzhen Liu, Kaiguang Zhang
    Gastroenterology Research and Practice.2020; 2020: 1.     CrossRef
  • Optimized diagnosis of Helicobacter pylori and tailored eradication therapy for preventing gastric cancer: a proposal for SHAKE strategy
    Jun-Hyung Cho, So-Young Jin
    Expert Review of Gastroenterology & Hepatology.2020; 14(7): 553.     CrossRef
  • A protocol of systematic review and meta-analysis of narrow band imaging endoscopy in detection of early gastric cancer
    Xiao-yu Liu, Jun Zhang
    Medicine.2020; 99(29): e21269.     CrossRef
  • Real-world treatment attrition rates in advanced esophagogastric cancer
    Erica S Tsang, Howard J Lim, Daniel J Renouf, Janine M Davies, Jonathan M Loree, Sharlene Gill
    World Journal of Gastroenterology.2020; 26(39): 6027.     CrossRef
  • Gastrointestinal Endoscopy for Patients with High Levels of Serum CEA and CA19-9
    Norihiro SUZUKI, Atsushi KATAGIRI, Shinya NAKATANI, Kazuo KIKUCHI, Toshihiko GOCHO, Fumito YANAGISAWA, Kazuya INOKI, Kenichi KONDA, Masayuki TOJO, Yutaro KUBOTA, Kazuo KONISHI, Fuyuhiko YAMAMURA, Hitoshi YOSHIDA
    The Showa University Journal of Medical Sciences.2020; 32(2): 115.     CrossRef
  • Evaluation of serum markers for gastric cancer and its precursor diseases among high incidence and mortality rate of gastric cancer area
    Boldbaatar Gantuya, Khasag Oyuntsetseg, Dashdorj Bolor, Yansan Erdene-Ochir, Ruvjir Sanduijav, Duger Davaadorj, Tegshee Tserentogtokh, Tomohisa Uchida, Yoshio Yamaoka
    Gastric Cancer.2019; 22(1): 104.     CrossRef
  • Clinical advantages of robotic gastrectomy for clinical stage I/II gastric cancer: a multi-institutional prospective single-arm study
    Ichiro Uyama, Koichi Suda, Masaya Nakauchi, Takahiro Kinoshita, Hirokazu Noshiro, Shuji Takiguchi, Kazuhisa Ehara, Kazutaka Obama, Shiro Kuwabara, Hiroshi Okabe, Masanori Terashima
    Gastric Cancer.2019; 22(2): 377.     CrossRef
  • Identifying high-risk individuals for gastric cancer surveillance from western and eastern perspectives: Lessons to learn and possibility to develop an integrated approach for daily practice
    Duc Trong Quach, Toru Hiyama, Takuji Gotoda
    World Journal of Gastroenterology.2019; 25(27): 3546.     CrossRef
  • Cáncer gástrico: una enfermedad prevenible. Estrategias para intervención en la historia natural
    Ricardo Oliveros, Raúl Eduardo Pinilla Morales, Helena Facundo Navia, Ricardo Sánchez Pedraza
    Revista Colombiana de Gastroenterología.2019; 34(2): 177.     CrossRef
  • Menopause and sexuality: characterization of sexual dysfunctions during climacteric, in women of Quindío (Colombia)
    Franklin José Espitia-De la Hoz
    Obstetrics & Gynecology International Journal.2019;[Epub]     CrossRef
  • Endoscopic resection of early gastric cancer: a review article
    Adrian Murillo Zolezzi, Mascareño-Ortega H, Martínez-López J, Vite-Mata D, Díaz-Castro F
    Gastroenterology & Hepatology: Open Access.2019; 10(4): 168.     CrossRef
  • Endoscopic screening for hereditary diffuse gastric cancer: one size does not fit all
    Everson Luiz de Almeida Artifon, Fábio Ramalho Tavares Marinho
    Gastrointestinal Endoscopy.2018; 87(2): 405.     CrossRef
  • Diagnostic test pepsinogen I and combination with tumor marker CEA in gastric cancer
    J Sembiring, K Sarumpaet, R A Ganie
    IOP Conference Series: Earth and Environmental Science.2018; 125(1): 012138.     CrossRef
  • Cost-effectiveness and short-term clinical outcomes of argon plasma coagulation compared with endoscopic submucosal dissection in the treatment of gastric low-grade dysplasia
    Bomin Kim, Beom Jin Kim, Il-Kook Seo, Jae Gyu Kim
    Medicine.2018; 97(15): e0330.     CrossRef
  • Optimal Endoscopic Screening Interval for Early Detection of Gastric Cancer: a Single-Center Study
    Sun Jin, Seong Woo Jeon, Yonghwan Kwon, Su Youn Nam, Seong Jae Yeo, Sang Hoon Kwon, Sang Jik Lee
    Journal of Korean Medical Science.2018;[Epub]     CrossRef
  • The prevalence of Helicobacter pylori infection and other risk factors among Mongolian dyspeptic patients who have a high incidence and mortality rate of gastric cancer
    Oyuntsetseg Khasag, Gantuya Boldbaatar, Tserentogtoh Tegshee, Davaadorj Duger, Azzaya Dashdorj, Tomohisa Uchida, Takeshi Matsuhisa, Yoshio Yamaoka
    Gut Pathogens.2018;[Epub]     CrossRef
  • Screening Upper Endoscopy for Early Detection of Gastric Cancer
    Jeong Seop Moon
    Journal of Korean Medical Science.2018;[Epub]     CrossRef
  • Characteristics of Synchronous and Metachronous Multiple Gastric Tumors after Endoscopic Submucosal Dissection of Early Gastric Neoplasm
    Hyun Jik Lee, Yoo Jin Lee, Ju Yup Lee, Eun Soo Kim, Woo Jin Chung, Byoung Kuk Jang, Kyung Sik Park, Jae Seok Hwang, Kwang Bum Cho
    Clinical Endoscopy.2018; 51(3): 266.     CrossRef
  • Diffuse Gastric Cancer: A Summary of Analogous Contributing Factors for Its Molecular Pathogenicity
    Shamshul Ansari, Boldbaatar Gantuya, Vo Phuoc Tuan, Yoshio Yamaoka
    International Journal of Molecular Sciences.2018; 19(8): 2424.     CrossRef
  • Factors Affecting Endoscopic Curative Resection of Gastric Cancer in the Population-Based Screening Era
    Yoon Gwon Mun, Myung-Gyu Choi, Chul-Hyun Lim, Han Hee Lee, Dong Hoon Kang, Jae Myung Park, Kyo Young Song
    Clinical Endoscopy.2018; 51(5): 478.     CrossRef
  • Emerging role of long non-coding RNA in the development of gastric cancer
    Hang Yu, Long Rong
    World Journal of Gastrointestinal Oncology.2018; 10(9): 260.     CrossRef
  • How Do We Bridge the West and the East in the Treatment for Gastric Cancer?
    Koichi Suda, Yuko Kitagawa
    Annals of Surgical Oncology.2017; 24(4): 864.     CrossRef
  • Long-term follow-up of pepsinogen I/II ratio after eradication of Helicobacter pylori in patients who underwent endoscopic mucosal resection for gastric cancer
    Su Youn Nam, Seong Woo Jeon, Hyun Seok Lee, Yong Hwan Kwon, Haeyoon Park, Jin Woo Choi
    Digestive and Liver Disease.2017; 49(5): 500.     CrossRef
  • Application of oral contrast trans-abdominal ultrasonography for initial screening of gastric cancer in rural areas of China
    Li Shen, Chenfei Zhou, Lan Liu, Li Zhang, Dianyuan Lu, Jianrong Cai, Liying Zhao, Rongrong Chu, Junyu Zhou, Jun Zhang
    Digestive and Liver Disease.2017; 49(8): 918.     CrossRef
  • Gastric Cancer as Preventable Disease
    Massimo Rugge, Robert M. Genta, Francesco Di Mario, Emad M. El-Omar, Hashem B. El-Serag, Matteo Fassan, Richard H. Hunt, Ernst J. Kuipers, Peter Malfertheiner, Kentaro Sugano, David Y. Graham
    Clinical Gastroenterology and Hepatology.2017; 15(12): 1833.     CrossRef
  • The potential value of serum pepsinogen for the diagnosis of atrophic gastritis among the health check-up populations in China: a diagnostic clinical research
    Yuling Tong, Yulian Wu, Zhenya Song, Yingying Yu, Xinyan Yu
    BMC Gastroenterology.2017;[Epub]     CrossRef
  • The serum pepsinogen levels for risk assessment of gastric neoplasms
    Jun-Hyung Cho, Seong Ran Jeon, Hyun Gun Kim, So-Young Jin, Suyeon Park
    Medicine.2017; 96(29): e7603.     CrossRef
  • Risk factors for early metachronous tumor development after endoscopic resection for early gastric cancer
    Jae Yong Park, Sang Gyun Kim, Jung Kim, Seung Jun Han, Sooyeon Oh, Ji Min Choi, Joo Hyun Lim, Hyunsoo Chung, Hyun Chae Jung, John Green
    PLOS ONE.2017; 12(9): e0185501.     CrossRef
  • The Characteristics and Prognosis of Diffuse-Type Early Gastric Cancer Diagnosed during Health Check-Ups
    Ji Young Lee, Eun Jeong Gong, Eun Ju Chung, Hye Won Park, Suh Eun Bae, Eun Hee Kim, Jaeil Kim, Yoon Suh Do, Tae Hyup Kim, Hye-Sook Chang, Ho June Song, Jaewon Choe, Hwoon-Yong Jung
    Gut and Liver.2017; 11(6): 807.     CrossRef
  • Relationship between atrophic gastritis, gastric intestinal metaplasia and Helicobacter pylori on endoscopic screening of upper gastrointestinal tract and a brief review of the literature
    M. Z. Üçüncü, E. Kabul Gürbulak, B. Gürbulak, O. A. Savaş, B. Özütürk, A. C. Dural, A. Haşlak
    European Surgery.2016; 48(2): 99.     CrossRef
  • Evaluation of the diagnostic value of 64 simultaneously measured autoantibodies for early detection of gastric cancer
    Simone Werner, Hongda Chen, Julia Butt, Angelika Michel, Phillip Knebel, Bernd Holleczek, Inka Zörnig, Stefan B. Eichmüller, Dirk Jäger, Michael Pawlita, Tim Waterboer, Hermann Brenner
    Scientific Reports.2016;[Epub]     CrossRef
  • Job Stress and Job Satisfaction among Health-Care Workers of Endoscopy Units in Korea
    Seung-Joo Nam, Hoon Jai Chun, Jeong Seop Moon, Sung Chul Park, Young-Jae Hwang, In Kyung Yoo, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yoon Tae Jeen, Hong Sik Lee, Chang Duck Kim
    Clinical Endoscopy.2016; 49(3): 266.     CrossRef
  • Robotic surgery for upper gastrointestinal cancer: Current status and future perspectives
    Koichi Suda, Masaya Nakauchi, Kazuki Inaba, Yoshinori Ishida, Ichiro Uyama
    Digestive Endoscopy.2016; 28(7): 701.     CrossRef
  • Current Perspectives on Gastric Cancer
    Juan M. Marqués-Lespier, María González-Pons, Marcia Cruz-Correa
    Gastroenterology Clinics of North America.2016; 45(3): 413.     CrossRef
  • DNA Methylation as Surrogate Marker For Gastric Cancer
    Jung-Hwan Oh, Sung-Hoon Jung, Seung-Jin Hong, Mun-Gan Rhyu
    Journal of Cancer Prevention.2015; 20(3): 172.     CrossRef
  • Detection of gastric cancer using transabdominal ultrasonography is associated with tumor diameter and depth of invasion
    Experimental and Therapeutic Medicine.2015; 10(5): 1835.     CrossRef
  • Significance of Serum Pepsinogens as a Biomarker for Gastric Cancer and Atrophic Gastritis Screening: A Systematic Review and Meta-Analysis
    Ya-kai Huang, Jian-chun Yu, Wei-ming Kang, Zhi-qiang Ma, Xin Ye, Shu-bo Tian, Chao Yan, Hiromu Suzuki
    PLOS ONE.2015; 10(11): e0142080.     CrossRef
  • Magnifying narrow-band imaging endoscopy is superior in diagnosis of early gastric cancer
    Hang Yu
    World Journal of Gastroenterology.2015; 21(30): 9156.     CrossRef
  • 10,102 View
  • 199 Download
  • 52 Web of Science
  • 50 Crossref
Close layer
Original Article
The Effect of the Bowel Preparation Status on the Risk of Missing Polyp and Adenoma during Screening Colonoscopy: A Tandem Colonoscopic Study
Sung Noh Hong, In Kyung Sung, Jeong Hwan Kim, Won Hyeok Choe, Byung Kook Kim, Soon Young Ko, Jung Hyun Lee, Dong Choon Seol, Su Young Ahn, Sun-Young Lee, Hyung Seok Park, Chan Sup Shim
Clin Endosc 2012;45(4):404-411.   Published online November 30, 2012
AbstractAbstract PDFPubReaderePub

Although a small amount of fecal material can obscure significant colorectal lesions, it has not been well documented whether bowel preparation status affects the missing risk of colorectal polyps and adenomas during a colonoscopy.


We prospectively enrolled patients with one to nine colorectal polyps and at least one adenoma of >5 mm in size at the screening colonoscopy. Tandem colonoscopy with polypectomy was carried out within 3 months.


A total of 277 patients with 942 polyps and 714 adenomas completed index and tandem examinations. At the index colonoscopy, 187 polyps (19.9%) and 127 adenomas (17.8%) were missed. The per-patient miss rate of polyps and adenomas increased significantly as the bowel cleansing rate declined from excellent to poor/inadequate on the Aronchick scale (polyps, p=0.024; adenomas, p=0.040). The patients with poor/inadequate bowel preparation were independently associated with an increased risk of having missed polyps (odds ratio [OR], 3.21; 95% confidence interval [CI], 1.13 to 9.15) or missed adenomas (OR, 3.04; 95% CI, 1.04 to 8.88) compared to the patients with excellent bowel preparation.


The risk of missing polyps and adenomas during screening colonoscopy is significantly affected by bowel preparation status. It seems appropriate to shorten the colonoscopy follow-up interval for patients with suboptimal bowel preparation.


Citations to this article as recorded by  
  • What are the priority quality indicators for colonoscopy in real‐world clinical practice?
    Kasenee Tiankanon, Satimai Aniwan
    Digestive Endoscopy.2024; 36(1): 30.     CrossRef
  • Sleep Disturbances, Bowel Movement Kinetics, and Travel Interruption With Bowel Preparation: A Bowel CLEANsing National Initiative Substudy
    Carmen Tse, Alan Barkun, Myriam Martel, Zoann Nugent, Ian Epstein, Michael Sey, Sultanian Richard, Daniel von Renteln, Harminder Singh
    American Journal of Gastroenterology.2023; 118(1): 87.     CrossRef
  • Computer-assisted detection versus conventional colonoscopy for proximal colonic lesions: a multicenter, randomized, tandem-colonoscopy study
    Thomas K.L. Lui, Dao Viet Hang, Stephen K.K. Tsao, Cynthia K.Y. Hui, Loey Lung Yi Mak, Michael K.L. Ko, Ka Shing Cheung, M.Y. Thian, R. Liang, Vivien W.M. Tsui, Chung Kwong Yeung, L.V. Dao, Wai K. Leung
    Gastrointestinal Endoscopy.2023; 97(2): 325.     CrossRef
  • ColonNet: A novel polyp segmentation framework based on LK-RFB and GPPD
    Dong Sui, Weifeng Liu, Yue Zhang, Yang Li, Gongning Luo, Kuanquan Wang, Maozu Guo
    Computers in Biology and Medicine.2023; 166: 107541.     CrossRef
  • The necessity of intensive surveillance colonoscopy for patients with a remaining right colon after resection of colorectal cancer: a retrospective cohort study
    Mitsuru Yokota, Jun Muto, Kazuki Hashida, Yoshio Nagahisa, Michio Okabe, Hirohisa Kitagawa, Kazuyuki Kawamoto
    Surgery Today.2022; 52(3): 502.     CrossRef
  • Efficacy and safety of split-dose bowel preparation with 1 L polyethylene glycol and ascorbate compared with 2 L polyethylene glycol and ascorbate in a Korean population: a phase IV, multicenter, randomized, endoscopist-blinded study
    Sung Noh Hong, Chang Kyun Lee, Jong Pil Im, Chang Hwan Choi, Jeong-Sik Byeon, Young-Seok Cho, Sung-Ae Jung, Tae Il Kim, Yoon Tae Jeen
    Gastrointestinal Endoscopy.2022; 95(3): 500.     CrossRef
  • Relationship between Health Literacy and Knowledge, Compliance with Bowel Preparation, and Bowel Cleanliness in Older Patients Undergoing Colonoscopy
    Minju Gwag, Jaeyong Yoo
    International Journal of Environmental Research and Public Health.2022; 19(5): 2676.     CrossRef
  • Oral sulfate solution benefits polyp and adenoma detection during colonoscopy: Meta‐analysis of randomized controlled trials
    Cheng Chen, Mengyang Shi, Zhongli Liao, Weiqing Chen, Yongzhong Wu, Xu Tian
    Digestive Endoscopy.2022; 34(6): 1121.     CrossRef
  • Rectal Evacuation Disorders are Associated With Poor Bowel Preparation in Patients With Chronic Constipation
    Mythili P. Pathipati, Casey J. Silvernale, Kenneth G. Barshop, Jasmine B. Ha, James M. Richter, Kyle D. Staller
    Journal of Clinical Gastroenterology.2022; 56(5): 438.     CrossRef
  • Impact of looping on premalignant polyp detection during colonoscopy
    Osamu Toyoshima, Toshihiro Nishizawa, Shuntaro Yoshida, Tatsuya Matsuno, Toru Arano, Ryo Kondo, Kazunori Kinoshita, Yuki Yasumi, Yosuke Tsuji, Mitsuhiro Fujishiro
    World Journal of Gastrointestinal Endoscopy.2022; 14(11): 694.     CrossRef
  • New insights on missed colonic lesions during colonoscopy through artificial intelligence–assisted real-time detection (with video)
    Thomas K.L. Lui, Cynthia K.Y. Hui, Vivien W.M. Tsui, Ka Shing Cheung, Michael K.L. Ko, Dominic C.C. Foo, Lung Yi Mak, Chung Kwong Yeung, Tim HW Lui, Siu Yin Wong, Wai K. Leung
    Gastrointestinal Endoscopy.2021; 93(1): 193.     CrossRef
  • Colonoscopy in poorly prepped colons: a cost effectiveness analysis comparing standard of care to a new cleansing technology
    Jeffrey Voigt, Michael Mosier, Ian M. Gralnek
    Cost Effectiveness and Resource Allocation.2021;[Epub]     CrossRef
  • Multidirectional Colonoscopy Quality Improvement Increases Adenoma Detection Rate: Results of the Seoul National University Hospital Healthcare System Gangnam Center Colonoscopy Quality Upgrade Project (Gangnam-CUP)
    Ji Yeon Seo, Eun Hyo Jin, Jung Ho Bae, Joo Hyun Lim, Goh Eun Chung, Changhyun Lee, Min-Sun Kwak, Hae Yeon Kang, Ji Hyun Song, Sun Young Yang, Jong In Yang, Seon Hee Lim, Jeong Yoon Yim, Joo Sung Kim, Su Jin Chung
    Digestive Diseases and Sciences.2020; 65(6): 1806.     CrossRef
  • Berberine versus placebo for the prevention of recurrence of colorectal adenoma: a multicentre, double-blinded, randomised controlled study
    Ying-Xuan Chen, Qin-Yan Gao, Tian-Hui Zou, Bang-Mao Wang, Si-De Liu, Jian-Qiu Sheng, Jian-Lin Ren, Xiao-Ping Zou, Zhan-Ju Liu, Yan-Yan Song, Bing Xiao, Xiao-Min Sun, Xiao-Tan Dou, Hai-Long Cao, Xiao-Ning Yang, Na Li, Qian Kang, Wei Zhu, Hong-Zhi Xu, Hui-M
    The Lancet Gastroenterology & Hepatology.2020; 5(3): 267.     CrossRef
  • Improving the quality of bowel preparation through an app for inpatients undergoing colonoscopy: A randomized controlled trial
    Bingmei Guo, Xiuli Zuo, Zhen Li, Jun Liu, Na Xu, Xiaohui Li, Aifang Zhu
    Journal of Advanced Nursing.2020; 76(4): 1037.     CrossRef
  • A Randomized, Endoscopist-Blinded, Prospective Trial to Compare the Efficacy and Patient Tolerability between Bowel Preparation Protocols Using Sodium Picosulfate Magnesium Citrate and Polyethylene-Glycol (1 L and 2 L) for Colonoscopy
    Sang Hoon Kim, Ji Hyeong Kim, Bora Keum, Han Jo Jeon, Se Hyun Jang, Seong Ji Choi, Seung Han Kim, Jae Min Lee, Hyuk Soon Choi, Eun Sun Kim, Yoon Tae Jeen, Hong Sik Lee, Hoon Jai Chun, Chang Duck Kim
    Gastroenterology Research and Practice.2020; 2020: 1.     CrossRef
  • Efficacy of low‐dose versus high‐dose simethicone with polyethylene glycol for bowel preparation: A prospective randomized controlled trial
    De‐feng Li, Ming‐han Luo, Qing‐qing Du, Hai‐yang Zhang, Yan‐hui Tian, Ting‐ting Liu, Rui‐yue Shi, Feng Xiong, Ming‐guang Lai, Ying‐xue Li, Su Luo, Yang Song, Ben‐hua Wu, Zheng‐lei Xu, Ding‐guo Zhang, Jun Yao, Li‐sheng Wang
    Journal of Gastroenterology and Hepatology.2020; 35(9): 1488.     CrossRef
  • Optimal Laxatives for Oral Colonoscopy Bowel Preparation: from High-volume to Novel Low-volume Solutions
    Soo-Young Na, Won Moon
    The Korean Journal of Gastroenterology.2020; 75(2): 65.     CrossRef
  • Impact of Inadequate Bowel Cleansing on Colonoscopic Findings in Routine Screening Practice
    Tobias Niedermaier, Efrat L. Amitay, Anton Gies, Korbinian Weigl, Michael Hoffmeister, Hermann Brenner
    Clinical and Translational Gastroenterology.2020; 11(4): e00169.     CrossRef
  • Reinforced education improves the quality of bowel preparation for colonoscopy: An updated meta-analysis of randomized controlled trials
    Xiaoyang Guo, Xin Li, Zhiyan Wang, Junli Zhai, Qiang Liu, Kang Ding, Yanglin Pan, Antonio Z Gimeno-Garcia
    PLOS ONE.2020; 15(4): e0231888.     CrossRef
  • Comparison of Oral Sulfate Solution and Polyethylene Glycol Plus Ascorbic Acid on the Efficacy of Bowel Preparation
    Ji Hyung Nam, Seok Bo Hong, Yun Jeong Lim, Seongju Lee, Hyoun Woo Kang, Jae Hak Kim, Jin Ho Lee
    Clinical Endoscopy.2020; 53(5): 568.     CrossRef
  • Relationship between serrated polyps and synchronous and metachronous advanced neoplasia: A retrospective study
    En‐Wei Tao, Yong Feng Wang, Tian Hui Zou, Yun Cui, Ying Xuan Chen, Qin Yan Gao
    Journal of Digestive Diseases.2020; 21(10): 558.     CrossRef
  • Efficacy and Patient Tolerability Profiles of Probiotic Solution with Bisacodyl Versus Conventional Cleansing Solution for Bowel Preparation: A Prospective, Randomized, Controlled Trial
    Youn I Choi, Jong-Joon Lee, Jun-Won Chung, Kyoung Oh Kim, Yoon Jae Kim, Jung Ho Kim, Dong Kyun Park, Kwang An Kwon
    Journal of Clinical Medicine.2020; 9(10): 3286.     CrossRef
  • Bowel preparation for colonoscopy
    Parth J. Parekh, Edward C. Oldfield, David A. Johnson
    Current Opinion in Gastroenterology.2019; 35(1): 51.     CrossRef
  • Standards of diagnostic colonoscopy for early‐stage neoplasia: Recommendations by an Asian private group
    Yasushi Sano, Han‐Mo Chiu, Xiao‐bo Li, Supakij Khomvilai, Pises Pisespongsa, Jonard Tan Co, Takuji Kawamura, Nozomu Kobayashi, Shinji Tanaka, David G. Hewett, Yoji Takeuchi, Kenichiro Imai, Takahiro Utsumi, Akira Teramoto, Daizen Hirata, Mineo Iwatate, Ra
    Digestive Endoscopy.2019; 31(3): 227.     CrossRef
  • Comparison Between an Oral Sulfate Solution and a 2 L of Polyethylene Glycol/Ascorbic Acid as a Split Dose Bowel Preparation for Colonoscopy
    Han Hee Lee, Chul-Hyun Lim, Jin Su Kim, Yu Kyung Cho, Bo-In Lee, Young-Seok Cho, In Seok Lee, Myung-Gyu Choi
    Journal of Clinical Gastroenterology.2019; 53(10): e431.     CrossRef
  • Multicentre endoscopist-blinded randomised clinical trial to compare two bowel preparations after a colonoscopy with inadequate cleansing: a study protocol
    Michael Sai Lai Sey, Daniel von Renteln, Richard Sultanian, Cassandra McDonald, Myriam Martel, Alan Barkun
    BMJ Open.2019; 9(7): e029573.     CrossRef
  • Predictive factors for missed adenoma on repeat colonoscopy in patients with suboptimal bowel preparation on initial colonoscopy: A KASID multicenter study
    Ji Young Chang, Chang Mo Moon, Hyun Jung Lee, Hyo-Joon Yang, Yunho Jung, Sang Wook Kim, Sung-Ae Jung, Jeong-Sik Byeon, Frank T. Kolligs
    PLOS ONE.2018; 13(4): e0195709.     CrossRef
  • A novel summary report of colonoscopy: timeline visualization providing meaningful colonoscopy video information
    Minwoo Cho, Jee Hyun Kim, Hyoun Joong Kong, Kyoung Sup Hong, Sungwan Kim
    International Journal of Colorectal Disease.2018; 33(5): 549.     CrossRef
  • The use of chromoendoscopy for surveillance of inflammatory bowel disease
    Gary R. Lichtenstein, Michael F. Picco, Sanjeev Solomon, Stephen J. Bickston
    VideoGIE.2018; 3(2): 35.     CrossRef
  • Readability of information on colonoscopy preparation on the internet
    Sarah A. MacLean, Corey H Basch, Ashley Clark, Charles E Basch
    Health Promotion Perspectives.2018; 8(2): 167.     CrossRef
  • Adenoma miss rate determined by very shortly repeated colonoscopy
    Cheng-Long Wang, Zhi-Ping Huang, Kai Chen, Fei-Hu Yan, Liang-Liang Zhu, Yong-Qi Shan, Yong-Jun-Yi Gao, Bai-Rong Li, Hao Wang, En-Da Yu, Zi-Ye Zhao
    Medicine.2018; 97(38): e12297.     CrossRef
  • Impact of Video Aid on Quality of Bowel Preparation Among Patients Undergoing Outpatient Screening Colonoscopy
    Sanna Fatima, Deepanshu Jain, Christopher Hibbard
    Clinical Medicine Insights: Gastroenterology.2018; 11: 117955221880330.     CrossRef
  • Frequency and Characteristics of Interval Colorectal Cancer in Actual Clinical Practice: A KASID Multicenter Study
    Kyeong Ok Kim, Kyu Chan Huh, Sung Pil Hong, Won Hee Kim, Hyuk Yoon, Sang Wook Kim, Yeon Soo Kim, Jong Ha Park, Jun Lee, Bum Jae Lee, Young Sook Park
    Gut and Liver.2018; 12(5): 537.     CrossRef
  • Risk factors of missed colorectal lesions after colonoscopy
    Jeonghun Lee, Sung Won Park, You Sun Kim, Kyung Jin Lee, Hyun Sung, Pil Hun Song, Won Jae Yoon, Jeong Seop Moon
    Medicine.2017; 96(27): e7468.     CrossRef
  • Enhanced education for bowel preparation before colonoscopy: A state‐of‐the‐art review
    Zhu Liu, Ming Ming Zhang, Yue Yue Li, Li Xiang Li, Yan Qing Li
    Journal of Digestive Diseases.2017; 18(2): 84.     CrossRef
  • Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia
    Jae Gyu Shin, Hyung Wook Kim, Su Bum Park, Cheol Woong Choi, Dae Hwan Kang, Su Jin Kim, Hyeong Seok Nam, Dae Gon Ryu
    Medicine.2017; 96(19): e6742.     CrossRef
  • Split‐dose bowel preparation with polyethylene glycol for colonoscopy performed under propofol sedation. Is there an optimal timing?
    Alaa Alghamry, Sureshkumar K Ponnuswamy, Aditya Agarwal, Hadi Moattar, Stephanie T Yerkovich, Ann E Vandeleur, James Thomas, John Croese, Tony Rahman, Ruth Hodgson
    Journal of Digestive Diseases.2017; 18(3): 160.     CrossRef
  • Miss rate of colorectal neoplastic polyps and risk factors for missed polyps in consecutive colonoscopies
    Nam Hee Kim, Yoon Suk Jung, Woo Shin Jeong, Hyo-Joon Yang, Soo-Kyung Park, Kyuyong Choi, Dong Il Park
    Intestinal Research.2017; 15(3): 411.     CrossRef
  • Training in Endoscopy: Colonoscopy
    Hyun Joo Jang
    Clinical Endoscopy.2017; 50(4): 322.     CrossRef
  • Effect of Low-Volume Split-Dose Purgative on the Quality of Bowel Prep for Colonoscopy on the Hospitalized Patient
    Judy A. Corliss
    Gastroenterology Nursing.2017; 40(6): 448.     CrossRef
  • Quantification of Adequate Bowel Preparation for Screening or Surveillance Colonoscopy in Men
    Brian T. Clark, Petr Protiva, Anil Nagar, Avlin Imaeda, Maria M. Ciarleglio, Yanhong Deng, Loren Laine
    Gastroenterology.2016; 150(2): 396.     CrossRef
  • A novel quality scoring system for the evaluation of individual colonoscopy: A multicenter retrospective study
    Qiang Zhan, Li Xiang, Xinhua Zhao, Shengli An, Yadong Wang, Yangzhi Xu, Aimin Li, Wei Gong, Yang Bai, Yali Zhang, Side Liu
    Journal of Gastroenterology and Hepatology.2016; 31(1): 172.     CrossRef
  • Providing Hospitalized Patients With an Educational Booklet Increases the Quality of Colonoscopy Bowel Preparation
    William F. Ergen, Trisha Pasricha, Francie J. Hubbard, Tina Higginbotham, Tonya Givens, James C. Slaughter, Keith L. Obstein
    Clinical Gastroenterology and Hepatology.2016; 14(6): 858.     CrossRef
  • Izinova®, nouvelle préparation orale à diluer pour lavage colique

    Acta Endoscopica.2016; 46(1-2): 74.     CrossRef
  • Factors associated with colorectal cancer occurrence after colonoscopy that did not diagnose colorectal cancer
    Danny Cheung, Felicity Evison, Prashant Patel, Nigel Trudgill
    Gastrointestinal Endoscopy.2016; 84(2): 287.     CrossRef
  • Impact of bowel preparation type on the quality of colonoscopy: a multicenter community-based study
    Daniel Martin, Saqib Walayat, Zohair Ahmed, Sonu Dhillon, Carl V. Asche, Srinivas Puli, Jinma Ren
    Journal of Community Hospital Internal Medicine Pe.2016; 6(2): 31074.     CrossRef
  • Comparative Study on Bowel Preparation Efficacy of Ascorbic Acid Containing Polyethylene Glycol by Adding Either Simethicone or 1 L of Water in Health Medical Examination Patients: A Prospective Randomized Controlled Study
    Se Hwan Yeo, Jae Hoon Kwak, Yeo Un Kim, Tae Ho Kwon, Jeong Bae Park, Jun Hyung Park, Yong Kook Lee, Yun Jeong Lim, Chang Heon Yang
    The Korean Journal of Gastroenterology.2016; 67(4): 189.     CrossRef
  • Advanced colonic neoplasia in the first degree relatives of colon cancer patients: A colonoscopy‐based study
    Hamideh Salimzadeh, Faraz Bishehsari, Mohammad Amani, Reza Ansari, Masoud Sotoudeh, Alireza Delavari, Reza Malekzadeh
    International Journal of Cancer.2016; 139(10): 2243.     CrossRef
  • Video on Diet Before Outpatient Colonoscopy Does Not Improve Quality of Bowel Preparation: A Prospective, Randomized, Controlled Trial
    Sean C Rice, Tina Higginbotham, Melanie J Dean, James C Slaughter, Patrick S Yachimski, Keith L Obstein
    American Journal of Gastroenterology.2016; 111(11): 1564.     CrossRef
  • Meta-Analysis of the Effect of Bowel Preparation on Adenoma Detection: Early Adenomas Affected Stronger than Advanced Adenomas
    Michael C. Sulz, Arne Kröger, Meher Prakash, Christine N. Manser, Henriette Heinrich, Benjamin Misselwitz, Irving Coy Allen
    PLOS ONE.2016; 11(6): e0154149.     CrossRef
  • Seeing better - Evidence based recommendations on optimizing colonoscopy adenoma detection rate
    Javier Aranda-Hernández
    World Journal of Gastroenterology.2016; 22(5): 1767.     CrossRef
  • Predictors of Inadequate Inpatient Colonoscopy Preparation and Its Association with Hospital Length of Stay and Costs
    Rena Yadlapati, Elyse R. Johnston, Dyanna L. Gregory, Jody D. Ciolino, Andrew Cooper, Rajesh N. Keswani
    Digestive Diseases and Sciences.2015; 60(11): 3482.     CrossRef
  • Endoscopists with low adenoma detection rates benefit from high-definition endoscopy
    Elisabeth Waldmann, Martha Britto-Arias, Irina Gessl, Georg Heinze, Petra Salzl, Daniela Sallinger, Michael Trauner, Werner Weiss, Arnulf Ferlitsch, Monika Ferlitsch
    Surgical Endoscopy.2015; 29(2): 466.     CrossRef
  • Preparación para colonoscopia. ¿Algún avance significativo en el horizonte?
    Liseth Rivero-Sánchez, María Pellisé
    Gastroenterología y Hepatología.2015; 38(4): 287.     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
  • Impact of the Quality of Bowel Cleansing on the Efficacy of Colonic Cancer Screening: A Prospective, Randomized, Blinded Study
    Jürgen Pohl, Marc Halphen, Hans Rudolf Kloess, Wolfgang Fischbach, John Green
    PLOS ONE.2015; 10(5): e0126067.     CrossRef
  • Electrolyte changes after bowel preparation for colonoscopy: A randomized controlled multicenter trial
    Kyong Joo Lee
    World Journal of Gastroenterology.2015; 21(10): 3041.     CrossRef
  • Improved bowel preparation increases polyp detection and unmasks significant polyp miss rate
    Ioannis S Papanikolaou
    World Journal of Clinical Cases.2015; 3(10): 880.     CrossRef
  • Factors Influencing the Miss Rate of Polyps in a Tandem Colonoscopy Study
    Han Na Choi, Hyun Hee Kim, Jang Seok Oh, Hee Sang Jang, Hyun Sik Hwang, Eun Young Kim, Joong Goo Kwon, Jin Tae Jung
    The Korean Journal of Gastroenterology.2014; 64(1): 24.     CrossRef
  • Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the U.S. Multi-Society Task Force on Colorectal Cancer
    David A. Johnson, Alan N. Barkun, Larry B. Cohen, Jason A. Dominitz, Tonya Kaltenbach, Myriam Martel, Douglas J. Robertson, C. Richard Boland, Frances M. Giardello, David A. Lieberman, Theodore R. Levin, Douglas K. Rex
    Gastrointestinal Endoscopy.2014; 80(4): 543.     CrossRef
  • Optimizing Adequacy of Bowel Cleansing for Colonoscopy: Recommendations From the US Multi-Society Task Force on Colorectal Cancer
    David A Johnson, Alan N Barkun, Larry B Cohen, Jason A Dominitz, Tonya Kaltenbach, Myriam Martel, Douglas J Robertson, Richard C Boland, Frances M Giardello, David A Lieberman, Theodore R Levin, Douglas K Rex
    American Journal of Gastroenterology.2014; 109(10): 1528.     CrossRef
  • Optimizing Adequacy of Bowel Cleansing for Colonoscopy: Recommendations From the US Multi-Society Task Force on Colorectal Cancer
    David A. Johnson, Alan N. Barkun, Larry B. Cohen, Jason A. Dominitz, Tonya Kaltenbach, Myriam Martel, Douglas J. Robertson, C. Richard Boland, Frances M. Giardello, David A. Lieberman, Theodore R. Levin, Douglas K. Rex
    Gastroenterology.2014; 147(4): 903.     CrossRef
  • Importance of the Time Interval between Bowel Preparation and Colonoscopy in Determining the Quality of Bowel Preparation for Full-Dose Polyethylene Glycol Preparation
    Tae Kyung Kim, Hyung Wook Kim, Su Jin Kim, Jong Kun Ha, Hyung Ha Jang, Young Mi Hong, Su Bum Park, Cheol Woong Choi, Dae Hwan Kang
    Gut and Liver.2014; 8(6): 625.     CrossRef
  • The effect of different patient education methods on quality of bowel cleanliness in outpatients receiving colonoscopy examination
    Feng-Chi Hsueh, Han-Chih Wang, Chien-An Sun, Chia-Chen Tseng, Tung-Chen Han, Szu-Mei Hsiao, Cheng-Yu Wei, Chien-Hua Chen, Tsan Yang
    Applied Nursing Research.2014; 27(2): e1.     CrossRef
  • Rural–urban differences in the long-term risk of colorectal cancer after adenoma removal: A population-based study
    Isabelle Fournel, Vanessa Cottet, Christine Binquet, Valérie Jooste, Jean Faivre, Anne-Marie Bouvier, Claire Bonithon-Kopp
    Digestive and Liver Disease.2014; 46(4): 376.     CrossRef
  • What Are the Factors Influencing the Miss Rate of Polyps in a Tandem Colonoscopic Study?
    Young-Eun Joo
    The Korean Journal of Gastroenterology.2014; 64(1): 1.     CrossRef
  • Prerequisites of Colonoscopy
    Kyong Hee Hong, Yun Jeong Lim
    Clinical Endoscopy.2014; 47(4): 324.     CrossRef
  • Colonoscopy quality improvement: practice to public health
    James M. Richter
    Gastrointestinal Endoscopy.2013; 78(6): 919.     CrossRef
  • Recommended Intervals Between Screening and Surveillance Colonoscopies
    Todd H. Baron, Thomas C. Smyrk, Douglas K. Rex
    Mayo Clinic Proceedings.2013; 88(8): 854.     CrossRef
  • Clinical Practice of Surveillance Colonoscopy according to the Classification of Colorectal Intraepithelial Neoplasia in Korea: High-grade Dysplasia/CarcinomaIn SituVersus Intramucosal Carcinoma
    Sung Pil Hong, Tae Il Kim, Hyun Gun Kim, Hyun-Soo Kim, Seong-Eun Kim, Kyu Chan Huh, Jeong Eun Shin, Jae Myung Cha, Suck-Ho Lee
    Intestinal Research.2013; 11(4): 276.     CrossRef
  • Inadequate Bowel Preparation Increases Missed Polyps
    Hyung Wook Kim
    Clinical Endoscopy.2012; 45(4): 345.     CrossRef
  • 9,704 View
  • 121 Download
  • 72 Crossref
Close layer
Special Issue Articles of IDEN 2012
Colonoscopic Cancer Surveillance in Inflammatory Bowel Disease: What's New Beyond Random Biopsy?
James E. East
Clin Endosc 2012;45(3):274-277.   Published online August 22, 2012
AbstractAbstract PDFPubReaderePub

Colonoscopy based colitis surveillance is widely accepted to try to prevent development of and ensure early detection of colitis-associated colorectal cancer. Traditionally this has been performed with quadrantic random biopsies throughout the colon. Chromoendoscopy "dye-spray" with targeted biopsies only has been shown to increase dysplasia detection 4 to 5 fold on a per lesion basis. It has therefore been suggested that random biopsies should be abandoned as they do not increase dysplasia detection nor change patient clinical course. Recent British guidelines for colitis surveillance have strongly endorsed chromoendoscopy. This short review summarizes current international guidelines and looks at how to optimize white light colonoscopy in colitis considering: bowel preparation, withdrawal time, high definition, and structure enhancement. Data for advanced imaging techniques are reviewed including positive evidence in favor of chromoendoscopy, and limited data suggesting autofluoresence imaging may be promising. Narrow band imaging does not increase dysplasia detection in colitis. Confocal endomicroscopy might potentially reduce biopsies beyond that of chromoendoscopy but does not offer a clear detection advantage. Pan-colonic chromoendoscopy with targeted biopsies increases dysplasia detection and is the standard of care in the United Kingdom. It is likely that the use of chromoendoscopy for colitis surveillance will become widely accepted internationally.


Citations to this article as recorded by  
  • Colon Cancer
    Sherief Shawki, Jean Ashburn, Steven A. Signs, Emina Huang
    Surgical Oncology Clinics of North America.2018; 27(2): 269.     CrossRef
  • Advanced endoscopic imaging for diagnosis of inflammatory bowel diseases: Present and future perspectives
    Visvakanth Sivanathan, Gian Eugenio Tontini, Markus Möhler, Peter R. Galle, Helmut Neumann
    Digestive Endoscopy.2018; 30(4): 441.     CrossRef
  • Chromoendoscopy for Dysplasia Surveillance in Inflammatory Bowel Disease
    Ann D Flynn, John F Valentine
    Inflammatory Bowel Diseases.2018; 24(7): 1440.     CrossRef
  • Early detection of ulcerative colitis-associated colorectal cancer
    Yu Zhen, Chengxin Luo, Hu Zhang
    Gastroenterology Report.2018; 6(2): 83.     CrossRef
  • Screening and surveillance methods for dysplasia in inflammatory bowel disease patients: Where do we stand?
    Michail Galanopoulos, Emmanouela Tsoukali, Filippos Gkeros, Marina Vraka, Georgios Karampekos, Gerassimos J Matzaris
    World Journal of Gastrointestinal Endoscopy.2018; 10(10): 250.     CrossRef
  • The rectal remnant after total colectomy for colitis – intra-operative,post-operative and longer-term considerations
    Kalle Landerholm, Christopher Wood, Alexander Bloemendaal, Nicolas Buchs, Bruce George, Richard Guy
    Scandinavian Journal of Gastroenterology.2018; 53(12): 1443.     CrossRef
  • Crohn's disease: risk factor for colorectal cancer
    Sandra Cristina Dias dos Santos, Laura Elisabete Ribeiro Barbosa
    Journal of Coloproctology.2017; 37(01): 055.     CrossRef
  • Chromoendoscopy for Surveillance in Ulcerative Colitis and Crohn’s Disease: A Systematic Review of Randomized Trials
    Andrea Iannone, Marinella Ruospo, Germaine Wong, Mariabeatrice Principi, Michele Barone, Giovanni F.M. Strippoli, Alfredo Di Leo
    Clinical Gastroenterology and Hepatology.2017; 15(11): 1684.     CrossRef
  • Chinese consensus on the prevention of colorectal cancer (2016, Shanghai)
    Jing‐Yuan Fang, Yong Quan Shi, Ying Xuan Chen, Jing Nan Li, Jian Qiu Sheng
    Journal of Digestive Diseases.2017; 18(2): 63.     CrossRef
  • Advanced imaging and therapeutic endoscopy
    Chaitanya Pant, Mojtaba S. Olyaee, Amit Rastogi
    Techniques in Gastrointestinal Endoscopy.2017; 19(3): 151.     CrossRef
  • Improving the utility of colonoscopy: Recent advances in practice
    Crispin J Corte, Rupert W Leong
    Journal of Gastroenterology and Hepatology.2016; 31(1): 32.     CrossRef
  • Colorectal Cancer in Patients With Inflammatory Bowel Disease: The Need for a Real Surveillance Program
    Rosario Fornaro, Michela Caratto, Elisa Caratto, Giuseppe Caristo, Francesco Fornaro, Davide Giovinazzo, Camilla Sticchi, Marco Casaccia, Enzo Andorno
    Clinical Colorectal Cancer.2016; 15(3): 204.     CrossRef
  • How to Optimize Colon Cancer Surveillance in Inflammatory Bowel Disease Patients
    Jill K. J. Gaidos, Stephen J. Bickston
    Inflammatory Bowel Diseases.2016; 22(5): 1219.     CrossRef
  • Endoscopy in the Diagnosis and Management of Complications of Inflammatory Bowel Disease
    Benjamin Tharian, Nayana George, Udayakumar Navaneethan
    Inflammatory Bowel Diseases.2016; 22(5): 1184.     CrossRef
  • Surveillance of patients with inflammatory bowel disease
    Jessica X. Yu, James E. East, Tonya Kaltenbach
    Best Practice & Research Clinical Gastroenterology.2016; 30(6): 949.     CrossRef
  • The role of endoscopy in inflammatory bowel disease
    Amandeep K. Shergill, Jenifer R. Lightdale, David H. Bruining, Ruben D. Acosta, Vinay Chandrasekhara, Krishnavel V. Chathadi, G. Anton Decker, Dayna S. Early, John A. Evans, Robert D. Fanelli, Deborah A. Fisher, Lisa Fonkalsrud, Kimberly Foley, Joo Ha Hwa
    Gastrointestinal Endoscopy.2015; 81(5): 1101.     CrossRef
  • Chromoendoscopy for Colorectal Cancer Surveillance in Patients with Inflammatory Bowel Disease
    Samir A. Shah, David T. Rubin, Francis A. Farraye
    Current Gastroenterology Reports.2014;[Epub]     CrossRef
  • Toward a Consensus on Endoscopic Surveillance of Patients with Colonic Inflammatory Bowel Disease
    Amandeep K. Shergill, Francis A. Farraye
    Gastrointestinal Endoscopy Clinics of North America.2014; 24(3): 469.     CrossRef
  • Achieving the best bowel preparation for colonoscopy
    Adolfo Parra-Blanco, Alex Ruiz, Manuel Alvarez-Lobos, Ana Amorós, Juan Cristóbal Gana, Patricio Ibáñez, Akiko Ono, Takahiro Fujii
    World Journal of Gastroenterology.2014; 20(47): 17709.     CrossRef
  • Colorectal cancer in inflammatory bowel disease: The risk, pathogenesis, prevention and diagnosis
    Eun Ran Kim
    World Journal of Gastroenterology.2014; 20(29): 9872.     CrossRef
  • Highlights of the 48th Seminar of Korean Society of Gastrointestinal Endoscopy
    Kwang An Kwon, Il Ju Choi, Eun Young Kim, Seok Ho Dong, Ki Baik Hahm
    Clinical Endoscopy.2013; 46(3): 203.     CrossRef
  • 6,570 View
  • 40 Download
  • 21 Crossref
Close layer
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
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 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
Postpolypectomy Colonoscopy Surveillance
Hyun Soo Kim, M.D.
Korean J Gastrointest Endosc 2009;39(5):257-264.   Published online November 30, 2009
AbstractAbstract PDF
Colonoscopy and polypectomy are increasingly being used as the most effective interventions for preventing colorectal cancer (CRC), which has resulted in a growing cohort of patients who require postpolypectomy surveillance (PPS). The goal of PPS is to prevent the development of significant metachronous adenomas and CRCs. The surveillance interval depends on an accurate assessment of the individual patient's risk of developing subsequent colonic neoplasm. The newly developed consensus guidelines (CG) emphasize the concept of 'risk stratification' and these guidelines are more user-friendly than the previous ones, thus eliminate conflicting recommendations that are a barrier to physicians using the guideline. Despite the development of CGs, many specialists and non-specialists overutilize colonoscopy for PPS, which causes an ineffective large burden of cost and it strains already limited resources. The safest and most cost-effective approach by colonoscopists to preventing CRC is to maximize the effectiveness of colonoscopy for clearing the colon and then follow the recommended intervals between procedures, including extended intervals for the low-risk cohorts. Educating colonoscopists and the widespread implementation of continuous quality improvement programs are required to bridge the gap between the guidelines and their clinical application. (Korean J Gastrointest Endosc 2009;39:257-264)
  • 2,202 View
  • 17 Download
Close layer
Barrett's Esophagus - With Emphasis on Endoscopic Disgnosis
Jun Haeng Lee, M.D.
Korean J Gastrointest Endosc 2009;39(4):185-198.   Published online October 30, 2009
AbstractAbstract PDF
Barrett's esophagus is a metaplastic change of the esophageal mucosa, such that the normal squamous epithelium is replaced by specialized columnar epithelium. During the last decades, there has been a significant change in the definition, endoscopic diagnosis, pathologic diagnosis, surveillance and management of Barrett's esophagus. Because of the rising prevalence of gastroesophgeal reflux disease in Korea, problems related to Barrett's esophagus are expected to be much more common in the near future. In this review, methods of endoscopic diagnosis of Barrett's esophagus are discussed in detail. Management strategies in the context of Korean epidemiology are also suggested. (Korean J Gastrointest Endosc 2009; 39:185-198)
  • 2,227 View
  • 12 Download
Close layer
A Survey on the Interval of Post-polypectomy Surveillance Colonoscopy
Mun Su Kang, M.D., Dong Il Park, M.D., Jung Ho Park, M.D., Hong Joo Kim, M.D., Yong Kyun Cho, M.D., Chong Il Sohn, M.D., Woo Kyu Jeon, M.D. and Byung Ik Kim, M.D.
Korean J Gastrointest Endosc 2006;33(6):339-345.   Published online December 30, 2006
AbstractAbstract PDF
/Aims: Colonoscopy is the golden standard used as a surveillance test and screen for colon cancer, and the current demand for colonoscopy exceeds its availability. This study is an assessment of the colonoscopic surveillance intervals currently practiced. Methods: A multiple choice survey of the colonoscopic surveillance interval used in six case scenarios [hyperplastic polyp; two 0.5 cm tubular adenomas (TAs); a 1.5 cm TA; 0.8 cm triple TAs; a 1.5 cm TA with high grade dysplasia; current normal exam after polypectomy of a <1 cm sized TA 3 years ago] was sent via e-mail to members of the KASID. Results: A total of 131 colonoscopists (104 men, 27 women) replied, and the mean age of the respondents was 36 years (range 28∼58). All respondents were board- certified in their respective specialties (internal medicine 75, general surgery 3, and GI subspecialty 53). When compared with the AGA guidelines, 90.1∼99.2% of the respondents performed the first post-polypectomy surveillance colonoscopy prematurely, and 75.6% of respondents performed the second surveillance prematurely. Conclusions: Most post-polypectomy surveillance colonoscopies were performed prematurely. It is quite possible that unnecessary surveillance may account for a significant portion of the demand for colonoscopy. (Korean J Gastrointest Endosc 2006;33:339⁣345)
  • 2,453 View
  • 19 Download
Close layer
원저 : 식도 위장관 ; 융모성 종양의 특성과 대책 ( Original Articles : Esophagus , Stomach & Intestine ; Tubulovillous and Villous Adenomas of the Colon and Rectum - Endoscopic Characteristics and Management - )
Korean J Gastrointest Endosc 1998;18(4):506-519.   Published online November 30, 1997
AbstractAbstract PDF
/Aims: A villous tumor, histologically villous or tubulovillous adenoma, is a clinical challenge because of its higher potential for malignancy and higher recurrence rate. However, information and experience with these tumors in the Korean people is still lacking. For that reason, we designed this study to review and analyze the colonoscopic features, the potential for malignancy, and the treatiment with respect to the confirmation of guidelines for the accurate diagnosis and reasonable management of such tumors in the Korean population. Materials and Methods: We performed 753 polypectomies, including 4 transanal excisions and several bowel resections, from January 1996 to May 1997 at Song-Do Colorectal Hospital in Seoul, Among them, 447 cases (59.4%) were adenomas, comprising 405 (53.8%) tubular adenomas, 31 (4.1%) tubulovillous adenomas, and 11 (1.5%) villous adenomas. We analyzed the 42 (5.6%) tubulovillous and villous adenomas. (Korean J Gastraintest Endosc 18: 506-519, 1998) (continue)
  • 1,555 View
  • 2 Download
Close layer

Clin Endosc : Clinical Endoscopy Twitter Facebook
Close layer