Korean Journal of Gastrointestinal Endoscopy 2006;33(6): 339-345.
용종절제술 후 대장내시경 추적검사 시기에 관한 설문 조사
강문수·박동일·박정호·김홍주·조용균·손정일·전우규·김병익
성균관대학교 의과대학 강북삼성병원 내과학교실
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.
Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Abstract
Background/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;33:339345)
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