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Long-Term Outcome and Surveillance Colonoscopy after Successful Endoscopic Treatment of Large Sessile Colorectal Polyps

DC FieldValueLanguage
dc.contributor.author김원호-
dc.contributor.author김태일-
dc.contributor.author박수정-
dc.contributor.author천재희-
dc.contributor.author최아라-
dc.contributor.author홍성필-
dc.date.accessioned2017-10-26T07:29:47Z-
dc.date.available2017-10-26T07:29:47Z-
dc.date.issued2016-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/152107-
dc.description.abstractPURPOSE: Although there is a consensus about the need for surveillance colonoscopy after endoscopic resection, the interval remains controversial for large sessile colorectal polyps. The aim of this study was to evaluate the long-term outcome and the adequate surveillance colonoscopy interval required for sessile and flat colorectal polyps larger than 20 mm. MATERIALS AND METHODS: A total of 204 patients with large sessile and flat polyps who received endoscopic treatment from May 2005 to November 2011 in a tertiary referral center were included. RESULTS: The mean age was 65.1 years and 62.7% of the patients were male. The mean follow-up duration was 44.2 months and the median tumor size was 25 mm. One hundred and ten patients (53.9%) received a short interval surveillance colonoscopy (median interval of 6.3 months with range of 1-11 months) and 94 patients (46.1%) received a long interval surveillance colonoscopy (median interval of 13.6 months with range of 12-66 months). There were 14 patients (6.9%) who had local recurrence at the surveillance colonoscopy. Using multivariate regression analysis, a polyp size greater than 40 mm was shown to be independent risk factor for local recurrence. However, piecemeal resection and surveillance colonoscopy interval did not significantly influence local recurrence. CONCLUSION: Endoscopic treatment of large sessile colorectal polyps shows a favorable long-term outcome. Further prospective study is mandatory to define an adequate interval of surveillance colonoscopy.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherYonsei University-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHColonic Neoplasms/diagnosis*-
dc.subject.MESHColonic Neoplasms/pathology-
dc.subject.MESHColonic Neoplasms/surgery-
dc.subject.MESHColonic Polyps/diagnosis*-
dc.subject.MESHColonic Polyps/pathology-
dc.subject.MESHColonic Polyps/surgery-
dc.subject.MESHColonoscopy*-
dc.subject.MESHEndoscopic Mucosal Resection-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Recurrence, Local/diagnosis*-
dc.subject.MESHProspective Studies-
dc.subject.MESHTime Factors-
dc.subject.MESHWatchful Waiting/methods*-
dc.titleLong-Term Outcome and Surveillance Colonoscopy after Successful Endoscopic Treatment of Large Sessile Colorectal Polyps-
dc.typeArticle-
dc.publisher.locationKorea (South)-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorBun Kim-
dc.contributor.googleauthorA Ra Choi-
dc.contributor.googleauthorSoo Jung Park-
dc.contributor.googleauthorJae Hee Cheon-
dc.contributor.googleauthorTae Il Kim-
dc.contributor.googleauthorWon Ho Kim-
dc.contributor.googleauthorSung Pil Hong-
dc.identifier.doi10.3349/ymj.2016.57.5.1106-
dc.contributor.localIdA01079-
dc.contributor.localIdA01539-
dc.contributor.localIdA04030-
dc.contributor.localIdA04104-
dc.contributor.localIdA04404-
dc.contributor.localIdA00774-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid27401640-
dc.subject.keywordColorectal neoplasm-
dc.subject.keywordcolonoscopy-
dc.subject.keywordgastrointestinal endoscopy-
dc.contributor.alternativeNameKim, Won Ho-
dc.contributor.alternativeNameKim, Tae Il-
dc.contributor.alternativeNamePark, Soo Jung-
dc.contributor.alternativeNameCheon, Jae Hee-
dc.contributor.alternativeNameChoi, A Ra-
dc.contributor.alternativeNameHong, Sung Pil-
dc.contributor.affiliatedAuthorKim, Tae Il-
dc.contributor.affiliatedAuthorPark, Soo Jung-
dc.contributor.affiliatedAuthorCheon, Jae Hee-
dc.contributor.affiliatedAuthorChoi, A Ra-
dc.contributor.affiliatedAuthorHong, Sung Pil-
dc.contributor.affiliatedAuthorKim, Won Ho-
dc.citation.volume57-
dc.citation.number5-
dc.citation.startPage1106-
dc.citation.endPage1114-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.57(5) : 1106-1114, 2016-
dc.date.modified2017-10-24-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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