Cited 9 times in
Do surveillance intervals in patients with more than five adenomas at index colonoscopy be shorter than those in patients with three to four adenomas? A Korean Association for the Study of Intestinal Disease study
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박재준 | - |
dc.date.accessioned | 2023-08-09T02:42:37Z | - |
dc.date.available | 2023-08-09T02:42:37Z | - |
dc.date.issued | 2017-05 | - |
dc.identifier.issn | 0815-9319 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/195766 | - |
dc.description.abstract | Background and aim: There is controversy about the surveillance interval after colonoscopy when 5-10 adenomas have been found on index colonoscopy. This study aimed to investigate the risk of colorectal neoplasm (CRN) according to the number of adenomas at index colonoscopy. Methods: A retrospective, multicenter study was conducted at 10 university hospitals in Korea. We included 1394 patients with ≥ 3 adenomas at index colonoscopy. The risk of advanced CRN was compared according to the number of adenomas (intermediate risk group, 3-4 small adenomas or at least one ≥ 10 mm, and high risk group, ≥ 5 small adenomas or ≥ 3 at least one ≥ 10 mm). Results: Overall, 164 (11.8%) developed an advanced CRN after a mean of 4.0 years from baseline colonoscopy. The 3-year and 5-year risk of advanced CRN was 2.1% (95% CI 2.09-2.11) and 14.4% (95% CI 14.36-14.44) in intermediate risk group and 3.2% (95% CI 3.19-3.21) and 23.3% (95% CI 19.15-19.25) in high risk group (P = 0.01). Having ≥ 5 adenomas (OR = 1.57, 95% CI 1.11-2.23, P = 0.01) detected at index colonoscopy was a significant risk factor for developing advanced CRN. Conclusions: Although risk of advanced CRN in patients with 5-10 adenomas was significantly higher than that in patients with 3-4 adenomas, the cumulative risk at 3 years was low at 3.2%. Thus, we suggest that a 3-year surveillance interval might be appropriate for the patients with 5-10 adenomas, and further prospective studies are needed to investigate whether more intensive surveillance is needed in this group. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Blackwell Scientific Publications | - |
dc.relation.isPartOf | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adenoma / diagnosis* | - |
dc.subject.MESH | Adenoma / epidemiology* | - |
dc.subject.MESH | Adenoma / prevention & control | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Colonoscopy / statistics & numerical data* | - |
dc.subject.MESH | Colorectal Neoplasms / diagnostic imaging* | - |
dc.subject.MESH | Colorectal Neoplasms / epidemiology* | - |
dc.subject.MESH | Colorectal Neoplasms / prevention & control | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Republic of Korea / epidemiology | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Time Factors | - |
dc.title | Do surveillance intervals in patients with more than five adenomas at index colonoscopy be shorter than those in patients with three to four adenomas? A Korean Association for the Study of Intestinal Disease study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Soo-Kyung Park | - |
dc.contributor.googleauthor | Young Seok Song | - |
dc.contributor.googleauthor | Yoon Suk Jung | - |
dc.contributor.googleauthor | Won Hee Kim | - |
dc.contributor.googleauthor | Chang Soo Eun | - |
dc.contributor.googleauthor | Bong Min Ko | - |
dc.contributor.googleauthor | Geom Seog Seo | - |
dc.contributor.googleauthor | Jae Myung Cha | - |
dc.contributor.googleauthor | Jae Jun Park | - |
dc.contributor.googleauthor | Chang Mo Moon | - |
dc.contributor.googleauthor | Yunho Jung | - |
dc.contributor.googleauthor | Seong Ran Jeon | - |
dc.contributor.googleauthor | Dong Il Park | - |
dc.identifier.doi | 10.1111/jgh.13643 | - |
dc.contributor.localId | A01636 | - |
dc.relation.journalcode | J01417 | - |
dc.identifier.eissn | 1440-1746 | - |
dc.identifier.pmid | 27862272 | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/10.1111/jgh.13643 | - |
dc.subject.keyword | adenoma | - |
dc.subject.keyword | colorectal | - |
dc.subject.keyword | surveillance | - |
dc.contributor.alternativeName | Park, Jae Jun | - |
dc.contributor.affiliatedAuthor | 박재준 | - |
dc.citation.volume | 32 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1026 | - |
dc.citation.endPage | 1031 | - |
dc.identifier.bibliographicCitation | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Vol.32(5) : 1026-1031, 2017-05 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.