Cited 18 times in
Influence of the insertion time and number of polyps on miss rate in colonoscopy
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김재학 | - |
dc.contributor.author | 김태일 | - |
dc.contributor.author | 이상길 | - |
dc.contributor.author | 천재희 | - |
dc.contributor.author | 김용수 | - |
dc.contributor.author | 김원호 | - |
dc.date.accessioned | 2014-12-20T17:12:18Z | - |
dc.date.available | 2014-12-20T17:12:18Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0036-5521 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/94155 | - |
dc.description.abstract | OBJECTIVE: Colorectal polyps can be missed even during a meticulous colonoscopy by an experienced colonoscopist. The aim of this study was to investigate patient-, procedure-, and polyp-related factors affecting the miss rate of polyps on colonoscopy. MATERIAL AND METHODS: From March 2001 to February 2006, a total of 285 patients undergoing screening colonoscopy followed within 2 months by colonoscopy for polypectomy were enrolled. The main outcome measurements were factors associated with miss rates of polyp and the conditions for reducing missed polyps on colonoscopy. RESULTS: From the 285 colonoscopy pairs, a total of 1326 polyps were found. Overall, 350 of the 1326 polyps were missed (26.4%). Among those, 59 polyps (4.4%) were only seen on the first colonoscopy and 291 polyps (21.9%) were found only at the second colonoscopy. Patient-related factors were male sex (Odds Ratio (OR) 2.11, 95% Confidence Interval (CI) 1.21-3.70) and older age (OR 2.51, 95% CI 1.48-4.30). Procedure-related factors were colonoscopy by clinical fellows (OR 2.20, 95% CI 1.02-4.84) and delayed insertion time (OR 4.10, 95% CI 2.14-7.86). Polyp-related factors were more than four numbers of polyps (OR 4.48, 95% CI 1.91-10.5). However, a large polyp was less frequently missed on colonoscopy (OR 0.10, 95% CI 0.05-0.19). CONCLUSIONS: In usual clinical practice, colon polyps were frequently missed on colonoscopy. Comprehensive analysis of patient should be required to reduce the miss rates. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 634~639 | - |
dc.relation.isPartOf | SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | AdenomatousPolyps/diagnosis* | - |
dc.subject.MESH | AdenomatousPolyps/pathology | - |
dc.subject.MESH | AdenomatousPolyps/surgery | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Age Factors | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Clinical Competence | - |
dc.subject.MESH | Colonoscopy/methods* | - |
dc.subject.MESH | Colorectal Neoplasms/diagnosis* | - |
dc.subject.MESH | Colorectal Neoplasms/pathology | - |
dc.subject.MESH | Colorectal Neoplasms/surgery | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Multivariate Analysis | - |
dc.subject.MESH | Sensitivity and Specificity | - |
dc.subject.MESH | Sex Factors | - |
dc.subject.MESH | TimeFactors | - |
dc.title | Influence of the insertion time and number of polyps on miss rate in colonoscopy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Jae Hak Kim | - |
dc.contributor.googleauthor | Yong-Soo Kim | - |
dc.contributor.googleauthor | Jae Hee Cheon | - |
dc.contributor.googleauthor | Sang Kil Lee | - |
dc.contributor.googleauthor | Tae Il Kim | - |
dc.contributor.googleauthor | Sungmin Myoung | - |
dc.contributor.googleauthor | Won Ho Kim | - |
dc.identifier.doi | 10.3109/00365521.2011.558111 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00871 | - |
dc.contributor.localId | A01079 | - |
dc.contributor.localId | A02812 | - |
dc.contributor.localId | A00774 | - |
dc.contributor.localId | A04030 | - |
dc.contributor.localId | A00747 | - |
dc.relation.journalcode | J02632 | - |
dc.identifier.eissn | 1502-7708 | - |
dc.identifier.pmid | 21370993 | - |
dc.identifier.url | http://informahealthcare.com/doi/abs/10.3109/00365521.2011.558111 | - |
dc.subject.keyword | Colonoscopy | - |
dc.subject.keyword | colonic polyps | - |
dc.subject.keyword | risk factor | - |
dc.contributor.alternativeName | Kim, Jae Hak | - |
dc.contributor.alternativeName | Kim, Tae Il | - |
dc.contributor.alternativeName | Lee, Sang Kil | - |
dc.contributor.alternativeName | Cheon, Jae Hee | - |
dc.contributor.alternativeName | Kim, Yong Soo | - |
dc.contributor.alternativeName | Kim, Won Ho | - |
dc.contributor.affiliatedAuthor | Kim, Jae Hak | - |
dc.contributor.affiliatedAuthor | Kim, Tae Il | - |
dc.contributor.affiliatedAuthor | Lee, Sang Kil | - |
dc.contributor.affiliatedAuthor | Kim, Won Ho | - |
dc.contributor.affiliatedAuthor | Cheon, Jae Hee | - |
dc.contributor.affiliatedAuthor | Kim, Yong Soo | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 46 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 634 | - |
dc.citation.endPage | 639 | - |
dc.identifier.bibliographicCitation | SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, Vol.46(5) : 634-639, 2011 | - |
dc.identifier.rimsid | 27278 | - |
dc.type.rims | ART | - |
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