Risk of Advanced Colorectal Neoplasia According to the Number of High-Risk Findings at Index Colonoscopy: A Korean Association for the Study of Intestinal Disease (KASID) Study
- Title
- Risk of Advanced Colorectal Neoplasia According to the Number of High-Risk Findings at Index Colonoscopy: A Korean Association for the Study of Intestinal Disease (KASID) Study
- Author
- 은창수
- Keywords
- Colonoscopy; High-risk adenoma; Colorectal neoplasia; Recurrence
- Issue Date
- 2016-06
- Publisher
- SPRINGER
- Citation
- DIGESTIVE DISEASES AND SCIENCES, v. 61, NO 6, Page. 1661-1668
- Abstract
- Data regarding outcomes for patients with multiple findings for high-risk adenomas are scarce.
To compare the risk for colorectal neoplasm (CRN) recurrence according to the number of high-risk findings.
This was a retrospective and multicenter study. Patients who had one or more high-risk adenomas at the index colonoscopy and underwent follow-up colonoscopy 2.5 or more years after the index colonoscopy were included. The number of high-risk findings was defined as follows: number of adenomas larger than 1 cm + number of adenomas with HGD + number of adenomas with a villous component + existence (counted as 1) or nonexistence (counted as 0) of three or more adenomas.
A total of 1646 patients were included, and the mean duration between index and follow-up colonoscopy was approximately 4 years. The cumulative incidence rate of recurrent advanced CRN in patients with three or more high-risk findings was higher than that in patients with one or two high-risk findings (p ˂ 0.001). However, the difference in 3-year cumulative incidence rates of recurrent advanced CRN between the two groups was not great, although it was statistically significant (4.8 vs. 2.3 %, p = 0.039).
A 3-year surveillance interval for patients with multiple high-risk findings, regardless of the number of high-risk findings, appears reasonable.
- URI
- https://link.springer.com/article/10.1007%2Fs10620-016-4038-0https://repository.hanyang.ac.kr/handle/20.500.11754/72681
- ISSN
- 0163-2116; 1573-2568
- DOI
- 10.1007/s10620-016-4038-0
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
- Files in This Item:
There are no files associated with this item.
- Export
- RIS (EndNote)
- XLS (Excel)
- XML