Academic Journal
Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current Guidelines
| العنوان: | Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current Guidelines |
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| المؤلفون: | Jeongseok Kim, Tae-Geun Gweon, Min Seob Kwak, Su Young Kim, Seong Jung Kim, Hyun Gun Kim, Sung Noh Hong, Eun Sun Kim, Chang Mo Moon, Dae Seong Myung, Dong-Hoon Baek, Shin Ju Oh, Hyun Jung Lee, Ji Young Lee, Yunho Jung, Jaeyoung Chun, Dong-Hoon Yang, Eun Ran Kim |
| المصدر: | Gut and Liver, Vol 19, Iss 1, Pp 77-86 (2025) |
| بيانات النشر: | Gastroenterology Council for Gut and Liver |
| سنة النشر: | 2025 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | colonic polyps, endoscopic mucosal resection, endoscopic submucosal dissection, polypectomy, Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | Background/Aims: We investigated the clinical practice patterns of Korean endoscopists for the endoscopic resection of colorectal polyps. Methods: From September to November 2021, an online survey was conducted regarding the preferred resection methods for colorectal polyps, and responses were compared with the international guidelines. Results: Among 246 respondents, those with <4 years, 4-9 years, and ≥10 years of experience in colonoscopy practices accounted for 25.6%, 34.1%, and 40.2% of endoscopists, respectively. The most preferred resection methods for non-pedunculated lesions were cold forceps polypectomy for ≤3 mm lesions (81.7%), cold snare polypectomy for 4-5 mm (61.0%) and 6-9 mm (43.5%) lesions, hot endoscopic mucosal resection (EMR) for 10-19 mm lesions (72.0%), precut EMR for 20-25 mm lesions (22.0%), and endoscopic submucosal dissection (ESD) for ≥26 mm lesions (29.3%). Hot EMR was favored for pedunculated lesions with a head size <20 mm and stalk size <10 mm (75.6%) and for those with a head size ≥20 mm or stalk size ≥10 mm (58.5%). For suspected superficial and deep submucosal lesions measuring 10-19 mm and ≥20 mm, ESD (26.0% and 38.6%) and surgery (36.6% and 46.3%) were preferred, respectively. The adherence rate to the guidelines ranged from 11.2% to 96.9%, depending on the size, shape, and histology of the lesions. Conclusions: Adherence to the guidelines for endoscopic resection techniques varied depending on the characteristics of colorectal polyps. Thus, an individualized approach is required to increase adherence to the guidelines. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | http://gutnliver.org/journal/view.html?doi=10.5009/gnl240217; https://doaj.org/toc/1976-2283; https://doaj.org/article/bcaa53d68d324fc0b31b67f8726198bd |
| DOI: | 10.5009/gnl240217 |
| الاتاحة: | https://doi.org/10.5009/gnl240217 https://doaj.org/article/bcaa53d68d324fc0b31b67f8726198bd |
| رقم الانضمام: | edsbas.A2784977 |
| قاعدة البيانات: | BASE |
| DOI: | 10.5009/gnl240217 |
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