Risk factors for incomplete resection and complications in endoscopic mucosal resection for lateral spreading tumors

2012 ◽  
Vol 24 (4) ◽  
pp. 259-266 ◽  
Author(s):  
Hyung Hun Kim ◽  
Joo Hoon Kim ◽  
Seun Ja Park ◽  
Moo In Park ◽  
Won Moon
Keyword(s):  
Risk Factors ◽  
Endoscopic Mucosal Resection ◽  
Lateral Spreading ◽  
Incomplete Resection ◽  
Mucosal Resection

scholarly journals Adenoma recurrence after endoscopic mucosal resection: propensity score analysis of old and new colonoscopes and Sydney recurrence tool implementation

2018 ◽  
Vol 06 (02) ◽  
pp. E230-E241 ◽  
Author(s):  
Daniela Vinsard ◽  
Pujan Kandel ◽  
Lady Mejia Perez ◽  
Russell Bingham ◽  
Ryan Lennon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Propensity Score ◽  
Endoscopic Mucosal Resection ◽  
Propensity Score Analysis ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Lateral Spreading ◽  
Adenoma Recurrence ◽  
Mucosal Resection ◽  
Risk Factors For Recurrence

Abstract Background and study aims Risk factors for colorectal adenoma recurrence after endoscopic mucosal resection (EMR) have been well documented. We assessed the efficacy of the newer 190 colonoscope versus the standard 180 colonoscope for complete resection of lateral spreading lesions. Patients and methods A single-center, retrospective study of patients who underwent EMR with Olympus 180 or 190 colonoscopes from January 1, 2010 to September 30, 2016. We included patients with lesions ≥ 20 mm and surveillance colonoscopy (SC1) after index EMR. A propensity score approach with inverse probability weighting was used to control for potential confounders. A secondary aim was to identify risk factors for recurrence and assess the applicability of the Sydney EMR recurrence tool (SERT) by grading each lesion of our cohort and analyzing associations with recurrence. Results Two hundred ninety-one lesions met inclusion criteria for the study. Odds ratio (OR) for recurrence with the 190 colonoscope was 1.06 (P = .85). Adenoma size (P = .02) and use of argon plasma coagulation (APC; P < .001) were risk factors for recurrence. Lesions with SERT scores > 0 had a higher recurrence risk during follow-up (32 % vs 21 %; OR 1.71; P = .05). Lesions with SERT scores = 0 reached a plateau for recurrence at 12 and 18 months in Kaplan-Meier curves. Conclusions The use of 190 colonoscopes did not measurably affect adenoma recurrence at SC1. Recurrence was associated with adenoma size, complementary APC for resection, and SERT scores > 0. Lesions with SERT scores = 0 that remain negative for recurrence at 18 months may return to routine surveillance.

scholarly journals Risk factors for colon adenomas recurrence after endoscopic mucosal resection

2021 ◽  
Vol 20 (1) ◽  
pp. 10-16
Author(s):  
Yu. E. Vaganov ◽  
V. V. Veselov ◽  
A. A. Likutov ◽  
E. A. Khomyakov ◽  
S. V. Chernyshov ◽  
...  
Keyword(s):  
Risk Factors ◽  
Endoscopic Mucosal Resection ◽  
Disease Recurrence ◽  
Morbidity Rate ◽  
Severe Dysplasia ◽  
En Bloc ◽  
Mucosal Resection ◽  
Colon Adenomas ◽  
Independent Risk Factors ◽  
Mucosal Fold

Aim: to identify risk factors for neoplasms recurrence removed by endoscopic mucosal resection (EMR).Patients and methods: the single-center retrospective observational study included 207 patients with 260 benign colon neoplasms. There were 95 (45.9%) males and 112 (54.1%) females. The median age of the patients was 67 (27-80) years. The results obtained were assessed using following criteria: morbidity rate, complication type, hospital stay, tumor site, number of neoplasms in colon, lateral growth, fragmentation rate, technical difficulties (mucosal fold convergence)during surgery, grade of dysplasia, recurrence rate.Results: intraoperative fragmentation of the neoplasms during mucosectomy occurred in 48/260 (18.5%) cases. Postoperative complications within the period of up to 30 days occurred in 13/207 (6.3%) patients. The most frequent 9 (4.2%) postoperative complication arising after mucosectomy was post-polypectomy syndrome. Another 4 (2.0%) patients produced bleeding after the surgery, which required repeated endoscopic procedure. No mortality occurred. The tumor size exceeding 25 mm (Exp (B) = 0.179; 95% CI = 0.05-0.7; p = 0.014), severe dysplasia (Exp (B) = 0.113; 95% CI = 0.03-0.4; p = 0.001) and fold convergence (Exp (B) = 0.2; 95% CI = 0.07-0.7; p = 0.015) are independent risk factors for disease recurrence.Conclusion: mucosectomy is indicated for colon adenomas if its size does not exceed 25 mm and can be removed en bloc.

scholarly journals Mo1755 RECURRENCE RATE AND RISK FACTORS FOLLOWING COLD SNARE ENDOSCOPIC MUCOSAL RESECTION OF POLYPS ≥20 MM IN SIZE

2020 ◽  
Vol 91 (6) ◽  
pp. AB483-AB484
Author(s):  
Jinyu Zhang ◽  
Suraj Suresh ◽  
Abdelwahab Ahmed ◽  
Cyrus Piraka ◽  
Mouhanna K. Abu Ghanimeh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Endoscopic Mucosal Resection ◽  
Recurrence Rate ◽  
Mucosal Resection

scholarly journals Risk factors for peritonitis in patients on continuous ambulatory peritoneal dialysis who undergo colonoscopy: a retrospective multicentre study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Tae-Geun Gweon ◽  
Sung Hoon Jung ◽  
Sang Woo Kim ◽  
Kang-Moon Lee ◽  
Dae Young Cheung ◽  
...  
Keyword(s):  
Risk Factors ◽  
Peritoneal Dialysis ◽  
Multicentre Study ◽  
Endoscopic Mucosal Resection ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Prophylactic Antibiotics ◽  
Randomized Controlled ◽  
Mucosal Resection

Abstract Background Colonoscopy is associated with a risk of peritonitis in patients on peritoneal dialysis. However, no study has yet described the risk factors in play. Methods This was a retrospective multicentre study. The medical records of patients on continuous ambulatory peritoneal dialysis (CAPD) who underwent colonoscopy from January 2003 to December 2012 were analysed. We recorded demographic characteristics, colonoscopic factors, use of prophylactic antibiotics, and development of peritonitis. Colonoscopy-related peritonitis was defined as peritonitis developing within 1 week after colonoscopy. Demographic and clinical characteristics were compared between patients who did and those who did not develop peritonitis. Results During the study period, 236 patients on CAPD underwent colonoscopy, of whom 9 (3.8%) developed peritonitis. The rates of polypectomy/endoscopic mucosal resection were significantly higher in the peritonitis group than in the no peritonitis group (66.7 vs. 23.4%, p = 0.009). Prophylactic antibiotics were prescribed before colonoscopy in 65 patients; none developed peritonitis. No patient who developed peritonitis received prophylactic antibiotics (p = 0.067). Conclusions Advanced procedures including polypectomy or endoscopic mucosal resection increase colonoscopy-related peritonitis in patients on CAPD. Randomized controlled trials to investigate whether prophylactic antibiotics are needed to prevent peritonitis in all CAPD patients are warranted.

Sign in / Sign up

Export Citation Format

Share Document