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Risk factors for incomplete polyp resection after cold snare polypectomy
Background Incomplete polyp resection (IPR) is recognized as a risk factor for interval colorectal cancer (ICC), and is, therefore, an important issue in polypectomy. Cold snare polypectomy (CSP) is a procedure that does not involve electrocautery and has no burn effect. Therefore, there is the poss...
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| Published in: | International journal of colorectal disease 2019-09, Vol.34 (9), p.1563-1569 |
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| container_end_page | 1569 |
| container_issue | 9 |
| container_start_page | 1563 |
| container_title | International journal of colorectal disease |
| container_volume | 34 |
| creator | Arimoto, Jun Chiba, Hideyuki Higurashi, Takuma Fukui, Ryo Tachikawa, Jun Misawa, Noboru Ashikari, Keiichi Niikura, Toshihiro Kuwabara, Hiroki Nakaoka, Michiko Goto, Tohru Nakajima, Atsushi |
| description | Background
Incomplete polyp resection (IPR) is recognized as a risk factor for interval colorectal cancer (ICC), and is, therefore, an important issue in polypectomy. Cold snare polypectomy (CSP) is a procedure that does not involve electrocautery and has no burn effect. Therefore, there is the possibility that the risk of ICC associated with IPR is higher in cases undergoing CSP than in those undergoing hot polypectomy. However, little is known about the risk factors for IPR after CSP.
Purpose
Precise identification of the risk factors can lead to prevention of IPR after CSP. Therefore, we performed this observational study for accurate identification of the risk factors for IPR after CSP.
Methods
Medical records of a total of 501 patients with 1177 colorectal polyps that were resected at Omori Red Cross Hospital between October 2017 and March 2018 were retrospectively reviewed. The lateral and deep margins of the resected polyps were evaluated to check for the resection completeness.
Results
Among the 1177 polyp resections, 1163 were included in the final analysis. IPR was detected in 206 (17.7%) cases. Performance of the resection by a trainee (OR (95% CI) 1.87 (1.328–2.632);
P
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| doi_str_mv | 10.1007/s00384-019-03347-6 |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2259359039</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A714488008</galeid><sourcerecordid>A714488008</sourcerecordid><originalsourceid>FETCH-LOGICAL-c508t-221adc68856c2fc93342c93dc2cb845a512b6fc25bd2b7e297d172ff3762be1d3</originalsourceid><addsrcrecordid>eNp9kUFr3DAUhEVoyG7T_oEeiqGXXLyRnmRLOi6hTQoLgZCchSw_Bae25Urew_77aLPbhoZQBBLS-2YYMYR8YXTFKJWXiVKuREmZLinnQpb1CVkywaFkUMMHsqRM6pLpSi3Ix5SeaL7XUpyRBWecgdJ0SW7uuvSr8NbNIabCh1h0owvD1OOMxRT63VRETOjmLoyF9TPGwoW-LdJo4xHIwzDsPpFTb_uEn4_nOXn48f3-6qbc3F7_vFpvSldRNZcAzLauVqqqHXinc27Ie-vANUpUtmLQ1N5B1bTQSAQtWybBey5raJC1_JxcHHynGH5vMc1m6JLDvrcjhm0yAJXmlaZcZ_TbG_QpbOOY0-0pJaRQVL1Sj7ZH040-zNG6valZSyaEUvSFWr1D5dXi0Lkwou_y-z8COAhcDClF9GaK3WDjzjBq9vWZQ30m12de6jN1Fn09Jt42A7Z_JX_6ygA_ACmPxkeMr1_6j-0zutCjTQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2258474808</pqid></control><display><type>article</type><title>Risk factors for incomplete polyp resection after cold snare polypectomy</title><source>Springer Link</source><creator>Arimoto, Jun ; Chiba, Hideyuki ; Higurashi, Takuma ; Fukui, Ryo ; Tachikawa, Jun ; Misawa, Noboru ; Ashikari, Keiichi ; Niikura, Toshihiro ; Kuwabara, Hiroki ; Nakaoka, Michiko ; Goto, Tohru ; Nakajima, Atsushi</creator><creatorcontrib>Arimoto, Jun ; Chiba, Hideyuki ; Higurashi, Takuma ; Fukui, Ryo ; Tachikawa, Jun ; Misawa, Noboru ; Ashikari, Keiichi ; Niikura, Toshihiro ; Kuwabara, Hiroki ; Nakaoka, Michiko ; Goto, Tohru ; Nakajima, Atsushi</creatorcontrib><description>Background
Incomplete polyp resection (IPR) is recognized as a risk factor for interval colorectal cancer (ICC), and is, therefore, an important issue in polypectomy. Cold snare polypectomy (CSP) is a procedure that does not involve electrocautery and has no burn effect. Therefore, there is the possibility that the risk of ICC associated with IPR is higher in cases undergoing CSP than in those undergoing hot polypectomy. However, little is known about the risk factors for IPR after CSP.
Purpose
Precise identification of the risk factors can lead to prevention of IPR after CSP. Therefore, we performed this observational study for accurate identification of the risk factors for IPR after CSP.
Methods
Medical records of a total of 501 patients with 1177 colorectal polyps that were resected at Omori Red Cross Hospital between October 2017 and March 2018 were retrospectively reviewed. The lateral and deep margins of the resected polyps were evaluated to check for the resection completeness.
Results
Among the 1177 polyp resections, 1163 were included in the final analysis. IPR was detected in 206 (17.7%) cases. Performance of the resection by a trainee (OR (95% CI) 1.87 (1.328–2.632);
P
< 0.001) was identified as an independent risk factor for IPR in patients undergoing CSP.
Conclusions
Performance of the polypectomy by a trainee was identified as a significant risk factor for IPR in patients undergoing CSP. Prospective, randomized studies are necessary in the future to develop effective methods for the prevention/control of IPR after CSP.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-019-03347-6</identifier><identifier>PMID: 31312890</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Colonic Polyps - surgery ; Colorectal cancer ; Colorectal carcinoma ; Female ; Gastroenterology ; Hepatology ; Humans ; Internal Medicine ; Male ; Medical records ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Multivariate Analysis ; Original Article ; Patients ; Polyps ; Prevention ; Proctology ; Risk Factors ; Surgery</subject><ispartof>International journal of colorectal disease, 2019-09, Vol.34 (9), p.1563-1569</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>COPYRIGHT 2019 Springer</rights><rights>International Journal of Colorectal Disease is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-221adc68856c2fc93342c93dc2cb845a512b6fc25bd2b7e297d172ff3762be1d3</citedby><cites>FETCH-LOGICAL-c508t-221adc68856c2fc93342c93dc2cb845a512b6fc25bd2b7e297d172ff3762be1d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31312890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arimoto, Jun</creatorcontrib><creatorcontrib>Chiba, Hideyuki</creatorcontrib><creatorcontrib>Higurashi, Takuma</creatorcontrib><creatorcontrib>Fukui, Ryo</creatorcontrib><creatorcontrib>Tachikawa, Jun</creatorcontrib><creatorcontrib>Misawa, Noboru</creatorcontrib><creatorcontrib>Ashikari, Keiichi</creatorcontrib><creatorcontrib>Niikura, Toshihiro</creatorcontrib><creatorcontrib>Kuwabara, Hiroki</creatorcontrib><creatorcontrib>Nakaoka, Michiko</creatorcontrib><creatorcontrib>Goto, Tohru</creatorcontrib><creatorcontrib>Nakajima, Atsushi</creatorcontrib><title>Risk factors for incomplete polyp resection after cold snare polypectomy</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><addtitle>Int J Colorectal Dis</addtitle><description>Background
Incomplete polyp resection (IPR) is recognized as a risk factor for interval colorectal cancer (ICC), and is, therefore, an important issue in polypectomy. Cold snare polypectomy (CSP) is a procedure that does not involve electrocautery and has no burn effect. Therefore, there is the possibility that the risk of ICC associated with IPR is higher in cases undergoing CSP than in those undergoing hot polypectomy. However, little is known about the risk factors for IPR after CSP.
Purpose
Precise identification of the risk factors can lead to prevention of IPR after CSP. Therefore, we performed this observational study for accurate identification of the risk factors for IPR after CSP.
Methods
Medical records of a total of 501 patients with 1177 colorectal polyps that were resected at Omori Red Cross Hospital between October 2017 and March 2018 were retrospectively reviewed. The lateral and deep margins of the resected polyps were evaluated to check for the resection completeness.
Results
Among the 1177 polyp resections, 1163 were included in the final analysis. IPR was detected in 206 (17.7%) cases. Performance of the resection by a trainee (OR (95% CI) 1.87 (1.328–2.632);
P
< 0.001) was identified as an independent risk factor for IPR in patients undergoing CSP.
Conclusions
Performance of the polypectomy by a trainee was identified as a significant risk factor for IPR in patients undergoing CSP. Prospective, randomized studies are necessary in the future to develop effective methods for the prevention/control of IPR after CSP.</description><subject>Aged</subject><subject>Colonic Polyps - surgery</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Multivariate Analysis</subject><subject>Original Article</subject><subject>Patients</subject><subject>Polyps</subject><subject>Prevention</subject><subject>Proctology</subject><subject>Risk Factors</subject><subject>Surgery</subject><issn>0179-1958</issn><issn>1432-1262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kUFr3DAUhEVoyG7T_oEeiqGXXLyRnmRLOi6hTQoLgZCchSw_Bae25Urew_77aLPbhoZQBBLS-2YYMYR8YXTFKJWXiVKuREmZLinnQpb1CVkywaFkUMMHsqRM6pLpSi3Ix5SeaL7XUpyRBWecgdJ0SW7uuvSr8NbNIabCh1h0owvD1OOMxRT63VRETOjmLoyF9TPGwoW-LdJo4xHIwzDsPpFTb_uEn4_nOXn48f3-6qbc3F7_vFpvSldRNZcAzLauVqqqHXinc27Ie-vANUpUtmLQ1N5B1bTQSAQtWybBey5raJC1_JxcHHynGH5vMc1m6JLDvrcjhm0yAJXmlaZcZ_TbG_QpbOOY0-0pJaRQVL1Sj7ZH040-zNG6valZSyaEUvSFWr1D5dXi0Lkwou_y-z8COAhcDClF9GaK3WDjzjBq9vWZQ30m12de6jN1Fn09Jt42A7Z_JX_6ygA_ACmPxkeMr1_6j-0zutCjTQ</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Arimoto, Jun</creator><creator>Chiba, Hideyuki</creator><creator>Higurashi, Takuma</creator><creator>Fukui, Ryo</creator><creator>Tachikawa, Jun</creator><creator>Misawa, Noboru</creator><creator>Ashikari, Keiichi</creator><creator>Niikura, Toshihiro</creator><creator>Kuwabara, Hiroki</creator><creator>Nakaoka, Michiko</creator><creator>Goto, Tohru</creator><creator>Nakajima, Atsushi</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20190901</creationdate><title>Risk factors for incomplete polyp resection after cold snare polypectomy</title><author>Arimoto, Jun ; Chiba, Hideyuki ; Higurashi, Takuma ; Fukui, Ryo ; Tachikawa, Jun ; Misawa, Noboru ; Ashikari, Keiichi ; Niikura, Toshihiro ; Kuwabara, Hiroki ; Nakaoka, Michiko ; Goto, Tohru ; Nakajima, Atsushi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-221adc68856c2fc93342c93dc2cb845a512b6fc25bd2b7e297d172ff3762be1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Colonic Polyps - surgery</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical records</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Multivariate Analysis</topic><topic>Original Article</topic><topic>Patients</topic><topic>Polyps</topic><topic>Prevention</topic><topic>Proctology</topic><topic>Risk Factors</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arimoto, Jun</creatorcontrib><creatorcontrib>Chiba, Hideyuki</creatorcontrib><creatorcontrib>Higurashi, Takuma</creatorcontrib><creatorcontrib>Fukui, Ryo</creatorcontrib><creatorcontrib>Tachikawa, Jun</creatorcontrib><creatorcontrib>Misawa, Noboru</creatorcontrib><creatorcontrib>Ashikari, Keiichi</creatorcontrib><creatorcontrib>Niikura, Toshihiro</creatorcontrib><creatorcontrib>Kuwabara, Hiroki</creatorcontrib><creatorcontrib>Nakaoka, Michiko</creatorcontrib><creatorcontrib>Goto, Tohru</creatorcontrib><creatorcontrib>Nakajima, Atsushi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arimoto, Jun</au><au>Chiba, Hideyuki</au><au>Higurashi, Takuma</au><au>Fukui, Ryo</au><au>Tachikawa, Jun</au><au>Misawa, Noboru</au><au>Ashikari, Keiichi</au><au>Niikura, Toshihiro</au><au>Kuwabara, Hiroki</au><au>Nakaoka, Michiko</au><au>Goto, Tohru</au><au>Nakajima, Atsushi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for incomplete polyp resection after cold snare polypectomy</atitle><jtitle>International journal of colorectal disease</jtitle><stitle>Int J Colorectal Dis</stitle><addtitle>Int J Colorectal Dis</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>34</volume><issue>9</issue><spage>1563</spage><epage>1569</epage><pages>1563-1569</pages><issn>0179-1958</issn><eissn>1432-1262</eissn><abstract>Background
Incomplete polyp resection (IPR) is recognized as a risk factor for interval colorectal cancer (ICC), and is, therefore, an important issue in polypectomy. Cold snare polypectomy (CSP) is a procedure that does not involve electrocautery and has no burn effect. Therefore, there is the possibility that the risk of ICC associated with IPR is higher in cases undergoing CSP than in those undergoing hot polypectomy. However, little is known about the risk factors for IPR after CSP.
Purpose
Precise identification of the risk factors can lead to prevention of IPR after CSP. Therefore, we performed this observational study for accurate identification of the risk factors for IPR after CSP.
Methods
Medical records of a total of 501 patients with 1177 colorectal polyps that were resected at Omori Red Cross Hospital between October 2017 and March 2018 were retrospectively reviewed. The lateral and deep margins of the resected polyps were evaluated to check for the resection completeness.
Results
Among the 1177 polyp resections, 1163 were included in the final analysis. IPR was detected in 206 (17.7%) cases. Performance of the resection by a trainee (OR (95% CI) 1.87 (1.328–2.632);
P
< 0.001) was identified as an independent risk factor for IPR in patients undergoing CSP.
Conclusions
Performance of the polypectomy by a trainee was identified as a significant risk factor for IPR in patients undergoing CSP. Prospective, randomized studies are necessary in the future to develop effective methods for the prevention/control of IPR after CSP.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31312890</pmid><doi>10.1007/s00384-019-03347-6</doi><tpages>7</tpages></addata></record> |
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| subjects | Aged Colonic Polyps - surgery Colorectal cancer Colorectal carcinoma Female Gastroenterology Hepatology Humans Internal Medicine Male Medical records Medical research Medicine Medicine & Public Health Medicine, Experimental Multivariate Analysis Original Article Patients Polyps Prevention Proctology Risk Factors Surgery |
| title | Risk factors for incomplete polyp resection after cold snare polypectomy |
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