ArticleSurgical endoscopy2014
Endoscopic piecemeal resection of large colorectal polyps with long-term followup.
Article in Surgical endoscopy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Efficacy and safety of endoscopic full-thickness resection in the colon and rectum using an over-the-scope device: a meta-analysis.Surgical endoscopy · 2021Pooled it
- Avoiding colorectal resection for polyps: is CELS the best method?Surgical endoscopy · 2016Pooled it
- Does precutting prior to endoscopic piecemeal resection of large colorectal neoplasias reduce local recurrence? A KASID multicenter study.Surgical endoscopy · 2022Article
- SINGLE CENTRE OUTCOMES OF ENDOSCOPIC FULL THICKNESS RESECTION (EFTR) OF COLORECTAL LESIONS USING THE FULL THICKNESS RESECTION DEVICE (FTRD).The Ulster medical journal · 2021Article
- Cap-fitted endoscopic mucosal resection of ≥ 20 mm colon flat lesions followed by argon plasma coagulation results in a low adenoma recurrence rate.Endoscopy international open · 2020Article
- Endoscopic full-thickness resection (EFTR) in the lower gastrointestinal tract.Techniques in coloproctology · 2019Article
- Endoscopic full thickness resection (EFTR) of colorectal neoplasms with the Full Thickness Resection Device (FTRD): Clinical experience from two tertiary referral centers in Switzerland.United European gastroenterology journal · 2018Article
- Safe and successful resection of difficult GI lesions using a novel single-step full-thickness resection device (FTRDSurgical endoscopy · 2018Article
- Hybrid endoscopic mucosal resection and full-thickness resection: a new approach for resection of large non-lifting colorectal adenomas (with video).Surgical endoscopy · 2017Article
- Endoscopic mucosal resection of colorectal adenomas > 20 mm: Risk factors for recurrence.World journal of gastrointestinal endoscopy · 2016Article
- Complication and local recurrence rate after endoscopic resection of large high-risk colorectal adenomas of ≥3 cm in size.International journal of colorectal disease · 2016Article
- Aberrant Gene Expression Profile of Unaffected Colon Mucosa from Patients with Unifocal Colon Polyp.Medical science monitor : international medical journal of experimental and clinical research · 2015Article
- A retrospective comparative study of argon plasma versus polypectome snare tip coagulation: effect on recurrence rate after resection of large laterally spreading type lesions.Annals of gastroenterologyArticle
- Endoscopic Full-Thickness Resection of Synchronous Adenocarcinomas of the Distal Rectum.Case reports in gastroenterologyArticle
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundColonoscopic removal of large colorectal polyps is challenging and requires advanced endoscopic technique. Successful endoscopic management not only avoids the morbidity of surgery but also risks perforation, hemorrhage, and recurrence.
methodsThis study is a retrospective review of a prospectively maintained database of all patients undergoing cautery snare piecemeal polypectomy for large colorectal polyps by a single operator over 20 years with long-term followup.
results231 patients underwent 269 piecemeal polypectomies over a 20 year period. The complication rate was 4.3 %. Malignancy was identified in 25 (10.8 %) of patients. Local recurrences occurred in 24 % of patients with benign adenomas. The vast majority of these were managed with repeat endoscopy. Overall, benign large polyps were managed successfully endoscopically in 94.4 % of patients.
conclusionsPiecemeal polypectomy is effective and safe for the management of large colorectal polyps. With long-term followup, the recurrence rate is appreciable, but most recurrences can be successfully managed with further endoscopic intervention. More complex techniques such as endoscopic submucosal dissection are usually unnecessary.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.