ArticleWorld journal of gastroenterology2016
Clinical features of upper gastrointestinal serrated lesions: An endoscopy database analysis of 98746 patients.
Article in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Two duodenal sessile serrated lesions in a patient with serrated polyposis syndrome: case report and review of the literature.Clinical journal of gastroenterology · 2025Review
- A case report of gastric serrated adenoma arising in a patient with bile reflux gastritis and related literature review.Frontiers in oncology · 2025Article
- Spatially resolved multi-omics highlights cell-specific metabolic remodeling and interactions in gastric cancer.Nature communications · 2023Article
- Gastric and small intestinal traditional serrated adenomas: a detailed morphologic and immunohistochemical analysis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2020Article
- Blue laser magnifying endoscopy in the diagnosis of chronic gastritis.Experimental and therapeutic medicine · 2019Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo analyse the clinical features of patients with the serrated lesions in the upper gastrointestinal tract (UPGI) tract.
methodsPatients who underwent routine esophagogastroduodenoscopy (EGD) at the Digestive Endoscopy Centre of General Hospital, Tianjin Medical University between January 2011 and December 2015 were consecutively recruited. Patients with UPGI serrated lesions were consecutively identified. The patients' demographics and histopathology were recorded. The colorectal findings for patients who underwent colonoscopy simultaneously or within six months were also extracted from the colonoscopy database. In addition, we analysed differences in colorectal neoplasia detection between the study patients and randomly selected patients matched for age and gender who did not exhibit serrated lesions and who also underwent colonoscopy in the same period.
resultsA total of 21 patients out of 98746 patients (0.02%) who underwent EGD were confirmed to have serrated lesions with predominantly crenated, sawtooth-like configurations. The mean age of the 21 patients was (55.3 ± 17.2) years, and 11 patients were male (52.4%). In terms of the locations of the serrated lesions, 17 were found in the stomach (including 3 in the cardia, 9 in the corpus and 5 in the antrum), 3 were found in the duodenum, and 1 was found in the esophagus. Serrated lesions were found in different mucosal lesions, with 14 lesions were detected in polyps (8 hyperplastic polyps and 6 serrated adenomas with low grade dysplasia), 3 detected in Ménétrier gastropathy, 3 detected in an area of inflammation or ulcer, and 1 detected in the intramucosal carcinoma of the duodenum. In addition, colonoscopy data were available for 18 patients, and a significantly higher colorectal adenoma detection rate was observed in the UPGI serrated lesions group than in the randomly selected age- and gender-matched group without serrated lesions who also underwent colonoscopy in the same period (38.9%
conclusionSerrated lesions in the UPGI were detected in various mucosal lesions with different pathological morphologies. Moreover colonoscopy is recommended for the detection of concurrent colorectal adenoma for these patients.
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