ArticleGastrointestinal endoscopy2018
Morbidity and mortality after surgery for nonmalignant colorectal polyps.
Article in Gastrointestinal endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.
- Pooled it
- Clip Closure Prevents Bleeding After Endoscopic Resection of Large Colon Polyps in a Randomized Trial.Gastroenterology · 2019Trial
- Temporal trends in colorectal resections for benign colorectal neoplasia: A retrospective cohort study of the ACS-NSQIP 2016-2022.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Feasibility and Outcomes of Endoscopic Submucosal Dissection for Colorectal Premalignant and Early-Stage Malignant Lesions at a Community Hospital Serving Rural Population.Gastro hep advances · 2026Article
- Declining Rates of Surgery for Nonmalignant Colorectal Polyps in the United States Over the Last Decade: A Real-World Analysis of Over 1 Million Patients.Endoscopy international open · 2026Article
- Risk of Residual Cancer following Immediate Surgery or Nonoperative Management after Malignant Colorectal Polypectomy with High-Risk Features.JCO oncology advances · 2025Article
- Of Endpoints and Equipoise: Reforming Clinical Trials in Colorectal Polyp Resection.Current gastroenterology reports · 2025Review
- Elective colectomy for treatment of benign colon polyps: National surgical trends, outcomes, and cost analysis.Endoscopy international open · 2025Article
- Assessing outcomes of full-thickness resection in piecemeal polypectomy scar consolidation of colon adenomas containing cancer.Endoscopy international open · 2025Article
- Spatial characterization and stratification of colorectal adenomas by deep visual proteomics.iScience · 2024Article
- Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection.Clinics in colon and rectal surgery · 2024Review
- The role of advanced endoscopy in appendiceal polyp management and outcomes.Surgical endoscopy · 2024Article
- Prophylactic clipping using the over-the-scope clip (OTSC) system after complex ESD and EMR of large colon polyps.Surgical endoscopy · 2023Article
- Are large ileocecal valve lesions amenable with advanced endoscopic management to avoid bowel resection?Surgical endoscopy · 2023Article
- Planning management for complex colorectal polyps: a qualitative assessment of factors influencing decision-making among colonoscopists.BMJ open gastroenterology · 2023Article
- How to avoid overtreatment of benign colorectal lesions: Rationale for an evidence-based management.World journal of gastroenterology · 2022Review
- Management of the colonic polyps referred for surgery: an opportunity for improvement.Surgical endoscopy · 2022Article
- Morbidity and mortality after major large bowel resection of non-malignant polyp among participants in a population-based screening program.Journal of medical screening · 2021Article
- Endoscopic Submucosal Dissection in North America: A Large Prospective Multicenter Study.Gastroenterology · 2021Article
- Overutilization of surgical resection for benign colorectal polyps: analysis from a tertiary care center.Endoscopy international open · 2021Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
BACKGROUND AND
aimsDespite evidence that most nonmalignant colorectal polyps can be managed endoscopically, a substantial proportion of patients with a nonmalignant colorectal polyp are still sent to surgery. Risks associated with this surgery are not well characterized. We describe 30-day postoperative morbidity and mortality and explore risk factors for adverse events in patients undergoing surgical resection for nonmalignant colorectal polyps.
methodsWe analyzed data collected prospectively as part of the National Surgical Quality Improvement Program. Our analysis included 12,732 patients who underwent elective surgery for a nonmalignant colorectal polyp from 2011 through 2014. We report adverse events within 30 days of the index surgery. Modified Poisson regression was used to estimate risk ratios and 95% confidence intervals.
resultsThirty-day mortality was .7%. The risk of a major postoperative adverse event was 14%. Within 30 days of resection, 7.8% of patients were readmitted and 3.6% of patients had a second major surgery. The index surgery resulted in a colostomy in 1.8% and ileostomy in .4% of patients. Patients who had surgical resection of a nonmalignant polyp in the rectum or anal canal compared with the colon had a risk ratio of 1.58 (95% confidence interval, 1.09-2.28) for surgical site infection and 6.51 (95% confidence interval, 4.97-8.52) for ostomy.
conclusionsSurgery for a nonmalignant colorectal polyp is associated with significant morbidity and mortality. A better understanding of the risks and benefits associated with surgical management of nonmalignant colorectal polyps will better inform discussions regarding the relative merits of management strategies.
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Registered trials
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.