ArticleDigestive diseases and sciences2017
Specialist Endoscopists Are Associated with a Decreased Risk of Incomplete Polyp Resection During Endoscopic Mucosal Resection in the Colon.
Article in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk factors for incomplete excision of colorectal polyps: a systematic review and meta-analysis.BMC gastroenterology · 2025Pooled it
- Management of Colorectal Neoplasia in IBD Patients: Current Practice and Future Perspectives.Journal of Crohn's & colitis · 2024Review
- Is endoscopic mucosal resection-precutting superior to conventional methods for removing sessile colorectal polyps?World journal of gastrointestinal surgery · 2023Article
- Hot snare polypectomyWorld journal of gastroenterology · 2023Article
- How to avoid overtreatment of benign colorectal lesions: Rationale for an evidence-based management.World journal of gastroenterology · 2022Review
- Colon mucosal neoplasia referred for endoscopic mucosal resection: Recurrence of adenomas and prediction of submucosal invasion.World journal of gastrointestinal endoscopy · 2020Article
- Tip-in versus conventional endoscopic mucosal resection for flat colorectal neoplasia 10 mm or larger in size.International journal of colorectal disease · 2020Article
- Quality Matters: Improving the Quality of Care for Patients With Complex Colorectal Polyps.The American journal of gastroenterology · 2018Article
- Recent advances in the management of large and complex colonic polyps.F1000Research · 2018Review
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Authors and funding
12 authors.
Funding
Abstract
backgroundEndoscopic experience is known to correlate with outcomes of endoscopic mucosal resection (EMR), particularly complete resection of the polyp tissue. Whether specialist endoscopists can protect against incomplete polypectomy in the setting of known risk factors for incomplete resection (IR) is unknown.
aimsWe aimed to characterize how specialist endoscopists may help to mitigate the risk of IR of large sessile polyps.
methodsThis is a retrospective cohort study of patients who underwent EMR at the University of Michigan from January 1, 2006, to November 15, 2015. The primary outcome was endoscopist-reported polyp tissue remaining at the end of the initial EMR attempt. Specialist endoscopists were defined as endoscopists who receive tertiary referrals for difficult colonoscopy cases and completed at least 20 EMR colonic polyp resections over the study period.
resultsA total of 257 patients with 269 polyps were included in the study. IR occurred in 40 (16%) cases. IR was associated with polyp size ≥ 40 mm [adjusted odds ratio (aOR) 3.31, 95% confidence interval (CI) 1.38-7.93], flat/laterally spreading polyps (aOR 2.61, 95% CI 1.24-5.48), and difficulty lifting the polyp (aOR 11.0, 95% CI 2.66-45.3). A specialist endoscopist performing the initial EMR was protective against IR, even in the setting of risk factors for IR (aOR 0.13, 95% CI 0.04-0.41).
conclusionsIR is associated with polyp size ≥ 40 mm, flat and/or laterally spreading polyps, and difficulty lifting the polyp. A specialist endoscopist initiating the EMR was protective of IR.
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