ArticleLangenbeck's archives of surgery2019
Malignant colorectal polyps: endoscopic polypectomy and watchful waiting is not inferior to subsequent bowel resection. A nationwide propensity score-based analysis.
Article in Langenbeck's archives of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Endoscopic resection versus surgery for T1 rectal cancer: A systematic review and meta-analysis of oncologic and safety outcomes.Surgical endoscopy · 2026Pooled it
- The Korean Rectal Cancer Multidisciplinary Committee Clinical Practice Guidelines for Rectal Cancer version 2.0.Annals of coloproctology · 2026Guideline
- Patient and pathological predictors of management strategy for malignant polyps following polypectomy: a systematic review and meta-analysis.International journal of colorectal disease · 2022Pooled it
- Does Local Excision Without Salvage Surgery Affect the Prognostic Outcome of Patients With Malignant Colorectal Polyp? A Long-Term Survival Analysis.Journal of gastroenterology and hepatology · 2026Article
- Exploration of between-hospital variation and the basis for decision making in management of malignant colorectal polyps- a Danish population-based study.World journal of surgical oncology · 2026Article
- Oncologic outcomes of screen-detected and non-screen-detected T1 colorectal cancers.Endoscopy · 2024Article
- Risk of recurrence in high-risk T1 colon cancer following endoscopic and surgical resection: registry-based cohort study.BJS open · 2024Article
- Article
- Review
- Management of high and low risk malignant polyps: a population-wide analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2023Article
- A population-based study of the management of rectal malignant polyps and the use of trans-anal surgery.ANZ journal of surgery · 2022Article
- Clinical guidance on endoscopic management of colonic polyps in Singapore.Singapore medical journal · 2022Article
- Are we overtreating patients with malignant colorectal polyps? A 5-year review of the ACPGBI position statement.Annals of the Royal College of Surgeons of England · 2022Article
- Revising the definition of vertical margin involvement following endoscopic polypectomy may reduce unnecessary surgery in patients with malignant colorectal polyps.JGH open : an open access journal of gastroenterology and hepatology · 2020Article
- Histopathological factors help to predict lymph node metastases more efficiently than extra-nodal recurrences in submucosa invading pT1 colorectal cancer.Scientific reports · 2019Article
- To resect or not to resect, better yet, who to resect? That is the question after polypectomy of malignant polyps.Langenbeck's archives of surgery · 2019Article
- Emerging endoscopic resection strategies for organ preservation in early colorectal cancer.Annals of gastroenterologyReview
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsThe optimal treatment of patients with malignant colorectal polyps is unsettled. The surgical dilemma following polypectomy is selecting between watchful waiting (WW) and subsequent bowel resection (SBR), but the long-term survival outcomes have not been established yet. This nationwide study compared survival of patients after WW or SBR.
methodsDanish nationwide study with 100% follow-up of all patients with malignant colorectal polyps (the Danish Colorectal Cancer Group database) in a 10-year period from 2001 to 2011. All patients' charts and histological reports were individually reviewed. Survival rates were calculated with Cox proportional hazard model after propensity score matching.
resultsA total of 692 patients were included (WW, 424 (61.3%), SBR, 268 (38.7%)) with a mean follow-up of 7.5 years (3-188 months). Following propensity score matching, there was no significant difference in overall or disease-free survival (p = 0.344 and p = 0.184) or rate of local recurrence (WW, 7.2%, SBR, 2%, p = 0.052) or distant metastases (WW, 3.3%, SBR, 4.6%, p = 0.77). In the SBR group, there was no residual tumor or lymph node metastases in the resected specimen in 82.5% of the patients.
conclusionSubsequent bowel resection may not be superior to endoscopic polypectomy and watchful waiting with regard to overall and disease-free survival in patients with malignant colorectal polyps.
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