ArticleInternational journal of colorectal disease2019
Appendix orifice polyps: a study of 691 lesions at a single institution.
Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 10 citations in OpenAlex.
- Underwater modified strip biopsy for colorectal polyp invading into the appendiceal orifice.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024Article
- Expanding endoscopic boundaries: Endoscopic resection of large appendiceal orifice polyps with endoscopic mucosal resection and endoscopic submucosal dissection.World journal of gastrointestinal endoscopy · 2023Article
- "Obscure" Appendiceal Orifice Polyps Can Be Challenging to Identify by Colonoscopy.Case reports in gastroenterologyArticle
- Ileocecal Valve Sparing Resection for the Treatment of Benign Cecal Polyps Unsuitable for Polypectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeData on the management of appendix orifice lesions are limited. We present our experience on the management of appendix orifice lesions focusing on the range of size, histology, treatment, and outcomes for polyps at the appendix orifice.
methodsRetrospective descriptive study at a tertiary referral center. PATIENTS: Those having appendix orifice lesion removed and sent for histology between 2000 and 2017. INTERVENTIONS(S): Polypectomy, surgery.
main outcome measuresPolyp size, shape, histology, treatment.
resultsIn total, 691 patients matched our inclusion criteria. Screening was the most common indication for colonoscopy (49.1%). Mean size was 10.1 mm. The most common excision method was cold biopsy forceps (36.3%), followed by hot snare (9.3%), cold snare (8.5%), jumbo cold forceps (6.7%), hot biopsy (6.8%), and endoscopic mucosal resection (EMR)/endoscopic submucosal dissection (ESD) (4%). Recurrence was seen in 19/184 (10.3%) patients. Index polyps ≥ 10 mm had a significantly higher risk of recurrence compared to those ≤ 5 mm (odds ratio 3.2 95% CI 1.1-9.2, p = 0.027). None of the patients had complications. Surgery was performed in 45/691 (6.5%). Polyps > 5 mm (41/45) were more likely to require surgery than polyps ≤ 5 mm (4/45 6.67%), p < 0.001. LIMITATIONS: Retrospective study.
conclusionAppendix orifice polyps can usually be managed by conventional endoscopic polypectomy methods without the need for ESD.
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