SynthesisWorld journal of gastroenterology2022
Recurrence rates after endoscopic resection of large colorectal polyps: A systematic review and meta-analysis.
Synthesis in World journal of gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06217250 (Hot EMR vs Underwater Cold EMR for Large Colonic Adenomas), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Hot EMR vs Underwater Cold EMR for Large Colonic Adenomas (>20 mm): the "CO.W.L." Prospective Randomized Trial
Who cites it
20 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
- Efficacy of a novel one-step knife compared to conventional knife for colorectal endoscopic submucosal dissection: a prospective multicenter randomized controlled trial.International journal of colorectal disease · 2025Trial
- Article
- Management of Large Non-Pedunculated Polyps of the Colon: Practice-Oriented Answers to Clinical Questions.Journal of clinical medicine · 2026Review
- Risk factors and clinical prediction models for short-term recurrence after endoscopic surgery in patients with colorectal polyps.World journal of gastrointestinal surgery · 2025Article
- Prevention and treatment of recurrence after endoscopic resection of large non-pedunculated colorectal polyps.World journal of gastrointestinal endoscopy · 2025Review
- Machine learning in colorectal polyp surveillance: A paradigm shift in post-endoscopic mucosal resection follow-up.World journal of gastroenterology · 2025Article
- Establishing and popularizing a standard pathological diagnostic model of endoscopic submucosal dissection specimens in China.World journal of gastrointestinal endoscopy · 2025Article
- Assessing outcomes of full-thickness resection in piecemeal polypectomy scar consolidation of colon adenomas containing cancer.Endoscopy international open · 2025Article
- Initial Experience With Safety and Efficacy of Endoscopic Full-Thickness Resection in Patients With Inflammatory Bowel Disease: A Case Series.ACG case reports journal · 2024Article
- Videos in Short-Video Sharing Platforms as Sources of Information on Colorectal Polyps: Cross-Sectional Content Analysis Study.Journal of medical Internet research · 2024Article
- The Recurrence Rate of Colorectal Polyps among Patients with Average Risk of Colorectal Cancer.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- Salvage endoscopic resection for perforation site recurrence of colonic polyp.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024Article
- Traction-Assisted Endoscopic Submucosal Dissection of a Gastric Subepithelial Tumor: A Case Report.Cureus · 2024Article
- Endoscopic resection of large non-pedunculated colorectal polyps: current standards of treatment.eGastroenterology · 2024Review
- Combining endoscopic mucosal resection with hybrid argon plasma coagulation to reduce local colorectal lesion recurrence: a video tutorial.Endoscopy · 2023Article
- Virtual scale endoscope-assisted wide-field resection of large sessile serrated lesions.Endoscopy · 2023Article
- Expanding endoscopic boundaries: Endoscopic resection of large appendiceal orifice polyps with endoscopic mucosal resection and endoscopic submucosal dissection.World journal of gastrointestinal endoscopy · 2023Article
- Combining endoscopic mucosal resection with hybrid argon plasma coagulation to reduce local colorectal lesion recurrence: a video tutorial.Endoscopy · 2023Article
- How to avoid overtreatment of benign colorectal lesions: Rationale for an evidence-based management.World journal of gastroenterology · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComplete polyp resection is the main goal of endoscopic removal of large colonic polyps. Resection techniques have evolved in recent years and endoscopic submucosal dissection (ESD), endoscopic mucosal resection (EMR) with margin ablation, cold snare polypectomy (CSP), cold EMR, and underwater EMR have been introduced. Yet, efficacy of these techniques with regard to local recurrence rates (LRRs)
aimTo analyze LRR of large colonic polyps in a systematic review and meta-analysis.
methodsMEDLINE, EMBASE, EBM Reviews, and CINAHL were searched for prospective studies reporting LRR or incomplete resection rate (IRR) after colonic polypectomy of polyps ≥ 10 mm, published between January 2011 and July 2021. Primary outcome was LRR for polyps ≥ 10 mm.
resultsSix thousand nine hundred and twenty-eight publications were identified, of which 34 prospective studies were included. LRR for polyps ≥ 10 mm at up to 12 mo' follow-up was 11.0% (95%CI, 7.1%-14.8%; 15 studies; 4904 polyps). ESD (1.7%; 95%CI, 0%-3.4%; 3 studies, 221 polyps) and endoscopic mucosal resection with margin ablation (3.3%; 95%CI, 2.2%-4.5%; 2 studies, 947 polyps) significantly reduced LRR
conclusionLRR is significantly lower after ESD or EMR with routine margin ablation; thus, these techniques should be considered standard for endoscopic removal of large colorectal polyps. Other techniques, such as CSP, cold EMR, and underwater EMR require further evaluation in prospective studies before their routine implementation in clinical practice can be recommended.
Indexed as
Identifiers
What OpenQuestion holds
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.