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Clinical and endoscopic predictors of colorectal adenoma recurrence after colon polypectomy.
Turk J Gastroenterol. 2013; 24(6):476-82.TJ

Abstract

BACKGROUND/AIMS

Colonic adenoma is a well-known precancerous lesion of colon cancer. Therefore, the early detection of advanced colonic neoplasm is critical. This study aimed to determine whether findings at baseline colonoscopy are independent predictors of subsequent recurrence of adenoma in Korean patients.

MATERIALS AND METHODS

Patients who underwent complete colonoscopy ≥2 times at the Seoul Metropolitan Government-Seoul National University, Boramae Medical Center were included. Follow-up colonoscopy was done more than 1 year after removal. Colonoscopic findings at baseline examinations were compared for patients with and without adenoma recurrence.

RESULTS

Of the 167 patients enrolled, 78 had recurrent adenoma at follow-up colonoscopy. Male patients had a higher risk of recurrence than female patients. Patients with ≥ 10 mm adenoma at baseline colonoscopy were more likely to have recurrent adenomas than those with < 10 mm adenoma. Patients with ≥4 adenoma at baseline colonoscopy had also an increased risk for recurrent adenomas. Multivariable analysis showed that ≥10 mm sized (Odds ratio 2.76, 95% confidence interval 1.07-7.11, p=0.035) and ≥4 adenomas (Odds ratio 2.58, 95% confidence interval 1.02-6.54, p=0.045) at baseline colonoscopy were independent predictors of adenoma recurrence at subsequent colonoscopy.

CONCLUSION

The presence of adenoma ≥10 mm or ≥4 adenomas at baseline colonoscopy were significant predictors of recurrent adenoma.

Authors+Show Affiliations

No affiliation info availableDepartment of Internal Medicine, SMG-SNU Boramae Medical Center, 20, Boramae-ro, 5-gil, Dongjak-gu, Seoul, Republic of Korea, 156-707.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24623285

Citation

Jang, Eun Sun, et al. "Clinical and Endoscopic Predictors of Colorectal Adenoma Recurrence After Colon Polypectomy." The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology, vol. 24, no. 6, 2013, pp. 476-82.
Jang ES, Kim JW, Jung YJ, et al. Clinical and endoscopic predictors of colorectal adenoma recurrence after colon polypectomy. Turk J Gastroenterol. 2013;24(6):476-82.
Jang, E. S., Kim, J. W., Jung, Y. J., Jeong, J. B., Kim, B. G., Lee, K. L., Kim, J. S., Jung, H. C., & Song, I. S. (2013). Clinical and endoscopic predictors of colorectal adenoma recurrence after colon polypectomy. The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology, 24(6), 476-82.
Jang ES, et al. Clinical and Endoscopic Predictors of Colorectal Adenoma Recurrence After Colon Polypectomy. Turk J Gastroenterol. 2013;24(6):476-82. PubMed PMID: 24623285.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical and endoscopic predictors of colorectal adenoma recurrence after colon polypectomy. AU - Jang,Eun Sun, AU - Kim,Ji Won, AU - Jung,Yong Jin, AU - Jeong,Ji Bong, AU - Kim,Byeong Gwan, AU - Lee,Kook Lae, AU - Kim,Joo Sung, AU - Jung,Hyun Chae, AU - Song,In Sun, PY - 2014/3/14/entrez PY - 2014/3/14/pubmed PY - 2015/1/22/medline SP - 476 EP - 82 JF - The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology JO - Turk J Gastroenterol VL - 24 IS - 6 N2 - BACKGROUND/AIMS: Colonic adenoma is a well-known precancerous lesion of colon cancer. Therefore, the early detection of advanced colonic neoplasm is critical. This study aimed to determine whether findings at baseline colonoscopy are independent predictors of subsequent recurrence of adenoma in Korean patients. MATERIALS AND METHODS: Patients who underwent complete colonoscopy ≥2 times at the Seoul Metropolitan Government-Seoul National University, Boramae Medical Center were included. Follow-up colonoscopy was done more than 1 year after removal. Colonoscopic findings at baseline examinations were compared for patients with and without adenoma recurrence. RESULTS: Of the 167 patients enrolled, 78 had recurrent adenoma at follow-up colonoscopy. Male patients had a higher risk of recurrence than female patients. Patients with ≥ 10 mm adenoma at baseline colonoscopy were more likely to have recurrent adenomas than those with < 10 mm adenoma. Patients with ≥4 adenoma at baseline colonoscopy had also an increased risk for recurrent adenomas. Multivariable analysis showed that ≥10 mm sized (Odds ratio 2.76, 95% confidence interval 1.07-7.11, p=0.035) and ≥4 adenomas (Odds ratio 2.58, 95% confidence interval 1.02-6.54, p=0.045) at baseline colonoscopy were independent predictors of adenoma recurrence at subsequent colonoscopy. CONCLUSION: The presence of adenoma ≥10 mm or ≥4 adenomas at baseline colonoscopy were significant predictors of recurrent adenoma. SN - 2148-5607 UR - https://www.unboundmedicine.com/medline/citation/24623285/Clinical_and_endoscopic_predictors_of_colorectal_adenoma_recurrence_after_colon_polypectomy_ L2 - http://www.turkjgastroenterol.org/eng/makale/2814/203/Full-Text DB - PRIME DP - Unbound Medicine ER -