Current management of diminutive colorectal polyps in Taiwan
Journal
Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
Journal Volume
26 Suppl 2
Pages
64
Date Issued
2014-04
Abstract
The majority of polyps detected during colonoscopy are diminutive polyps, for which the cost of pathological analysis is substantial. In our analysis of a screening cohort of 10737 subjects undergoing screening colonoscopy, a total of 15877 neoplastic lesions were detected, of which 10816 (68.1%) were diminutive lesions. Of those diminutive lesions, 90 (0.83%) had a villous component, 14 (0.1%) had high-grade dysplasia, and none had invasive cancer. Only 1.3% of patients were advised to decrease their surveillance interval because of unfavorable histology. Laws regulating medical practice, uncertainty regarding the accuracy of endoscopic diagnosis of diminutive polyps outside of academic centers, and the relatively low cost of pathological analysis are among the barriers to adopting a 'resect and discard' practice in Taiwan.
Subjects
advanced neoplasm; colon polyp; colonoscopy; colorectal cancer; image-enhanced endoscopy
SDGs
Other Subjects
adenoma; adult; age distribution; aged; cancer staging; Colonic Polyps; colonoscopy; Colorectal Neoplasms; early diagnosis; female; human; immunohistochemistry; male; middle aged; needle biopsy; pathology; prevalence; procedures; retrospective study; sex ratio; Taiwan; tumor invasion; Adenoma; Adult; Age Distribution; Aged; Biopsy, Needle; Colonic Polyps; Colonoscopy; Colorectal Neoplasms; Early Detection of Cancer; Female; Humans; Immunohistochemistry; Male; Middle Aged; Neoplasm Invasiveness; Neoplasm Staging; Prevalence; Retrospective Studies; Sex Distribution; Taiwan
Publisher
WILEY
Type
journal article