Intest Res.
2024 Apr;22(2):186-207. 10.5217/ir.2023.00109.
A survey of current practices in post-polypectomy surveillance in Korea
- Kim J
1 - Gweon TG2
- Kwak MS3
- Kim SY4
- Kim SJ5
- Kim HG6
- Kim ER7
- Hong SN7
- Kim ES8
- Moon CM9
- Myung DS10
- Baek DH11
- Oh SJ12
- Lee HJ13
- Lee JY14
- Jung Y15
- Chun J16
- Yang DH17
- on behalf of the Intestinal Tumor Research Group of the Korean Association for the Study of Intestinal Diseases (KASID)1
- Affiliations
-
- 1Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
- 2Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 3Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea
- 4Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
- 5Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea
- 6Division of Gastroenterology, Department of Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
- 7Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- 8Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea
- 9Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea
- 10Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
- 11Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
- 12Department of Gastroenterology, Kyung Hee University Hospital, Seoul, Korea
- 13Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea
- 14Health Screening and Promotion Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 15Division of Gastroenterology, Department of Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
- 16Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- 17Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- KMID: 2554662
- DOI: http://doi.org/10.5217/ir.2023.00109
Abstract
- Background/Aims
We investigated the clinical practice patterns of post-polypectomy colonoscopic surveillance among Korean endoscopists.
Methods
In a web-based survey conducted between September and November 2021, participants were asked about their preferred surveillance intervals and the patient age at which surveillance was discontinued. Adherence to the recent guidelines of the U.S. Multi-Society Task Force on Colorectal Cancer (USMSTF) was also analyzed.
Results
In total, 196 endoscopists completed the survey. The most preferred first surveillance intervals were: a 5-year interval after the removal of 1–2 tubular adenomas < 10 mm; a 3-year interval after the removal of 3–10 tubular adenomas < 10 mm, adenomas ≥ 10 mm, tubulovillous or villous adenomas, ≤ 20 hyperplastic polyps < 10 mm, 1–4 sessile serrated lesions (SSLs) < 10 mm, hyperplastic polyps or SSLs ≥ 10 mm, and traditional serrated adenomas; and a 1-year interval after the removal of adenomas with highgrade dysplasia, >10 adenomas, 5–10 SSLs, and SSLs with dysplasia. In piecemeal resections of large polyps ( > 20 mm), surveillance colonoscopy was mostly preferred after 1 year for adenomas and 6 months for SSLs. The mean USMSTF guideline adherence rate was 30.7%. The largest proportion of respondents (40.8%–55.1%) discontinued the surveillance at the patient age of 80–84 years.
Conclusions
A significant discrepancy was observed between the preferred post-polypectomy surveillance intervals and recent international guidelines. Individualized measures are required to increase adherence to the guidelines.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Strategy for post-polypectomy colonoscopy surveillance: focus on the revised Korean guidelines
- A Survey on the Interval of Post-polypectomy Surveillance Colonoscopy
- Post-polypectomy surveillance: the present and the future
- Optimal Colonoscopy Surveillance Interval after Polypectomy
- Summary and comparison of recently updated post-polypectomy surveillance guidelines
