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Investigation of the Local Recurrence Rate after Colorectal Endoscopic Mucosal Resection: Is Incomplete Polyp Resection Really a Clinically Important Problem? Analysis of the Rationale for the “Resect and Discard” Strategy
المؤلفون المشاركون
Nakajima, Atsushi
Kanoshima, Kenji
Iida, Hiroshi
Chiba, Hideyuki
Arimoto, Jun
Misawa, Noboru
Yoshihara, Tsutomu
Kato, Takayuki
Fuyuki, Akiko
Sato, Takamitsu
Sakai, Eiji
Goto, Tohru
Higrashi, Takuma
Nonaka, Takashi
Ohkubo, Hidenori
المصدر
Canadian Journal of Gastroenterology and Hepatology
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-01-08
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background/Aims.
The “Resect and Discard” strategy is a potentially useful strategy.
At present, only the lesion size and accuracy of diagnosis are cited as considerations for clinical adoption of this strategy.
On the other hand, histopathology of the resected specimens after Endoscopic Mucosal Resection (EMR) reveals often an unclear or positive-margin status, implying Incomplete Polyp Resection (IPR).
If IPR indeed increased the risk of local recurrence, histopathological evaluation of the margin would be indispensable and clinical adoption of this strategy is difficult.
The aim of this study is to verify the association between IPR and the risk of local recurrence.
Methods.
The 1872 polyps and 603 EMR cases in 597 patients who had EMR between May 2013 and May 2014 were enrolled.
The local recurrence rate until 3 years after the EMR in cases with the target lesions of the “Resect and Discard” strategy was determined in the negative-margin and IPR groups.
Results.
The final analysis was performed using the data of 1092 polyps, and 222 were categorized into the IPR group.
There were no cases of recurrence in either of the groups.
Conclusion.
This is the world’s first report conducted to examine the correlation of IPR and the local recurrence rate for clinical practice of “Resect and Discard” strategy.
There is the possibility that pathological evaluation of the margins after EMR in patients with small polyps can be skipped.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Arimoto, Jun& Higrashi, Takuma& Chiba, Hideyuki& Misawa, Noboru& Yoshihara, Tsutomu& Kato, Takayuki…[et al.]. 2019. Investigation of the Local Recurrence Rate after Colorectal Endoscopic Mucosal Resection: Is Incomplete Polyp Resection Really a Clinically Important Problem? Analysis of the Rationale for the “Resect and Discard” Strategy. Canadian Journal of Gastroenterology and Hepatology،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1129898
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Arimoto, Jun…[et al.]. Investigation of the Local Recurrence Rate after Colorectal Endoscopic Mucosal Resection: Is Incomplete Polyp Resection Really a Clinically Important Problem? Analysis of the Rationale for the “Resect and Discard” Strategy. Canadian Journal of Gastroenterology and Hepatology No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1129898
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Arimoto, Jun& Higrashi, Takuma& Chiba, Hideyuki& Misawa, Noboru& Yoshihara, Tsutomu& Kato, Takayuki…[et al.]. Investigation of the Local Recurrence Rate after Colorectal Endoscopic Mucosal Resection: Is Incomplete Polyp Resection Really a Clinically Important Problem? Analysis of the Rationale for the “Resect and Discard” Strategy. Canadian Journal of Gastroenterology and Hepatology. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1129898
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1129898
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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