Value of Repeat Colonoscopy During Colorectal Polypectomy in Improving Detection of Missed Polyps
10.3969/j.issn.1008-7125.2023.08.002
- VernacularTitle:结直肠息肉切除术中再次完成全结肠镜检查对减少息肉漏诊的价值
- Author:
Linyan JIANG
1
;
Kewei ZHANG
;
Feng ZHOU
;
Chunjiu HU
Author Information
1. 宁波市妇女儿童医院新生儿重症监护室(315012)
- Keywords:
Colorectal Polyps;
Polypectomy;
Repeat Colonoscopy;
Missed Diagnosis of Polyps
- From:
Chinese Journal of Gastroenterology
2023;28(8):456-459
- CountryChina
- Language:Chinese
-
Abstract:
Background:Identifying missed diagnoses of polyps is significant in reducing the incidence of colorectal cancer.Until now,the role of repeat colonoscopy during colorectal polypectomy in reducing themissed diagnoses of polyps is sparsely studied.Aims:To analyze the value of repeat colonoscopy during colorectal polypectomy in reducing themissed diagnoses of polyps.Methods:One hundred and forty-six patients in the first affiliated hospital of Ningbo University who underwent polypectomy were consecutively recruited for repeat colonoscopy from January 2020 to January 2021.The number,size,and location of missed polyps were recorded and analyzed during colorectal polypectomy.Univariate logistic regression analysis was used to analyze the independent risk factors of missed polyps.Results:There were 86 males and 60 females among the 146 enrolled patients,which aged(55.54±10.51)years.The overall missed polyps'rate was 27.17%.We found that all missed polyps were sessile polyps and<10 mm in size,the difference was significant in the left colon.Univariate logistic regression analysis showed that the endoscopist' experience was an independent risk factor for missed polyps.Conclusions:Endoscopist'experience was an independent risk factor for missed polyps.Repeat colonoscopy could reduce the missed polyps.
