Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current Guidelines
- Author:
Jeongseok KIM
1
;
Tae-Geun GWEON
;
Min Seob KWAK
;
Su Young KIM
;
Seong Jung KIM
;
Hyun Gun KIM
;
Sung Noh HONG
;
Eun Sun KIM
;
Chang Mo MOON
;
Dae Seong MYUNG
;
Dong-Hoon BAEK
;
Shin Ju OH
;
Hyun Jung LEE
;
Ji Young LEE
;
Yunho JUNG
;
Jaeyoung CHUN
;
Dong-Hoon YANG
;
Eun Ran KIM
;
Intestinal Tumor Research Group of the Korean Association for the Study of Intestinal Diseases
Author Information
- Publication Type:Original Article
- From:Gut and Liver 2025;19(1):77-86
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background/Aims:We investigated the clinical practice patterns of Korean endoscopists for the endoscopic resection of colorectal polyps.
Methods:From September to November 2021, an online survey was conducted regarding the preferred resection methods for colorectal polyps, and responses were compared with the international guidelines.
Results:Among 246 respondents, those with <4 years, 4–9 years, and ≥10 years of experiencein colonoscopy practices accounted for 25.6%, 34.1%, and 40.2% of endoscopists, respectively. The most preferred resection methods for non-pedunculated lesions were cold forceps polypectomy for ≤3 mm lesions (81.7%), cold snare polypectomy for 4–5 mm (61.0%) and 6–9 mm (43.5%) lesions, hot endoscopic mucosal resection (EMR) for 10–19 mm lesions (72.0%), precut EMR for 20–25 mm lesions (22.0%), and endoscopic submucosal dissection (ESD) for ≥26 mm lesions (29.3%). Hot EMR was favored for pedunculated lesions with a head size <20 mm and stalk size <10 mm (75.6%) and for those with a head size ≥20 mm or stalk size ≥10 mm (58.5%). For suspected superficial and deep submucosal lesions measuring 10–19 mm and ≥20 mm, ESD (26.0% and 38.6%) and surgery (36.6% and 46.3%) were preferred, respectively. The adherence rate to the guidelines ranged from 11.2% to 96.9%, depending on the size, shape, and histology of the lesions.
Conclusions:Adherence to the guidelines for endoscopic resection techniques varied depend-ing on the characteristics of colorectal polyps. Thus, an individualized approach is required to increase adherence to the guidelines.
