Korean Guidelines for Colonoscopic Polypectomy.
- Author:
Suck Ho LEE
1
;
Sung Jae SHIN
;
Dong Il PARK
;
Seong Eun KIM
;
Sung Pil HONG
;
Sung Noh HONG
;
Dong Hoon YANG
;
Bo In LEE
;
Young Ho KIM
;
Hyun Soo KIM
;
Suk Kyun YANG
;
Hyo Jong KIM
;
Se Hyung KIM
;
Hyun Jung KIM
Author Information
- Publication Type:Review ; English Abstract ; Practice Guideline ; Research Support, Non-U.S. Gov't
- Keywords: Colonoscopy; Polypectomy; Guideline
- MeSH: Adenoma/diagnosis/*surgery; Anti-Inflammatory Agents, Non-Steroidal/therapeutic use; Aspirin/therapeutic use; Colonic Polyps/pathology/*surgery; Colonoscopy; Colorectal Neoplasms/diagnosis/*surgery; Databases, Factual; Epinephrine/therapeutic use; Gastrointestinal Hemorrhage/prevention & control; Humans; Lymphatic Metastasis; Republic of Korea; Surgical Instruments; Thrombosis/drug therapy; Vasoconstrictor Agents/therapeutic use
- From:The Korean Journal of Gastroenterology 2012;59(2):85-98
- CountryRepublic of Korea
- Language:Korean
- Abstract: There are indirect evidences to suggest that 80% of colorectal cancers (CRC) develop from adenomatous polyps and that, on average, it takes 10 years for a small polyp to transform into invasive CRC. In multiple cohort studies, colonoscopic polypectomy has been shown to significantly reduce the expected incidence of CRC by 76% to 90%. Colonoscopic polypectomy is performed frequently in primary, secondary and tertiary and medical centers in Korea. However, there are no evidence-based, procedural guidelines for the appropriate performance of this procedure, including the technical aspects. For the guideline presented here, Pubmed, Medline, and Cochrane Library literature searches were performed. When little or no data from well-designed prospective trials were available, an emphasis was placed on the results from large series and reports from recognized experts. Thus, these guidelines for colonoscopic polypectomy are based on a critical review of the available data as well as expert consensus. Further controlled clinical studies are needed to clarify aspects of this statement, and revision may be necessary as new data become available. This guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients. This guideline is not a rule and should not be construed as a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment. Clinical decisions for any particular case involve a complex analysis of the patient's condition and the available courses of action.
