Investigation on colorectal polyp recurrence and colonoscopic surveillance after polypectomy
10.3760/cma.j.issn.1008-1372.2016.07.013
- VernacularTitle:结直肠息肉切除术后的再发特点及肠镜监测研究
- Author:
Qinglian ZHONG
;
Changjing ZHENG
;
Jian HUANG
;
Hongmin CHEN
;
Jiayu LIN
;
Qun HUANG
- Publication Type:Journal Article
- Keywords:
Colonic polyps/SU;
Recurrence;
Endoscopy,digestive system
- From:
Journal of Chinese Physician
2016;18(7):1005-1007,1012
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical characteristics and analyze the influencing factors of colorectal polyp recurrence after polypectomy.Methods The clinical data of colorectal polyps patients,who underwent colonoscopic polypectomy in our hospital and received a follow-up colonoscopy within 2 years [mean interval (18.8 ± 8.42) months] were collected between January 2012 and August 2015 (n =194).The polyps size,number,location,and pathology were detected.The polyps recurrence rate and influencing factors were analyzed.Results The polyps recurrence rate was 71.6％ (139/194) in 2 years.The patients,who aged ≥60 years,with adenoma number≥3,located in the left hemicolon and rectum,were easier to recurrence (P ＜ 0.05).Logistic regression analysis revealed that age and number of adenomas were independent factors of polyps recurrence whereas the sex,size,location,and pathology were not (P ＜ 0.05)during the surveillance interval.However,19.4％ nonneoplastic-polyp group and 15.5％ low-risk group turn into bad side.Conclusions The outcomes indicate that age and number of adenomas ≥3 were independent factors of polyps recurrence,whereas the size and pathological type were limited in risk stratification for patients after polypectomy.Two year may be the appropriate interval for endoscopic rescreening.
