Risk Factors for Recurrence of Colonic Polyps after Endoscopic Resection
10.11969/j.issn.1673-548X.2024.02.010
- VernacularTitle:结肠息肉内镜下切除后再发危险因素分析
- Author:
Jialin ZHAO
1
;
Weiguo DONG
Author Information
1. 430060 武汉大学人民医院消化内科
- Keywords:
Colonic polyps;
Endoscopic treatment;
Recurrence;
Risk factors
- From:
Journal of Medical Research
2024;53(2):47-50,61
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors for recurrence of colon polyps after endoscopic resection.Methods Two hun-dred and forty-four patients who were treated with endoscopic colon polyps were divided into recurrence group(n=168)and non-re-currence group(n=76)according to the results of the first postoperative colonoscopy review,the basic data,biochemical indexes,polyp characteristics and surgical methods of the two groups were compared,and the risk factors of recurrence after resection of colon polyps were evaluated by multivariate Logistic regression analysis.Results There were 168 recurrences in 244 patients(68.9％),the age[60.17± 10.54 years old]and number of polyps[3(2,5)]in the recurrence group[56.30±11.08 years old and 2(1,4)]were higher than in the non-recurrence group,the differences were statistically significant(P＜0.05).The proportion of males,age＞58 years old,num-ber of polyps ≥3,polyps distributed in the whole colon,multi-site polyps and polyps at risk of malignant transformation(71.4％,58.3％,60.1％,54.8％,63.7％,75.6％)were higher than those in the non-recurrence group(48.7％,42.1％,34.2％,30.3％,42.1％,61.8％),and the differences were statistically significant(P＜0.05),and the HDL(high density lipoprotein)level in the recurrence group[1.08(0.90,1.31)mmol/L]was lower than that in the non-recurrence group[1.21(0.96,1.40)mmol/L](U=-2.321,P=0.020),and the proportion of polyp distribution in the right hemi-colon(19.0％)was lower than in the non-recurrence group(31.6％)(x2=4.647,P=0.031).The proportion of polyp distribution in men(OR=2.375,95％CI:1.222-4.616,P=0.011),age(OR=1.036,95％CI:1.007-1.065,P=0.013),and polyp distribution in the whole colon(OR=2.009,95％CI:1.039-3.886,P=0.038)were independent risk factors for recurrence of colon polyps after endoscopic resection.Conclusion Pa-tients who were male,older,and had polyps distributed in the whole colon were more likely to recur after endoscopic polypectomy.
