|
KMID : 0359020060330060339
|
|
Korean Journal of Gastrointestinal Endoscopy
2006 Volume.33 No. 6 p.339 ~ p.345
|
|
|
A Survey on the Interval of Post-polypectomy Surveillance Colonoscopy
|
|
Park Dong-Il
Park Jung-Ho
Kim Hong-Joo
Cho Young-Kyun
Sohn Chong-Il
Jeon Woo-Kyu
Kim Byung-Ik
Kang Mun-Su
|
|
|
Abstract
|
|
|
Background/Aims: Colonoscopy is the golden standard used as a surveillance test and screen for colon cancer, and the current demand for colonoscopy exceeds its availability. This study is an assessment of the colonoscopic surveillance intervals currently practiced.
Methods: A multiple choice survey of the colonoscopic surveillance interval used in six case scenarios [hyperplastic polyp; two 0.5 cm tubular adenomas (TAs); a 1.5 cm TA; 0.8 cm triple TAs; a 1.5 cm TA with high grade dysplasia; current normal exam after polypectomy of a <1 cm sized TA 3 years ago] was sent via e-mail to members of the KASID.
Results: A total of 131 colonoscopists (104 men, 27 women) replied, and the mean age of the respondents was 36 years (range 28~58). All respondents were board- certified in their respective specialties (internal medicine 75, general surgery 3, and GI subspecialty 53). When compared with the AGA guidelines, 90.1~99.2% of the respondents performed the first post-polypectomy surveillance colonoscopy prematurely, and 75.6% of respondents performed the second surveillance prematurely.
Conclusions: Most post-polypectomy surveillance colonoscopies were performed prematurely. It is quite possible that unnecessary surveillance may account for a significant portion of the demand for colonoscopy.
|
|
|
KEYWORD
|
|
|
Colonoscopy, Surveillance, Polypectomy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|