Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review

Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snar...
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Autor*in:	Suraj Suresh [verfasserIn] Jinyu Zhang [verfasserIn] Abdelwahab Ahmed [verfasserIn] Mouhanna Abu Ghanimeh [verfasserIn] Ahmed Elbanna [verfasserIn] Randeep Kaur [verfasserIn] Mahmoud Isseh [verfasserIn] Andrew Watson [verfasserIn] Duyen T. Dang [verfasserIn] Krishnavel V. Chathadi [verfasserIn] Robert Pompa [verfasserIn] Sumit Singla [verfasserIn] Cyrus Piraka [verfasserIn] Tobias Zuchelli [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Übergeordnetes Werk:	In: Endoscopy International Open - Georg Thieme Verlag KG, 2014, 09(2021), 06, Seite E867-E873
Übergeordnetes Werk:	volume:09 ; year:2021 ; number:06 ; pages:E867-E873

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1055/a-1399-8398

Katalog-ID:	DOAJ05661313X

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520			\|a Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snare EMR of large polyps are lacking. The aim of this study was to define ARR for polyps ≥ 20 mm removed by cold snare EMR and to identify risk factors for recurrence. Patients and methods A retrospective chart review of colon cold snare EMR procedures performed between January 2015 and July 2019 at a tertiary care medical center was performed. During this period, 310 non-pedunculated polyps ≥ 20 mm were excised using cold snare EMR with follow-up surveillance colonoscopy. Patient demographic data as well as polyp characteristics at the time of index and surveillance colonoscopy were collected and analyzed. Results A total of 108 of 310 polyps (34.8 %) demonstrated adenoma recurrence at follow-up colonoscopy. Patients with a higher ARR were older (P = 0.008), had endoscopic clips placed at index procedure (P = 0.017), and were more likely to be Asian and African American (P = 0.02). ARR was higher in larger polyps (P < 0.001), tubulovillous adenomas (P < 0.001), and polyps with high-grade dysplasia (P = 0.003). Conclusions Although cold snare EMR remains a feasible alternative to hot snare polypectomy for resection of non-pedunculated polyps ≥ 20 mm, endoscopists must also carefully consider factors associated with increased ARR when utilizing this technique.
653		0	\|a Diseases of the digestive system. Gastroenterology
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allfields	10.1055/a-1399-8398 doi (DE-627)DOAJ05661313X (DE-599)DOAJacec97f258dd455cb6d6c0a2f57fa438 DE-627 ger DE-627 rakwb eng RC799-869 Suraj Suresh verfasserin aut Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snare EMR of large polyps are lacking. The aim of this study was to define ARR for polyps ≥ 20 mm removed by cold snare EMR and to identify risk factors for recurrence. Patients and methods A retrospective chart review of colon cold snare EMR procedures performed between January 2015 and July 2019 at a tertiary care medical center was performed. During this period, 310 non-pedunculated polyps ≥ 20 mm were excised using cold snare EMR with follow-up surveillance colonoscopy. Patient demographic data as well as polyp characteristics at the time of index and surveillance colonoscopy were collected and analyzed. Results A total of 108 of 310 polyps (34.8 %) demonstrated adenoma recurrence at follow-up colonoscopy. Patients with a higher ARR were older (P = 0.008), had endoscopic clips placed at index procedure (P = 0.017), and were more likely to be Asian and African American (P = 0.02). ARR was higher in larger polyps (P < 0.001), tubulovillous adenomas (P < 0.001), and polyps with high-grade dysplasia (P = 0.003). Conclusions Although cold snare EMR remains a feasible alternative to hot snare polypectomy for resection of non-pedunculated polyps ≥ 20 mm, endoscopists must also carefully consider factors associated with increased ARR when utilizing this technique. Diseases of the digestive system. Gastroenterology Jinyu Zhang verfasserin aut Abdelwahab Ahmed verfasserin aut Mouhanna Abu Ghanimeh verfasserin aut Ahmed Elbanna verfasserin aut Randeep Kaur verfasserin aut Mahmoud Isseh verfasserin aut Andrew Watson verfasserin aut Duyen T. Dang verfasserin aut Krishnavel V. Chathadi verfasserin aut Robert Pompa verfasserin aut Sumit Singla verfasserin aut Cyrus Piraka verfasserin aut Tobias Zuchelli verfasserin aut In Endoscopy International Open Georg Thieme Verlag KG, 2014 09(2021), 06, Seite E867-E873 (DE-627)780383214 (DE-600)2761052-4 21969736 nnns volume:09 year:2021 number:06 pages:E867-E873 https://doi.org/10.1055/a-1399-8398 kostenfrei https://doaj.org/article/acec97f258dd455cb6d6c0a2f57fa438 kostenfrei http://www.thieme-connect.de/DOI/DOI?10.1055/a-1399-8398 kostenfrei https://doaj.org/toc/2364-3722 Journal toc kostenfrei https://doaj.org/toc/2196-9736 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 09 2021 06 E867-E873
spelling	10.1055/a-1399-8398 doi (DE-627)DOAJ05661313X (DE-599)DOAJacec97f258dd455cb6d6c0a2f57fa438 DE-627 ger DE-627 rakwb eng RC799-869 Suraj Suresh verfasserin aut Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snare EMR of large polyps are lacking. The aim of this study was to define ARR for polyps ≥ 20 mm removed by cold snare EMR and to identify risk factors for recurrence. Patients and methods A retrospective chart review of colon cold snare EMR procedures performed between January 2015 and July 2019 at a tertiary care medical center was performed. During this period, 310 non-pedunculated polyps ≥ 20 mm were excised using cold snare EMR with follow-up surveillance colonoscopy. Patient demographic data as well as polyp characteristics at the time of index and surveillance colonoscopy were collected and analyzed. Results A total of 108 of 310 polyps (34.8 %) demonstrated adenoma recurrence at follow-up colonoscopy. Patients with a higher ARR were older (P = 0.008), had endoscopic clips placed at index procedure (P = 0.017), and were more likely to be Asian and African American (P = 0.02). ARR was higher in larger polyps (P < 0.001), tubulovillous adenomas (P < 0.001), and polyps with high-grade dysplasia (P = 0.003). Conclusions Although cold snare EMR remains a feasible alternative to hot snare polypectomy for resection of non-pedunculated polyps ≥ 20 mm, endoscopists must also carefully consider factors associated with increased ARR when utilizing this technique. Diseases of the digestive system. Gastroenterology Jinyu Zhang verfasserin aut Abdelwahab Ahmed verfasserin aut Mouhanna Abu Ghanimeh verfasserin aut Ahmed Elbanna verfasserin aut Randeep Kaur verfasserin aut Mahmoud Isseh verfasserin aut Andrew Watson verfasserin aut Duyen T. Dang verfasserin aut Krishnavel V. Chathadi verfasserin aut Robert Pompa verfasserin aut Sumit Singla verfasserin aut Cyrus Piraka verfasserin aut Tobias Zuchelli verfasserin aut In Endoscopy International Open Georg Thieme Verlag KG, 2014 09(2021), 06, Seite E867-E873 (DE-627)780383214 (DE-600)2761052-4 21969736 nnns volume:09 year:2021 number:06 pages:E867-E873 https://doi.org/10.1055/a-1399-8398 kostenfrei https://doaj.org/article/acec97f258dd455cb6d6c0a2f57fa438 kostenfrei http://www.thieme-connect.de/DOI/DOI?10.1055/a-1399-8398 kostenfrei https://doaj.org/toc/2364-3722 Journal toc kostenfrei https://doaj.org/toc/2196-9736 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 09 2021 06 E867-E873
allfields_unstemmed	10.1055/a-1399-8398 doi (DE-627)DOAJ05661313X (DE-599)DOAJacec97f258dd455cb6d6c0a2f57fa438 DE-627 ger DE-627 rakwb eng RC799-869 Suraj Suresh verfasserin aut Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snare EMR of large polyps are lacking. The aim of this study was to define ARR for polyps ≥ 20 mm removed by cold snare EMR and to identify risk factors for recurrence. Patients and methods A retrospective chart review of colon cold snare EMR procedures performed between January 2015 and July 2019 at a tertiary care medical center was performed. During this period, 310 non-pedunculated polyps ≥ 20 mm were excised using cold snare EMR with follow-up surveillance colonoscopy. Patient demographic data as well as polyp characteristics at the time of index and surveillance colonoscopy were collected and analyzed. Results A total of 108 of 310 polyps (34.8 %) demonstrated adenoma recurrence at follow-up colonoscopy. Patients with a higher ARR were older (P = 0.008), had endoscopic clips placed at index procedure (P = 0.017), and were more likely to be Asian and African American (P = 0.02). ARR was higher in larger polyps (P < 0.001), tubulovillous adenomas (P < 0.001), and polyps with high-grade dysplasia (P = 0.003). Conclusions Although cold snare EMR remains a feasible alternative to hot snare polypectomy for resection of non-pedunculated polyps ≥ 20 mm, endoscopists must also carefully consider factors associated with increased ARR when utilizing this technique. Diseases of the digestive system. Gastroenterology Jinyu Zhang verfasserin aut Abdelwahab Ahmed verfasserin aut Mouhanna Abu Ghanimeh verfasserin aut Ahmed Elbanna verfasserin aut Randeep Kaur verfasserin aut Mahmoud Isseh verfasserin aut Andrew Watson verfasserin aut Duyen T. Dang verfasserin aut Krishnavel V. Chathadi verfasserin aut Robert Pompa verfasserin aut Sumit Singla verfasserin aut Cyrus Piraka verfasserin aut Tobias Zuchelli verfasserin aut In Endoscopy International Open Georg Thieme Verlag KG, 2014 09(2021), 06, Seite E867-E873 (DE-627)780383214 (DE-600)2761052-4 21969736 nnns volume:09 year:2021 number:06 pages:E867-E873 https://doi.org/10.1055/a-1399-8398 kostenfrei https://doaj.org/article/acec97f258dd455cb6d6c0a2f57fa438 kostenfrei http://www.thieme-connect.de/DOI/DOI?10.1055/a-1399-8398 kostenfrei https://doaj.org/toc/2364-3722 Journal toc kostenfrei https://doaj.org/toc/2196-9736 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 09 2021 06 E867-E873
allfieldsGer	10.1055/a-1399-8398 doi (DE-627)DOAJ05661313X (DE-599)DOAJacec97f258dd455cb6d6c0a2f57fa438 DE-627 ger DE-627 rakwb eng RC799-869 Suraj Suresh verfasserin aut Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snare EMR of large polyps are lacking. The aim of this study was to define ARR for polyps ≥ 20 mm removed by cold snare EMR and to identify risk factors for recurrence. Patients and methods A retrospective chart review of colon cold snare EMR procedures performed between January 2015 and July 2019 at a tertiary care medical center was performed. During this period, 310 non-pedunculated polyps ≥ 20 mm were excised using cold snare EMR with follow-up surveillance colonoscopy. Patient demographic data as well as polyp characteristics at the time of index and surveillance colonoscopy were collected and analyzed. Results A total of 108 of 310 polyps (34.8 %) demonstrated adenoma recurrence at follow-up colonoscopy. Patients with a higher ARR were older (P = 0.008), had endoscopic clips placed at index procedure (P = 0.017), and were more likely to be Asian and African American (P = 0.02). ARR was higher in larger polyps (P < 0.001), tubulovillous adenomas (P < 0.001), and polyps with high-grade dysplasia (P = 0.003). Conclusions Although cold snare EMR remains a feasible alternative to hot snare polypectomy for resection of non-pedunculated polyps ≥ 20 mm, endoscopists must also carefully consider factors associated with increased ARR when utilizing this technique. Diseases of the digestive system. Gastroenterology Jinyu Zhang verfasserin aut Abdelwahab Ahmed verfasserin aut Mouhanna Abu Ghanimeh verfasserin aut Ahmed Elbanna verfasserin aut Randeep Kaur verfasserin aut Mahmoud Isseh verfasserin aut Andrew Watson verfasserin aut Duyen T. Dang verfasserin aut Krishnavel V. Chathadi verfasserin aut Robert Pompa verfasserin aut Sumit Singla verfasserin aut Cyrus Piraka verfasserin aut Tobias Zuchelli verfasserin aut In Endoscopy International Open Georg Thieme Verlag KG, 2014 09(2021), 06, Seite E867-E873 (DE-627)780383214 (DE-600)2761052-4 21969736 nnns volume:09 year:2021 number:06 pages:E867-E873 https://doi.org/10.1055/a-1399-8398 kostenfrei https://doaj.org/article/acec97f258dd455cb6d6c0a2f57fa438 kostenfrei http://www.thieme-connect.de/DOI/DOI?10.1055/a-1399-8398 kostenfrei https://doaj.org/toc/2364-3722 Journal toc kostenfrei https://doaj.org/toc/2196-9736 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 09 2021 06 E867-E873
allfieldsSound	10.1055/a-1399-8398 doi (DE-627)DOAJ05661313X (DE-599)DOAJacec97f258dd455cb6d6c0a2f57fa438 DE-627 ger DE-627 rakwb eng RC799-869 Suraj Suresh verfasserin aut Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snare EMR of large polyps are lacking. The aim of this study was to define ARR for polyps ≥ 20 mm removed by cold snare EMR and to identify risk factors for recurrence. Patients and methods A retrospective chart review of colon cold snare EMR procedures performed between January 2015 and July 2019 at a tertiary care medical center was performed. During this period, 310 non-pedunculated polyps ≥ 20 mm were excised using cold snare EMR with follow-up surveillance colonoscopy. Patient demographic data as well as polyp characteristics at the time of index and surveillance colonoscopy were collected and analyzed. Results A total of 108 of 310 polyps (34.8 %) demonstrated adenoma recurrence at follow-up colonoscopy. Patients with a higher ARR were older (P = 0.008), had endoscopic clips placed at index procedure (P = 0.017), and were more likely to be Asian and African American (P = 0.02). ARR was higher in larger polyps (P < 0.001), tubulovillous adenomas (P < 0.001), and polyps with high-grade dysplasia (P = 0.003). Conclusions Although cold snare EMR remains a feasible alternative to hot snare polypectomy for resection of non-pedunculated polyps ≥ 20 mm, endoscopists must also carefully consider factors associated with increased ARR when utilizing this technique. Diseases of the digestive system. Gastroenterology Jinyu Zhang verfasserin aut Abdelwahab Ahmed verfasserin aut Mouhanna Abu Ghanimeh verfasserin aut Ahmed Elbanna verfasserin aut Randeep Kaur verfasserin aut Mahmoud Isseh verfasserin aut Andrew Watson verfasserin aut Duyen T. Dang verfasserin aut Krishnavel V. Chathadi verfasserin aut Robert Pompa verfasserin aut Sumit Singla verfasserin aut Cyrus Piraka verfasserin aut Tobias Zuchelli verfasserin aut In Endoscopy International Open Georg Thieme Verlag KG, 2014 09(2021), 06, Seite E867-E873 (DE-627)780383214 (DE-600)2761052-4 21969736 nnns volume:09 year:2021 number:06 pages:E867-E873 https://doi.org/10.1055/a-1399-8398 kostenfrei https://doaj.org/article/acec97f258dd455cb6d6c0a2f57fa438 kostenfrei http://www.thieme-connect.de/DOI/DOI?10.1055/a-1399-8398 kostenfrei https://doaj.org/toc/2364-3722 Journal toc kostenfrei https://doaj.org/toc/2196-9736 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 09 2021 06 E867-E873
language	English
source	In Endoscopy International Open 09(2021), 06, Seite E867-E873 volume:09 year:2021 number:06 pages:E867-E873
sourceStr	In Endoscopy International Open 09(2021), 06, Seite E867-E873 volume:09 year:2021 number:06 pages:E867-E873
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Diseases of the digestive system. Gastroenterology
isfreeaccess_bool	true
container_title	Endoscopy International Open
authorswithroles_txt_mv	Suraj Suresh @@aut@@ Jinyu Zhang @@aut@@ Abdelwahab Ahmed @@aut@@ Mouhanna Abu Ghanimeh @@aut@@ Ahmed Elbanna @@aut@@ Randeep Kaur @@aut@@ Mahmoud Isseh @@aut@@ Andrew Watson @@aut@@ Duyen T. Dang @@aut@@ Krishnavel V. Chathadi @@aut@@ Robert Pompa @@aut@@ Sumit Singla @@aut@@ Cyrus Piraka @@aut@@ Tobias Zuchelli @@aut@@
publishDateDaySort_date	2021-01-01T00:00:00Z
hierarchy_top_id	780383214
id	DOAJ05661313X
language_de	englisch
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callnumber-first	R - Medicine
author	Suraj Suresh
spellingShingle	Suraj Suresh misc RC799-869 misc Diseases of the digestive system. Gastroenterology Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review
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topic_title	RC799-869 Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review
topic	misc RC799-869 misc Diseases of the digestive system. Gastroenterology
topic_unstemmed	misc RC799-869 misc Diseases of the digestive system. Gastroenterology
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title	Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review
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title_full	Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review
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author_browse	Suraj Suresh Jinyu Zhang Abdelwahab Ahmed Mouhanna Abu Ghanimeh Ahmed Elbanna Randeep Kaur Mahmoud Isseh Andrew Watson Duyen T. Dang Krishnavel V. Chathadi Robert Pompa Sumit Singla Cyrus Piraka Tobias Zuchelli
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title_sort	risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review
callnumber	RC799-869
title_auth	Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review
abstract	Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snare EMR of large polyps are lacking. The aim of this study was to define ARR for polyps ≥ 20 mm removed by cold snare EMR and to identify risk factors for recurrence. Patients and methods A retrospective chart review of colon cold snare EMR procedures performed between January 2015 and July 2019 at a tertiary care medical center was performed. During this period, 310 non-pedunculated polyps ≥ 20 mm were excised using cold snare EMR with follow-up surveillance colonoscopy. Patient demographic data as well as polyp characteristics at the time of index and surveillance colonoscopy were collected and analyzed. Results A total of 108 of 310 polyps (34.8 %) demonstrated adenoma recurrence at follow-up colonoscopy. Patients with a higher ARR were older (P = 0.008), had endoscopic clips placed at index procedure (P = 0.017), and were more likely to be Asian and African American (P = 0.02). ARR was higher in larger polyps (P < 0.001), tubulovillous adenomas (P < 0.001), and polyps with high-grade dysplasia (P = 0.003). Conclusions Although cold snare EMR remains a feasible alternative to hot snare polypectomy for resection of non-pedunculated polyps ≥ 20 mm, endoscopists must also carefully consider factors associated with increased ARR when utilizing this technique.
abstractGer	Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snare EMR of large polyps are lacking. The aim of this study was to define ARR for polyps ≥ 20 mm removed by cold snare EMR and to identify risk factors for recurrence. Patients and methods A retrospective chart review of colon cold snare EMR procedures performed between January 2015 and July 2019 at a tertiary care medical center was performed. During this period, 310 non-pedunculated polyps ≥ 20 mm were excised using cold snare EMR with follow-up surveillance colonoscopy. Patient demographic data as well as polyp characteristics at the time of index and surveillance colonoscopy were collected and analyzed. Results A total of 108 of 310 polyps (34.8 %) demonstrated adenoma recurrence at follow-up colonoscopy. Patients with a higher ARR were older (P = 0.008), had endoscopic clips placed at index procedure (P = 0.017), and were more likely to be Asian and African American (P = 0.02). ARR was higher in larger polyps (P < 0.001), tubulovillous adenomas (P < 0.001), and polyps with high-grade dysplasia (P = 0.003). Conclusions Although cold snare EMR remains a feasible alternative to hot snare polypectomy for resection of non-pedunculated polyps ≥ 20 mm, endoscopists must also carefully consider factors associated with increased ARR when utilizing this technique.
abstract_unstemmed	Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snare EMR of large polyps are lacking. The aim of this study was to define ARR for polyps ≥ 20 mm removed by cold snare EMR and to identify risk factors for recurrence. Patients and methods A retrospective chart review of colon cold snare EMR procedures performed between January 2015 and July 2019 at a tertiary care medical center was performed. During this period, 310 non-pedunculated polyps ≥ 20 mm were excised using cold snare EMR with follow-up surveillance colonoscopy. Patient demographic data as well as polyp characteristics at the time of index and surveillance colonoscopy were collected and analyzed. Results A total of 108 of 310 polyps (34.8 %) demonstrated adenoma recurrence at follow-up colonoscopy. Patients with a higher ARR were older (P = 0.008), had endoscopic clips placed at index procedure (P = 0.017), and were more likely to be Asian and African American (P = 0.02). ARR was higher in larger polyps (P < 0.001), tubulovillous adenomas (P < 0.001), and polyps with high-grade dysplasia (P = 0.003). Conclusions Although cold snare EMR remains a feasible alternative to hot snare polypectomy for resection of non-pedunculated polyps ≥ 20 mm, endoscopists must also carefully consider factors associated with increased ARR when utilizing this technique.
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title_short	Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review
url	https://doi.org/10.1055/a-1399-8398 https://doaj.org/article/acec97f258dd455cb6d6c0a2f57fa438 http://www.thieme-connect.de/DOI/DOI?10.1055/a-1399-8398 https://doaj.org/toc/2364-3722 https://doaj.org/toc/2196-9736
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Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review

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