Clinicopathological Characteristics of Serrated Polyposis Syndrome in Korea: Single Center Experience

Background/Aim. Serrated polyposis syndrome (SPS) is a rare condition characterized by multiple serrated polyps throughout the colon and rectum. The aim of this study was to evaluate the clinicopathological characteristics of SPS in Koreans. Methods. This retrospective analysis of prospectively coll...

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Main Authors: Hyung-Keun Kim, Kyung-Jin Seo, Hyun Ho Choi, Sung Soo Kim, Hiun-Suk Chae, Ok-Ran Shin, Chang Hyuck Ahn, Young-Seok Cho
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2015/842876
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author Hyung-Keun Kim
Kyung-Jin Seo
Hyun Ho Choi
Sung Soo Kim
Hiun-Suk Chae
Ok-Ran Shin
Chang Hyuck Ahn
Young-Seok Cho
author_facet Hyung-Keun Kim
Kyung-Jin Seo
Hyun Ho Choi
Sung Soo Kim
Hiun-Suk Chae
Ok-Ran Shin
Chang Hyuck Ahn
Young-Seok Cho
author_sort Hyung-Keun Kim
collection DOAJ
description Background/Aim. Serrated polyposis syndrome (SPS) is a rare condition characterized by multiple serrated polyps throughout the colon and rectum. The aim of this study was to evaluate the clinicopathological characteristics of SPS in Koreans. Methods. This retrospective analysis of prospectively collected data was performed using information from the endoscopy, clinical records, and pathology database system of Uijeongbu St. Mary’s Hospital. Consecutive patients satisfying the updated 2010 World Health Organization criteria for SPS between June 2011 and May 2014 were enrolled. Results. Of the 17,552 patients who underwent colonoscopies during the study period, 11 (0.06%) met the criteria for SPS. The mean age of these patients was 55.6 years. Ten patients (91%) were males. None had a family history of CRC or a first-degree relative with SPS. Seven patients (64%) had synchronous advanced adenoma. One patient had coexistence of SPS with CRC that was diagnosed at the initial colonoscopy. Five patients (45%) had more than 30 serrated polyps. One of the patients underwent surgery and 10 underwent endoscopic resection. Conclusion. The prevalence of SPS in this study cohort was comparable to that in Western populations. Considering the high risk of CRC, correct diagnosis and careful follow-up for SPS are necessary.
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spelling doaj-art-1fb33afa7bbe400d9680d37e277d6dff2025-02-03T05:43:53ZengWileyGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/842876842876Clinicopathological Characteristics of Serrated Polyposis Syndrome in Korea: Single Center ExperienceHyung-Keun Kim0Kyung-Jin Seo1Hyun Ho Choi2Sung Soo Kim3Hiun-Suk Chae4Ok-Ran Shin5Chang Hyuck Ahn6Young-Seok Cho7Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu 480-717, Republic of KoreaDepartment of Hospital Pathology, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu 480-717, Republic of KoreaDepartment of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu 480-717, Republic of KoreaDepartment of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu 480-717, Republic of KoreaDepartment of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu 480-717, Republic of KoreaDepartment of Hospital Pathology, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu 480-717, Republic of KoreaDepartment of General Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu 480-717, Republic of KoreaDepartment of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu 480-717, Republic of KoreaBackground/Aim. Serrated polyposis syndrome (SPS) is a rare condition characterized by multiple serrated polyps throughout the colon and rectum. The aim of this study was to evaluate the clinicopathological characteristics of SPS in Koreans. Methods. This retrospective analysis of prospectively collected data was performed using information from the endoscopy, clinical records, and pathology database system of Uijeongbu St. Mary’s Hospital. Consecutive patients satisfying the updated 2010 World Health Organization criteria for SPS between June 2011 and May 2014 were enrolled. Results. Of the 17,552 patients who underwent colonoscopies during the study period, 11 (0.06%) met the criteria for SPS. The mean age of these patients was 55.6 years. Ten patients (91%) were males. None had a family history of CRC or a first-degree relative with SPS. Seven patients (64%) had synchronous advanced adenoma. One patient had coexistence of SPS with CRC that was diagnosed at the initial colonoscopy. Five patients (45%) had more than 30 serrated polyps. One of the patients underwent surgery and 10 underwent endoscopic resection. Conclusion. The prevalence of SPS in this study cohort was comparable to that in Western populations. Considering the high risk of CRC, correct diagnosis and careful follow-up for SPS are necessary.http://dx.doi.org/10.1155/2015/842876
spellingShingle Hyung-Keun Kim
Kyung-Jin Seo
Hyun Ho Choi
Sung Soo Kim
Hiun-Suk Chae
Ok-Ran Shin
Chang Hyuck Ahn
Young-Seok Cho
Clinicopathological Characteristics of Serrated Polyposis Syndrome in Korea: Single Center Experience
Gastroenterology Research and Practice
title Clinicopathological Characteristics of Serrated Polyposis Syndrome in Korea: Single Center Experience
title_full Clinicopathological Characteristics of Serrated Polyposis Syndrome in Korea: Single Center Experience
title_fullStr Clinicopathological Characteristics of Serrated Polyposis Syndrome in Korea: Single Center Experience
title_full_unstemmed Clinicopathological Characteristics of Serrated Polyposis Syndrome in Korea: Single Center Experience
title_short Clinicopathological Characteristics of Serrated Polyposis Syndrome in Korea: Single Center Experience
title_sort clinicopathological characteristics of serrated polyposis syndrome in korea single center experience
url http://dx.doi.org/10.1155/2015/842876
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