Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current Guidelines
Background/Aims: We investigated the clinical practice patterns of Korean endoscopists for the endoscopic resection of colorectal polyps. Methods: From September to November 2021, an online survey was conducted regarding the preferred resection methods for colorectal polyps, and responses were compa...
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Gastroenterology Council for Gut and Liver
2025-01-01
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| Series: | Gut and Liver |
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| Online Access: | http://gutnliver.org/journal/view.html?doi=10.5009/gnl240217 |
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| author | Jeongseok Kim Tae-Geun Gweon Min Seob Kwak Su Young Kim Seong Jung Kim Hyun Gun Kim Sung Noh Hong Eun Sun Kim Chang Mo Moon Dae Seong Myung Dong-Hoon Baek Shin Ju Oh Hyun Jung Lee Ji Young Lee Yunho Jung Jaeyoung Chun Dong-Hoon Yang Eun Ran Kim Intestinal Tumor Research Group of the Korean Association for the Study of Intestinal Diseases (KASID) |
| author_facet | Jeongseok Kim Tae-Geun Gweon Min Seob Kwak Su Young Kim Seong Jung Kim Hyun Gun Kim Sung Noh Hong Eun Sun Kim Chang Mo Moon Dae Seong Myung Dong-Hoon Baek Shin Ju Oh Hyun Jung Lee Ji Young Lee Yunho Jung Jaeyoung Chun Dong-Hoon Yang Eun Ran Kim Intestinal Tumor Research Group of the Korean Association for the Study of Intestinal Diseases (KASID) |
| author_sort | Jeongseok Kim |
| collection | DOAJ |
| description | Background/Aims: We investigated the clinical practice patterns of Korean endoscopists for the endoscopic resection of colorectal polyps. Methods: From September to November 2021, an online survey was conducted regarding the preferred resection methods for colorectal polyps, and responses were compared with the international guidelines. Results: Among 246 respondents, those with <4 years, 4-9 years, and ≥10 years of experience in colonoscopy practices accounted for 25.6%, 34.1%, and 40.2% of endoscopists, respectively. The most preferred resection methods for non-pedunculated lesions were cold forceps polypectomy for ≤3 mm lesions (81.7%), cold snare polypectomy for 4-5 mm (61.0%) and 6-9 mm (43.5%) lesions, hot endoscopic mucosal resection (EMR) for 10-19 mm lesions (72.0%), precut EMR for 20-25 mm lesions (22.0%), and endoscopic submucosal dissection (ESD) for ≥26 mm lesions (29.3%). Hot EMR was favored for pedunculated lesions with a head size <20 mm and stalk size <10 mm (75.6%) and for those with a head size ≥20 mm or stalk size ≥10 mm (58.5%). For suspected superficial and deep submucosal lesions measuring 10-19 mm and ≥20 mm, ESD (26.0% and 38.6%) and surgery (36.6% and 46.3%) were preferred, respectively. The adherence rate to the guidelines ranged from 11.2% to 96.9%, depending on the size, shape, and histology of the lesions. Conclusions: Adherence to the guidelines for endoscopic resection techniques varied depending on the characteristics of colorectal polyps. Thus, an individualized approach is required to increase adherence to the guidelines. |
| format | Article |
| id | doaj-art-bcaa53d68d324fc0b31b67f8726198bd |
| institution | Kabale University |
| issn | 1976-2283 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Gastroenterology Council for Gut and Liver |
| record_format | Article |
| series | Gut and Liver |
| spelling | doaj-art-bcaa53d68d324fc0b31b67f8726198bd2025-01-15T00:51:13ZengGastroenterology Council for Gut and LiverGut and Liver1976-22832025-01-01191778610.5009/gnl240217gnl240217Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current GuidelinesJeongseok Kim0Tae-Geun Gweon1Min Seob Kwak2Su Young Kim3Seong Jung Kim4Hyun Gun Kim5Sung Noh Hong6Eun Sun Kim7Chang Mo Moon8Dae Seong Myung9Dong-Hoon Baek10Shin Ju Oh11Hyun Jung Lee12Ji Young Lee13Yunho Jung14Jaeyoung Chun15Dong-Hoon Yang16Eun Ran Kim17Intestinal Tumor Research Group of the Korean Association for the Study of Intestinal Diseases (KASID)Department of Internal Medicine, Keimyung University School of Medicine, Daegu, KoreaDivision of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Internal Medicine, Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University, Seoul, KoreaDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaDepartment of Internal Medicine, Chosun University College of Medicine, Gwangju, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Ewha Womans University School of Medicine, Seoul, KoreaDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, KoreaDepartment of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, KoreaDepartment of Gastroenterology, School of Medicine, Kyung Hee University, Seoul, KoreaDepartment of Internal Medicine, Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaHealth Screening and Promotion Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, KoreaDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaDepartment of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaBackground/Aims: We investigated the clinical practice patterns of Korean endoscopists for the endoscopic resection of colorectal polyps. Methods: From September to November 2021, an online survey was conducted regarding the preferred resection methods for colorectal polyps, and responses were compared with the international guidelines. Results: Among 246 respondents, those with <4 years, 4-9 years, and ≥10 years of experience in colonoscopy practices accounted for 25.6%, 34.1%, and 40.2% of endoscopists, respectively. The most preferred resection methods for non-pedunculated lesions were cold forceps polypectomy for ≤3 mm lesions (81.7%), cold snare polypectomy for 4-5 mm (61.0%) and 6-9 mm (43.5%) lesions, hot endoscopic mucosal resection (EMR) for 10-19 mm lesions (72.0%), precut EMR for 20-25 mm lesions (22.0%), and endoscopic submucosal dissection (ESD) for ≥26 mm lesions (29.3%). Hot EMR was favored for pedunculated lesions with a head size <20 mm and stalk size <10 mm (75.6%) and for those with a head size ≥20 mm or stalk size ≥10 mm (58.5%). For suspected superficial and deep submucosal lesions measuring 10-19 mm and ≥20 mm, ESD (26.0% and 38.6%) and surgery (36.6% and 46.3%) were preferred, respectively. The adherence rate to the guidelines ranged from 11.2% to 96.9%, depending on the size, shape, and histology of the lesions. Conclusions: Adherence to the guidelines for endoscopic resection techniques varied depending on the characteristics of colorectal polyps. Thus, an individualized approach is required to increase adherence to the guidelines.http://gutnliver.org/journal/view.html?doi=10.5009/gnl240217colonic polyps; endoscopic mucosal resection; endoscopic submucosal dissection; polypectomy |
| spellingShingle | Jeongseok Kim Tae-Geun Gweon Min Seob Kwak Su Young Kim Seong Jung Kim Hyun Gun Kim Sung Noh Hong Eun Sun Kim Chang Mo Moon Dae Seong Myung Dong-Hoon Baek Shin Ju Oh Hyun Jung Lee Ji Young Lee Yunho Jung Jaeyoung Chun Dong-Hoon Yang Eun Ran Kim Intestinal Tumor Research Group of the Korean Association for the Study of Intestinal Diseases (KASID) Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current Guidelines Gut and Liver colonic polyps; endoscopic mucosal resection; endoscopic submucosal dissection; polypectomy |
| title | Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current Guidelines |
| title_full | Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current Guidelines |
| title_fullStr | Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current Guidelines |
| title_full_unstemmed | Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current Guidelines |
| title_short | Survey of the Actual Practices Used for Endoscopic Removal of Colon Polyps in Korea: A Comparison with the Current Guidelines |
| title_sort | survey of the actual practices used for endoscopic removal of colon polyps in korea a comparison with the current guidelines |
| topic | colonic polyps; endoscopic mucosal resection; endoscopic submucosal dissection; polypectomy |
| url | http://gutnliver.org/journal/view.html?doi=10.5009/gnl240217 |
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