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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 66 - 72 (7page)
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초록· 키워드
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Background/Aims: Colonoscopic polypectomy is highly efficient in preventing colorectal cancer, but polyps may not always be completely removed. Improved knowledge of the risk factors for incomplete polyp resection after polypectomy may decrease the cancer risk and additional costs. The aim of this study was to investigate the conditions that can cause incomplete polyp resection (IPR) after colonoscopic polypectomy.
Methods: A total of 12,970 polyps that were removed by colonoscopic polypectomy were investigated. Among them, we identified 228 cases with a positive resection margin and 228 controls with a clear resection margin that were matched for age, gender, and polyp size. We investigated the location, morphology, and histological type of the polyps and evaluated the skills of the endoscopist and assisting nurse.
Results: Multivariate analysis revealed that the polyps, which were located in the proximal part of the colon and rectum, were at significant risk of IPR. Histologically, an advanced polyp and an inexperienced assistant were also independent risk factors for IPR. Conclusions: Polypectomy should be performed more carefully for polyps suspected to be cancerous and polyps located in the proximal part of the colon or rectum. A systematic training program for inexperienced assistants may be needed to decrease the risk of IPR.
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등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Baxter NN / 2009 / Association of colonoscopy and death from colorectal cancer / Ann Intern Med 150 : 1 ~ 8
Brenner H / 2010 / Protection from right- and left-sided colorectal neoplasms after colonoscopy: population-based study / J Natl Cancer Inst 102 : 89 ~ 95
Brenner H / 2012 / Interval cancers after negative colonoscopy: population-based case-control study / Gut 61 : 1576 ~ 1582
Cunningham D / 2010 / Colorectal cancer / Lancet 375 : 1030 ~ 1047
Dinesen L / 2012 / Meta-analysis of narrow-band imaging versus conventional colonoscopy for adenoma detection / Gastrointest Endosc 75 : 604 ~ 611
Brenner H / 2010 / Protection from right- and left-sided colorectal neoplasms after colonoscopy: population-based study / J Natl Cancer Inst 102 : 89 ~ 95
Brenner H / 2012 / Interval cancers after negative colonoscopy: population-based case-control study / Gut 61 : 1576 ~ 1582
Cunningham D / 2010 / Colorectal cancer / Lancet 375 : 1030 ~ 1047
Dinesen L / 2012 / Meta-analysis of narrow-band imaging versus conventional colonoscopy for adenoma detection / Gastrointest Endosc 75 : 604 ~ 611
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