作者
W Arnout Van Hattem, Neal Shahidi, Sergei Vosko, Imogen Hartley, Kaushali Britto, Mayenaaz Sidhu, Iddo Bar-Yishay, Scott Schoeman, David James Tate, Karen Byth, David G Hewett, María Pellisé, Luke F Hourigan, Alan Moss, Nicholas Tutticci, Michael J Bourke
发表日期
2021/9/1
期刊
Gut
卷号
70
期号
9
页码范围
1691-1697
出版商
BMJ Publishing Group
简介
Objective
Large (≥20 mm) sessile serrated lesions (L-SSL) are premalignant lesions that require endoscopic removal. Endoscopic mucosal resection (EMR) is the existing standard of care but carries some risk of adverse events including clinically significant post-EMR bleeding and deep mural injury (DMI). The respective risk-effectiveness ratio of piecemeal cold snare polypectomy (p-CSP) in L-SSL management is not fully known.
Design
Consecutive patients referred for L-SSL management were treated by p-CSP from April 2016 to January 2020 or by conventional EMR in the preceding period between July 2008 and March 2016 at four Australian tertiary centres. Surveillance colonoscopies were conducted at 6 months (SC1) and 18 months (SC2). Outcomes on technical success, adverse events and recurrence were documented prospectively and then compared retrospectively between the subsequent time …
学术搜索中的文章
WA Van Hattem, N Shahidi, S Vosko, I Hartley, K Britto… - Gut, 2021