폴립 절제 후 추적대장내시경검사 진료지침 개정안 2022open accessKorean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition
- Other Titles
- Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition
- Authors
- 김수영; 곽민섭; 윤순만; 정윤호; 김정욱; 부선진; 오은혜; 전성란; 남승주; 박선영; 박수경; 천재영; 백동훈; 최미영; 박수연; 변정식; 김형길; 조주영; 이문성; 이오영
- Issue Date
- Sep-2022
- Publisher
- 대한소화기학회
- Keywords
- Colonoscopy; Colorectal cancer; Guideline; Polypectomy; Surveillance
- Citation
- 대한소화기학회지, v.80, no.3, pp.115 - 134
- Journal Title
- 대한소화기학회지
- Volume
- 80
- Number
- 3
- Start Page
- 115
- End Page
- 134
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/21445
- DOI
- 10.4166/kjg.2022.103
- ISSN
- 1598-9992
- Abstract
- Colonoscopic polypectomy is effective in decreasing the incidence and mortality of colorectal cancer (CRC). Premalignant polyps discovered during colonoscopy are associated with the risk of metachronous advanced neoplasia. Postpolypectomy surveillance is the most important method for managing advanced metachronous neoplasia. A more efficient and evidence-based guideline for postpolypectomy surveillance is required because of the limited medical resources and concerns regarding colonoscopy complications.
In these consensus guidelines, an analytic approach was used to address all reliable evidence to interpret the predictors of CRC or advanced neoplasia during surveillance colonoscopy. The key recommendations state that the high-risk findings for metachronous CRC following polypectomy are as follows: 1) adenoma ≥10 mm in size; 2) 3-5 (or more) adenomas; 3) tubulovillous or villous adenoma; 4) adenoma containing high-grade dysplasia; 5) traditional serrated adenoma; 6) sessile serrated lesion (SSL) containing any grade of dysplasia; 7) serrated polyp of at least 10 mm in size; and 8) 3-5 (or more) SSLs. More studies are needed to fully comprehend the patients who are most likely to benefit from surveillance colonoscopy and the ideal surveillance interval to prevent metachronous CRC.
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