Outcomes of repeat colonoscopy in patients with polyps referred for surgery without biopsy-proven cancer.Friedland S, Banerjee S, Kochar R, Chen A, Shelton A. Gastrointest Endosc. 2013 Jul 31. pii: S0016-5107(13)02099-3. BACKGROUND: Despite advances in endoscopic treatment, many colonic adenomas are still referred for surgical resection. There is a paucity of data on the suitability of these lesions for endoscopic treatment.
OBJECTIVE: To analyze the results of routine repeat colonoscopy in patients referred for surgical resection of colon polyps without biopsy-proven cancer. DESIGN: Retrospective review. SETTING: University hospital. PATIENTS: Patients referred to a colorectal surgeon for surgical resection of a polyp without biopsy-proven cancer. INTERVENTIONS: Repeat colonoscopy. MAIN OUTCOME MEASUREMENTS: The rate of successful endoscopic treatment. RESULTS: There were 38 lesions in 36 patients; 71% of the lesions were noncancerous and were successfully treated endoscopically. In 26% of the lesions, previous removal was attempted by the referring physician but was unsuccessful. The adenoma recurrence rate was 50%, but all recurrences were treated endoscopically and none were cancerous. Two patients were admitted for overnight observation. There were no major adverse events. LIMITATIONS: Single center, retrospective.
CONCLUSIONS: In the absence of biopsy-proven invasive cancer, it is appropriate to reevaluate patients referred for surgical resection by repeat colonoscopy at an expert center.leggi l’articolo
