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- Original Article A Korean National Survey for Treatment Modality in Colon Polypectomy
- Sung Jae Shin, Suck-Ho Lee, Dong Il Park2, Sung Noh Hong3, Seong-Eun Kim4, Dong-Hoon Yang5, Sung Pil Hong6, Bo In Lee7, Hyun Soo Kim8, Young-Ho Kim9, Suk-Kyun Yang5, Hyo Jong Kim10, Se Hyung Kim11, Multi-Society Task Force for the Guidelines for Colorectal Polyp Screening, Surveillance and Managem
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Intestinal Research 2011;9(3):196-205.
DOI: https://doi.org/10.5217/ir.2011.9.3.196
Published online: December 30, 2011
1Kyung Hee University School of Medicine0
1Department of Radiology, Seoul National University College of Medicine1, Korea
1Department of Internal Medicine, Ajou University School of Medicine, Soonchunhyang University College of Medicine
2Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine
3Konkuk University School of Medicine
4Ewha Womans University College of Medicine
5Ulsan University College of Medicine
6Yonsei University College of Medicine
7The Catholic University of Korea College of Medicine
8Yonsei University, Wonju College of Medicine
9Samsung Medical Center, Sungkyunkwan University School of Medicine
1Department of Radiology, Seoul National University College of Medicine1, Korea
1Department of Internal Medicine, Ajou University School of Medicine, Soonchunhyang University College of Medicine
2Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine
3Konkuk University School of Medicine
4Ewha Womans University College of Medicine
5Ulsan University College of Medicine
6Yonsei University College of Medicine
7The Catholic University of Korea College of Medicine
8Yonsei University, Wonju College of Medicine
9Samsung Medical Center, Sungkyunkwan University School of Medicine
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Abstract
Background/Aims
There are no evidence-based, procedural guidelines to appropriately perform a colon polypectomy. Thus, we investigated the treatment modality for colon polypectomy in Korea, using a web-based e-mail survey. Methods: A questionnaire of preferred treatment modality for colon polypectomy was sent via e-mail to members of the Korean Association for the Study of Intestinal Diseases and primary care physicians who performed colonoscopies as a screening or surveillance program nationwide. Among 425 colonoscopists who were sent the e-mail, 263 replied. We analysed data from 252 colonoscopists who had performed colon polypectomies. Results: The stopping time for antiplatelet and anticoagulation therapy before a colon polypectomy had a tendency to increase and the restarting time for these drugs was delayed as polyp size increased. Colonoscopists preferred cold biopsy removal for polyps <5 mm in size and a hot snare polypectomy after injecting normal saline and epinephrine mixture for polyps ≥5 mm in size. More than half of colonoscopists preferred observation rather than additional procedures for adenomas with incomplete resection. In contrast, most colonoscopists recommended additional procedures, such as endoscopic mucosal resection, endoscopic submucosal dissection or surgery for an advanced adenoma with incomplete resection. The most preferred prophylactic treatment for immediate postpolypectomy bleeding washemoclipping. Conclusions: Various treatment modalities were used for a colon polypectomy because there are few guidelines for performing a colon polypectomy based on a critical review of the available data. Further well-designed, prospective studies are needed to develop evidence-based guidelines for colon polypectomy. (Intest Res 2011;9:196- 205)
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