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Intest Res > Volume 10(1); 2012 > Article
Intestinal Research 2012;10(1):110-124.
DOI: https://doi.org/10.5217/ir.2012.10.1.110    Published online February 29, 2012.
Korean Guidelines for Colonoscopic Polypectomy
Suck-Ho Lee1, Sung Jae Shin2, Dong Il Park3, Seong-Eun Kim4, Sung Pil Hong5, Sung Noh Hong6, Dong-Hoon Yang7, Bo In Lee, Young-Ho Kim, Hyun-Soo Kim, Suk-Kyun Yang, Hyo Jong Kim, Se Hyung Kim, Hyun Jung Kim, Multi-Society Task Force for Development of Guidelines for Colorectal Polyp Screening, Surveillance
1Department of Internal Medicine, Soonchunhyang University College of Medicine
2Cheonan, Ajou University School of Medicine
3Suwon, Sungkyunkwan University School of Medicine
4Seoul, Ewha Womans University School of Medicine
5Seoul, Yonsei University College of Medicine
6Seoul, Konkuk University School of Medicine
7Seoul, University of Ulsan College of Medicine
8Seoul, The Catholic University of Korea College of Medicine
9Seoul, Yonsei University Wonju College of Medicine
10Wonju, Kyunghee University College of Medicine
11Seoul, Department of Radiology, Seoul National University College of Medicine
12Seoul, Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea
대장폴립절제술 가이드라인
이석호1, 신성재2, 박동일3, 김성은4, 홍성필5, 홍성노6, 양동훈7, 이보인, 김영호, 김현수, 양석균, 김효종, 김세형, 김현정, 다학회기반대장폴립진료가이드라인개발실무위원회
1순천향대학교 의과대학
2아주대학교 의과대학
3성균관대학교 의과대학
4이화여자대학교 의학전문대학원
5연세대학교 의과대학
6건국대학교 의학전문대학원
7울산대학교 의과대학
8가톨릭대학교 의과대학
9연세대학교 원주의과대학
10경희대학교 의과대학 내과학교실
11서울대학교 의과대학 영상의학교실
12고려대학교 의과대학 예방의학교실
Abstract
There are indirect evidences to suggest that 80% of colorectal cancers (CRC) develop from adenomatous polyps and that, on average, it takes 10 years for a small polyp to transform into invasive CRC. In multiple cohort studies, colonoscopic polypectomy has been shown to significantly reduce the expected incidence of CRC by 76% to 90%. Colonoscopic polypectomy is performed frequently in primary outpatient clinics and secondary and tertiary medical centers in Korea. However, there are no evidence-based, procedural guidelines for the appropriate performance of this procedure, including the technical aspects. For the guideline presented here, PubMed, Medline, and Cochrane Library literature searches were performed. When little or no data from well-designed prospective trials were available, an emphasis was placed on the results from large series and reports from recognized experts. Thus, these guidelines for colonoscopic polypectomy are based on a critical review of the available data as well as expert consensus. Further controlled clinical studies are needed to clarify aspects of this statement, and revision may be necessary as new data become available. This guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients. This guideline is not a rule and should not be construed as a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment. Clinical decisions for any particular case involve a complex analysis of the patient's condition and the available courses of action. (Intest Res 2012;10:110-124)
Key Words: Colonoscopy, Polypectomy, Guideline
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