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Intest Res > Volume 11(3); 2013 > Article
Intestinal Research 2013;11(3):191-197.
DOI: https://doi.org/10.5217/ir.2013.11.3.191    Published online July 30, 2013.
Association between the Position of Colorectal Polyps and Clinical Outcomes of Polypectomy: Focused on Procedure Time, Complication and Histopatholgic Result
Jung Hyun Park, Jae Hyeok Choi, Hyeong Jung Na, Won Geon Kwak, Jong Sun Choi, Eo Jin Kim, Jae Hak Kim
Departments of Internal Medicine and Pathology, Dongguk University Ilsan Hospital, Goyang, Korea
결장직장폴립 위치와 폴립절제술의 임상결과와의 상관 관계: 시술시간, 부작용, 그리고 병리조직검사 결과를 중심으로
박정현, 최재혁, 나형중, 곽원건, 최종순, 김어진, 김재학
동국대학교 일산병원 내과, 병리과
Abstract
Background/Aims
Colonoscopic polypectomy should be performed on the five to seven hour of clock (standard position). However, outcomes of polypectomy at non-standard positions have not yet been investigated. This study was to compare the clinical outcomes of colonoscopic polypectomy including procedure time, status of resection margin and complications between standard and non-standard position. Methods: Patients who underwent screening colonoscopy were prospectively recruited from Oct 2011 to Feb 2012 at Dongguk University Ilsan Hosptial, Goyang, Korea. Standard position was defined as polyps which were located from 5 to 7 hour of clock on colonoscopic view. Results: A total of 168 adenomatous polyps of 114 patients were investigated. Mean size of polyp was 7.1±3.2 mm. The most common shape of polyps was sessile in 77 cases (45.8%). Mean overall procedure time per patient was 25.5±12.3 min. 130 adenomatous polyps were resected in standard position (77.4%) and 38 polyps were in non-standard position (22.6%). Overall complete resection rate was 63.7% and immediate bleeding rate was 9.8%. There was no significant difference in overall polypectomy time per polyp (2.9±1.3 min vs. 3.0±1.8 min, P=0.32). Complete resection rates and complication were not statistically different. Conclusions: There was no difference according to procedure time, status of resection margin and complications between standard position and non-standard position. Colonoscopic polypectomy is thus safe and feasible on any position. (Intest Res 2013;11:191-197)
Key Words: Colonoscopy, Colonic polyps
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