Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 문창모 | * |
dc.date.accessioned | 2017-12-27T16:31:07Z | - |
dc.date.available | 2017-12-27T16:31:07Z | - |
dc.date.issued | 2017 | * |
dc.identifier.issn | 0163-2116 | * |
dc.identifier.other | OAK-21415 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/239422 | - |
dc.description.abstract | Background: Endoscopic resection of polyps located at the appendiceal orifice (AO) is challenging, and the feasibility and outcomes of endoscopic resection for cecal polyps involving AO are unconfirmed. Aims: We evaluated the feasibility and outcomes of endoscopic resection for cecal polyps involving AO. Methods: In this retrospective, multicenter study involving nine tertiary referral centers, we evaluated 131 patients who underwent endoscopic resection for cecal polyps involving AO. Results: The median size of polyps resected was 10 mm (range 3–60 mm). Endoscopic mucosal resection, endoscopic piecemeal mucosal resection, and endoscopic submucosal dissection were performed in 75 (57.3%), 31 (23.7%), and 5 (3.8%) patients, respectively. The en bloc resection rate was 68.7%. Endoscopic complete resection was achieved in 123 lesions (93.9%). Intraprocedural and delayed bleeding occurred in 14 (10.7%) and three patients (2.3%), respectively, and perforation occurred in two patients (1.5%). Seven patients (5.3%) underwent additional surgery because of treatment failure or recurrence. Polyps of ≥20 mm in size showed significantly higher rates of perforation and additional surgery (p < 0.05), and a lower rate of en bloc resection (p < 0.005). Patients with polyps involving ≥75% of AO circumference exhibited a significantly lower rate of en bloc resection (p < 0.001), and significantly higher rates of surgery and recurrence (p < 0.05). Recurrence during follow-up occurred in 12 patients (15.6%); polyps involving ≥75% of AO circumference were an independent risk factor for recurrence. Conclusion: Endoscopic resection of cecal polyps involving AO is safe and effective in select patients. © 2017, Springer Science+Business Media, LLC. | * |
dc.language | English | * |
dc.publisher | Springer New York LLC | * |
dc.subject | Appendix | * |
dc.subject | Colonic polyps | * |
dc.subject | Colonoscopy | * |
dc.subject | Endoscopic mucosal resection | * |
dc.subject | Endoscopic submucosal dissection | * |
dc.title | Endoscopic Resection of Cecal Polyps Involving the Appendiceal Orifice: A KASID Multicenter Study | * |
dc.type | Article | * |
dc.relation.issue | 11 | * |
dc.relation.volume | 62 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 3138 | * |
dc.relation.lastpage | 3148 | * |
dc.relation.journaltitle | Digestive Diseases and Sciences | * |
dc.identifier.doi | 10.1007/s10620-017-4760-2 | * |
dc.identifier.wosid | WOS:000413446200028 | * |
dc.identifier.scopusid | 2-s2.0-85029718156 | * |
dc.author.google | Song E.M. | * |
dc.author.google | Yang H.-J. | * |
dc.author.google | Lee H.J. | * |
dc.author.google | Lee H.S. | * |
dc.author.google | Cha J.M. | * |
dc.author.google | Kim H.G. | * |
dc.author.google | Jung Y. | * |
dc.author.google | Moon C.M. | * |
dc.author.google | Kim B.C. | * |
dc.author.google | Byeon J.-S. | * |
dc.contributor.scopusid | 문창모(8131765500) | * |
dc.date.modifydate | 20240222123305 | * |