Korean guideline for colonoscopic polypectomy

Suck Ho Lee, Sung Jae Shin, Dong Il Park, Seong Eun Kim, Hae Jeong Jeon, Se Hyung Kim, Sung Pil Hong, Sung Noh Hong, Dong Hoon Yang, Bo In Lee, Young Ho Kim, Hyunsoo Kim, Hyun Jung Kim, Suk Kyun Yang, Hyo Jong Kim

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

There is indirect evidence 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.

Original languageEnglish
Pages (from-to)11-24
Number of pages14
JournalClinical Endoscopy
Volume45
Issue number1
DOIs
Publication statusPublished - 2012 Dec 1

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Guidelines
Colorectal Neoplasms
Adenomatous Polyps
Standard of Care
Korea
Polyps
Ambulatory Care Facilities
PubMed
Libraries
Patient Care
Cohort Studies
Equipment and Supplies
Incidence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Lee, S. H., Jae Shin, S., Il Park, D., Kim, S. E., Jeong Jeon, H., Hyung Kim, S., ... Jong Kim, H. (2012). Korean guideline for colonoscopic polypectomy. Clinical Endoscopy, 45(1), 11-24. https://doi.org/10.5946/ce.2012.45.1.11
Lee, Suck Ho ; Jae Shin, Sung ; Il Park, Dong ; Kim, Seong Eun ; Jeong Jeon, Hae ; Hyung Kim, Se ; Pil Hong, Sung ; Noh Hong, Sung ; Yang, Dong Hoon ; In Lee, Bo ; Kim, Young Ho ; Kim, Hyunsoo ; Jung Kim, Hyun ; Yang, Suk Kyun ; Jong Kim, Hyo. / Korean guideline for colonoscopic polypectomy. In: Clinical Endoscopy. 2012 ; Vol. 45, No. 1. pp. 11-24.
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Lee, SH, Jae Shin, S, Il Park, D, Kim, SE, Jeong Jeon, H, Hyung Kim, S, Pil Hong, S, Noh Hong, S, Yang, DH, In Lee, B, Kim, YH, Kim, H, Jung Kim, H, Yang, SK & Jong Kim, H 2012, 'Korean guideline for colonoscopic polypectomy', Clinical Endoscopy, vol. 45, no. 1, pp. 11-24. https://doi.org/10.5946/ce.2012.45.1.11

Korean guideline for colonoscopic polypectomy. / Lee, Suck Ho; Jae Shin, Sung; Il Park, Dong; Kim, Seong Eun; Jeong Jeon, Hae; Hyung Kim, Se; Pil Hong, Sung; Noh Hong, Sung; Yang, Dong Hoon; In Lee, Bo; Kim, Young Ho; Kim, Hyunsoo; Jung Kim, Hyun; Yang, Suk Kyun; Jong Kim, Hyo.

In: Clinical Endoscopy, Vol. 45, No. 1, 01.12.2012, p. 11-24.

Research output: Contribution to journalReview article

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AU - Lee, Suck Ho

AU - Jae Shin, Sung

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AU - Kim, Seong Eun

AU - Jeong Jeon, Hae

AU - Hyung Kim, Se

AU - Pil Hong, Sung

AU - Noh Hong, Sung

AU - Yang, Dong Hoon

AU - In Lee, Bo

AU - Kim, Young Ho

AU - Kim, Hyunsoo

AU - Jung Kim, Hyun

AU - Yang, Suk Kyun

AU - Jong Kim, Hyo

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N2 - There is indirect evidence 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.

AB - There is indirect evidence 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.

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Lee SH, Jae Shin S, Il Park D, Kim SE, Jeong Jeon H, Hyung Kim S et al. Korean guideline for colonoscopic polypectomy. Clinical Endoscopy. 2012 Dec 1;45(1):11-24. https://doi.org/10.5946/ce.2012.45.1.11