AI Article Synopsis
- Cold forceps polypectomy (CFP) is a successful method for removing small colorectal polyps, but some polyps can come back, leading to questions about ongoing treatment.
- This study tracked patients who had recurrent polyps after initial CFP, assessing their re-treatment with re-CFP and analyzing outcomes at 1 and 2 years post-procedure.
- Results showed that re-CFP successfully removed all recurrent polyps, which were all benign and small, with no reported complications, indicating it is an effective follow-up treatment.
Article Abstract
Objectives: Cold forceps polypectomy (CFP) is an effective treatment for diminutive colorectal polyps. However, polyps occasionally recur, and there is no consensus on their long-term clinical management. Therefore, we investigated the short- and long-term clinical outcomes of re-CFP for recurrent diminutive colorectal polyps.
Materials And Methods: This was a follow-up of a multicenter, prospective study investigating the clinical outcomes of diminutive colorectal polyps excised by CFP with narrowband imaging-enhanced endoscopy and jumbo forceps. We evaluated short-term outcomes of re-CFP and patients at 1-year follow-up post re-CFP for recurrent colorectal polyps to determine long-term recurrence rates. Additionally, complete resection rates, clinicopathological features, number of forceps bites, and rate of short-term adverse events managed by re-CFP were evaluated.
Results: At 1-year follow-up, local recurrence was identified in 18 patients from the original study. The mean size of local recurrent polyps was 1.5 ± 0.6 mm, and all recurrent lesions were < 3 mm. Re-CFP could successfully excise locally recurrent polyps in all cases. All recurrent lesions were low-grade adenomas; no adverse events were reported. Additionally, 16 of 18 patients were evaluated endoscopically at 2-year follow-up; no recurrence was observed.
Conclusions: Recurrent lesions following initial CFP were small and pathologically benign, and re-CFP was an effective treatment.
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| http://dx.doi.org/10.1080/00365521.2020.1869821 | DOI Listing |
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Article Synopsis
- The study explores the use of computer-aided diagnosis (CADx) in the resect-and-discard strategy for the optical diagnosis of diminutive polyps during colonoscopy, aiming to improve diagnosis and reduce unnecessary pathology assessments.
- It involved a systematic review of existing research to analyze the effectiveness of CADx systems compared to traditional histology for small polyps (≤5 mm), including comparisons of CADx-assisted and unassisted methods.
- The meta-analysis included 11 studies with a total of 7400 polyps examined, highlighting the potential benefits and harms of using CADx in terms of accurate diagnosis and avoidance of false positives/negatives.
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