دورية أكاديمية
Post-EMR for colorectal polyps, thermal ablation of defects reduces adenoma recurrence: A meta-analysis.
| العنوان: | Post-EMR for colorectal polyps, thermal ablation of defects reduces adenoma recurrence: A meta-analysis. |
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| المؤلفون: | Kandel P; Michigan State University/Hurley Medical Center, Flint, Michigan, United States., Hussain M; Michigan State University/Hurley Medical Center, Flint, Michigan, United States., Yadav D; Michigan State University/Hurley Medical Center, Flint, Michigan, United States., Dhungana SK; Michigan State University/Hurley Medical Center, Flint, Michigan, United States., Brahmbhatt B; Mayo Clinic's Campus in Florida, Jacksonville, Florida, United States., Raimondo M; Mayo Clinic's Campus in Florida, Jacksonville, Florida, United States., Lukens FJ; Mayo Clinic's Campus in Florida, Jacksonville, Florida, United States., Bachuwa G; Michigan State University/Hurley Medical Center, Flint, Michigan, United States., Wallace MB; Mayo Clinic's Campus in Florida, Jacksonville, Florida, United States.; Division of Gastroenterology and Hepatology, Sheikh Shakhbout Medical City, Abu Dhabi, UAE. |
| المصدر: | Endoscopy international open [Endosc Int Open] 2022 Oct 17; Vol. 10 (10), pp. E1399-E1405. Date of Electronic Publication: 2022 Oct 17 (Print Publication: 2022). |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Georg Thieme Verlag KG Country of Publication: Germany NLM ID: 101639919 Publication Model: eCollection Cited Medium: Print ISSN: 2364-3722 (Print) Linking ISSN: 21969736 NLM ISO Abbreviation: Endosc Int Open Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Stuttgart : Georg Thieme Verlag KG, [2013]- |
| مستخلص: | Background and study aims Adenoma recurrence is one of the key limitations of endoscopic mucosal resection (EMR), which occurs in 15 % to 30 % of cases during first surveillance colonoscopy. The main hypothesis behind adenoma recurrence is leftover micro-adenomas at the margins of post-EMR defects. In this systematic review and meta-analysis, we evaluated the efficacy of snare tip soft coagulation (STSC) at the margins of mucosal defects to reduce adenoma recurrence and bleeding complications. Methods Electronic databases such as PubMed and the Cochrane library were used for systematic literature search. Studies with polyps only resected by piecemeal EMR and active treatment: with STSC, comparator: non-STSC were included. A random effects model was used to calculate the summary of risk ratio and 95 % confidence intervals. The main outcome of the study was to compare the effect of STSC versus non-STSC with respect to adenoma recurrence at first surveillance colonoscopy after thermal ablation of post-EMR defects. Results Five studies were included in the systematic review and meta-analysis. The total number patients who completed first surveillance colonoscopy (SC1) in the STSC group was 534 and in the non-STSC group was 514. The pooled adenoma recurrence rate was 6 % (37 of 534 cases) in the STSC arm and 22 % (115 of 514 cases) in the non-STSC arm, (odds ratio [OR] 0.26, 95 % confidence interval [CI], 0.16-0.41, P = 0.001). The pooled delayed post-EMR bleeding rate 19 % (67 of 343) in the STSC arm and 22 % (78 of 341) in the non-STSC arm (OR 0.82, 95 %CI, 0.57-1.18). Conclusions Thermal ablation of post-EMR defects significantly reduces adenoma recurrence at first surveillance colonoscopy. Competing Interests: Competing interests The authors declare that they have no conflict of interest. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).) |
| References: | Clin Gastroenterol Hepatol. 2014 Apr;12(4):651-61.e1-3. (PMID: 24090728) Surg Endosc. 2021 Oct;35(10):5422-5429. (PMID: 34076765) ANZ J Surg. 2003 Sep;73(9):712-6. (PMID: 12956787) Ann Gastroenterol. 2019 Mar-Apr;32(2):178-184. (PMID: 30837791) Gut. 2015 Jan;64(1):57-65. (PMID: 24986245) Gastrointest Endosc. 2002 Mar;55(3):371-5. (PMID: 11868011) Am J Gastroenterol. 2016 Aug;111(8):1115-22. (PMID: 27296942) Am J Gastroenterol. 2012 May;107(5):650-4. (PMID: 22552236) Scand J Gastroenterol. 2014 May;49(5):632-41. (PMID: 24694332) Gastroenterology. 2019 Feb;156(3):604-613.e3. (PMID: 30296436) Endosc Int Open. 2020 Feb;8(2):E115-E121. (PMID: 32010742) Gastroenterology. 2013 Jan;144(1):74-80.e1. (PMID: 23022496) J Clin Epidemiol. 2000 Nov;53(11):1119-29. (PMID: 11106885) Rev Col Bras Cir. 2013 Sep-Oct;40(5):404-8. (PMID: 24573590) Gastrointest Endosc. 2017 Mar;85(3):647-656.e6. (PMID: 27908600) Gastrointest Endosc. 2013 Jul;78(1):158-163.e1. (PMID: 23570622) Dig Dis Sci. 2019 Nov;64(11):3300-3306. (PMID: 31098871) Clin Endosc. 2015 Mar;48(2):147-51. (PMID: 25844343) N Engl J Med. 2006 Nov 2;355(18):1863-72. (PMID: 17079760) Clin Gastroenterol Hepatol. 2015 Apr;13(4):724-30.e1-2. (PMID: 25151254) Endoscopy. 2020 Aug;52(8):687-700. (PMID: 32572858) Gastrointest Endosc. 2016 Dec;84(6):997-1006.e1. (PMID: 27189660) BMJ. 2019 Aug 28;366:l4898. (PMID: 31462531) Endoscopy. 2011 Jun;43(6):506-11. (PMID: 21618150) BMJ Open. 2016 Jul 12;6(7):e010247. (PMID: 27406637) Am J Gastroenterol. 2002 Nov;97(11):2896-901. (PMID: 12425565) BMC Med Res Methodol. 2016 Mar 22;16:35. (PMID: 27004721) Endoscopy. 2014 May;46(5):388-402. (PMID: 24671869) Best Pract Res Clin Gastroenterol. 2017 Aug;31(4):455-471. (PMID: 28842056) Gastrointest Endosc. 2016 Aug;84(2):315-25. (PMID: 26859866) Gut. 2016 May;65(5):806-20. (PMID: 25681402) Gastroenterology. 2021 Jul;161(1):163-170.e3. (PMID: 33798525) Surg Endosc. 2012 Aug;26(8):2220-30. (PMID: 22278105) Gut. 2019 Sep;68(9):1633-1641. (PMID: 30635409) BMJ. 2003 Sep 6;327(7414):557-60. (PMID: 12958120) Int J Surg. 2010;8(5):336-41. (PMID: 20171303) |
| تواريخ الأحداث: | Date Created: 20221020 Latest Revision: 20221021 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC9576327 |
| DOI: | 10.1055/a-1922-7646 |
| PMID: | 36262518 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2364-3722 |
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| DOI: | 10.1055/a-1922-7646 |