当前位置： SCI文献检索 > GASTROINTESTINAL ENDOSCOPY期刊下所有文献 > The predictive value of small versus diminutive adenomas for subsequent advanced neoplasia.

The predictive value of small versus diminutive adenomas for subsequent advanced neoplasia.

Abstract：

BACKGROUND AND AIMS:Patients with previous colorectal adenomas are at increased risk of colorectal cancer. Current guidelines for postpolypectomy surveillance intervals treat all tubular adenomas 1 to 9 mm in size with low-grade dysplasia as carrying the same level of risk. We evaluated whether 6 to 9 mm adenomas detected at colonoscopy are associated with greater risk of advanced neoplasia at follow-up compared with baseline 1 to 5 mm adenomas. METHODS:We retrospectively evaluated a colonoscopy database at a single U.S. academic center. Patients with baseline examinations demonstrating tubular adenomas 1 to 9 mm in size with low-grade dysplasia and no advanced adenomas were included. Follow-up colonoscopies were performed at least 200 days later and were assessed for incident advanced neoplasia (cancer, high-grade dysplasia, adenoma ≥10 mm in size, or villous elements). RESULTS:There were 2477 qualifying baseline colonoscopies. The absolute risk of metachronous advanced neoplasia increased from 3.6% in patients with 1 to 5 mm adenomas to 6.9% in patients with at least 1 adenoma of 6 to 9 mm (P = .001). Patients with 5 or more adenomas 1 of which was at least 6 to 9 mm had the highest risk of advanced neoplasia at follow-up (10.4%, P = .006). When only screening colonoscopies were considered, all baseline groups (1-2 adenomas, 3-4 adenomas, ≥5 adenomas) with adenomas 6 to 9 mm in size had an increased risk for metachronous advanced neoplasia (odds ratio [OR], 4.07; 95% confidence interval [CI], 1.50-11.04; OR, 4.91; 95% CI, 1.44-16.75; OR, 4.71; 95% CI, 1.30-17.05, respectively). CONCLUSIONS:Patients with baseline small (6-9 mm) adenomas have an increased risk of advanced lesions on follow-up compared with patients with only diminutive (1-5 mm) adenomas. Postpolypectomy guidelines should consider risk stratification based on small versus diminutive adenomas.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Hartstein JD,Vemulapalli KC,Rex DK

doi

10.1016/j.gie.2019.08.047

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

614-621.e6

issue

3

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(19)32240-0

journal_volume

91

pub_type

杂志文章

相关文献

GASTROINTESTINAL ENDOSCOPY文献大全
  • Width and depth of resection for small colorectal polyps: hot versus cold snare polypectomy.

    abstract：BACKGROUND AND AIMS:Curability is associated with resection width and depth in polypectomy. We evaluated the resection width and depth achieved with hot snare polypectomy (HSP) and cold snare polypectomy (CSP) for small colorectal polyps. METHODS:In this single-center, prospective, randomized controlled study, patient...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.gie.2017.10.041

    authors： Suzuki S,Gotoda T,Kusano C,Ikehara H,Sugita A,Yamauchi M,Moriyama M

    更新日期：2018-04-01 00:00:00

  • One-step, simultaneous double-wire technique facilitates pancreatic pseudocyst and abscess drainage (with videos).

    abstract：BACKGROUND:EUS-guided pancreatic pseudocyst and abscess drainage ideally requires the insertion of both a transmural stent and nasocystic catheter to ensure continuous irrigation and effective drainage. Sequential stent and nasocystic catheter insertion may be time consuming because of the difficulty in recannulating t...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2006.07.049

    authors： Seewald S,Thonke F,Ang TL,Omar S,Seitz U,Groth S,Zhong Y,Yekebas E,Izbicki J,Soehendra N

    更新日期：2006-11-01 00:00:00

  • Randomized controlled studies of injection Gold Probes compared with monotherapies for hemostasis of bleeding canine gastric ulcers.

    abstract：BACKGROUND:There is a significant interest in combination therapy using endoscopic epinephrine injection and thermal coagulation for nonvariceal hemostasis. The purpose of the study was to compare the relative effectiveness, ease of use, and safety of new Injection Gold Probes to other hemostasis techniques in three ra...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(98)70042-2

    authors： Jutabha R,Jensen DM,Machicado G,Hirabayashi K

    更新日期：1998-12-01 00:00:00

  • The value of wireless capsule endoscopy in patients with complicated celiac disease.

    abstract：BACKGROUND:Celiac disease may be complicated by symptoms that raise the suspicion of small-intestinal malignancy. The objective is to evaluate wireless capsule endoscopy (WCE) in complicated celiac disease. METHODS:This is a prospective study at a university referral center. There were 47 patients. The indications for...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(05)01566-x

    authors： Culliford A,Daly J,Diamond B,Rubin M,Green PH

    更新日期：2005-07-01 00:00:00

  • Unsedated transnasal endoscopy accurately detects Barrett's metaplasia and dysplasia.

    abstract：BACKGROUND:Unsedated transnasal upper endoscopy has a diagnostic yield comparable with that of sedated conventional upper endoscopy. The ability of transnasal upper endoscopy to detect Barrett's metaplasia or dysplastic change has not been systematically evaluated. The aim of this study was to assess the feasibility of...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2002.128131

    authors： Saeian K,Staff DM,Vasilopoulos S,Townsend WF,Almagro UA,Komorowski RA,Choi H,Shaker R

    更新日期：2002-10-01 00:00:00

  • Preoperative indicators of failure of en bloc resection or perforation in colorectal endoscopic submucosal dissection: implications for lesion stratification by technical difficulties during stepwise training.

    abstract：BACKGROUND AND AIMS:The technical difficulties inherent in endoscopic submucosal dissection (ESD) for colorectal neoplasms may result in the failure of en bloc resection or perforation. The aim of this retrospective study was to assess the predictors of en bloc resection failure or perforation by using preoperatively a...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2015.08.024

    authors： Imai K,Hotta K,Yamaguchi Y,Kakushima N,Tanaka M,Takizawa K,Kawata N,Matsubayashi H,Shimoda T,Mori K,Ono H

    更新日期：2016-05-01 00:00:00

  • On-demand endoscopic CO2 insufflation with feedback pressure regulation during natural orifice transluminal endoscopic surgery (NOTES) peritoneoscopy induces minimal hemodynamic and respiratory changes.

    abstract：BACKGROUND:Endoscopic insufflation has been associated with marked increase in intra-abdominal pressure (IAP) and hemodynamic and respiratory changes during transgastric surgery. OBJECTIVE:To investigate the hemodynamic and respiratory effects during intraperitoneal cavity exploration through 3 different natural orifi...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2011.10.015

    authors： Navarro-Ripoll R,Martínez-Pallí G,Guarner-Argente C,Córdova H,Martínez-Zamora MA,Comas J,Rodríguez de Miguel C,Beltrán M,Rodríguez-D'Jesús A,Hernández-Cera C,Llach J,Balust J,Fernández-Esparrach G

    更新日期：2012-08-01 00:00:00

  • Safety experience with the duodenal-jejunal bypass liner: an endoscopic treatment for diabetes and obesity.

    abstract：BACKGROUND:The duodenal-jejunal bypass liner (DJBL) is a new, device-based endoscopic treatment for type 2 diabetes mellitus (T2DM) and obesity. OBJECTIVE:To report serious safety events of subjects treated with the DJBL while offering a simple guideline to mitigate risk. DESIGN:Single-center observational study. SE...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2015.03.1911

    authors： Betzel B,Koehestanie P,Aarts EO,Dogan K,Homan J,Janssen IM,Wahab PJ,Groenen MJ,Berends FJ

    更新日期：2015-11-01 00:00:00

  • Efficiency of an endoscopy suite in a teaching hospital: delays, prolonged procedures, and hospital waiting times.

    abstract：BACKGROUND:Increased demand for screening colonoscopy necessitates improved efficiency in endoscopy units, especially more efficient use of existing resources. The purpose of this study was to assess the efficiency of the endoscopy unit of a large tertiary care teaching hospital. OBJECTIVE:To assess the efficiency of ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2006.02.047

    authors： Yong E,Zenkova O,Saibil F,Cohen LB,Rhodes K,Rabeneck L

    更新日期：2006-11-01 00:00:00

  • The role of polymeric surface smoothness of biliary stents in bacterial adherence, biofilm deposition, and stent occlusion.

    abstract：:Bacterial adherence and biofilm deposition onto the surface of polymers used for biliary stents are the initial events that ultimately lead to stent occlusion. Vivathane is a new polymer with an ultrasmooth surface. In this study, stents made from Vivathane were compared to standard plastic stents in an in vitro model...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(93)70120-0

    authors： McAllister EW,Carey LC,Brady PG,Heller R,Kovacs SG

    更新日期：1993-05-01 00:00:00

  • Pancreatic duct stent placement prevents post-ERCP pancreatitis in patients with suspected sphincter of Oddi dysfunction but normal manometry results.

    abstract：BACKGROUND:Placement of a pancreatic duct (PD) stent reduces post-ERCP pancreatitis rates in high-risk patients. Patients with suspected sphincter of Oddi dysfunction (SOD) who are found to have normal manometry results (SOM) are also at high risk for this complication. OBJECTIVE:Our purpose was to determine whether P...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2007.06.022

    authors： Saad AM,Fogel EL,McHenry L,Watkins JL,Sherman S,Lazzell-Pannell L,Lehman GA

    更新日期：2008-02-01 00:00:00

  • Transgastric natural-orifice transluminal endoscopic surgery peritoneoscopy in humans: a pilot study in efficacy and gastrotomy site selection by using a hybrid technique.

    abstract：BACKGROUND:Diagnostic natural-orifice transluminal endoscopic surgery (NOTES) peritoneoscopy can easily be performed with standard endoscopic equipment in animal studies. The efficacy and optimal transgastric site for NOTES access in humans, however, has not been determined. OBJECTIVE:To characterize the efficacy of v...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2010.03.1070

    authors： Nikfarjam M,McGee MF,Trunzo JA,Onders RP,Pearl JP,Poulose BK,Chak A,Ponsky JL,Marks JM

    更新日期：2010-08-01 00:00:00

  • A prospective, randomized trial comparing mechanical methods of hemostasis plus epinephrine injection to epinephrine injection alone for bleeding peptic ulcer.

    abstract：BACKGROUND:The hemostatic efficacy of mechanical methods of hemostasis, together with epinephrine injection, was compared with that of epinephrine injection alone in bleeding peptic ulcer. METHODS:Ninety patients with a peptic ulcer with active bleeding or a non-bleeding visible vessel were randomly assigned to underg...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0016-5107(04)01570-6

    authors： Park CH,Joo YE,Kim HS,Choi SK,Rew JS,Kim SJ

    更新日期：2004-08-01 00:00:00

  • Experimental studies of transgastric gallbladder surgery: cholecystectomy and cholecystogastric anastomosis (videos).

    abstract：BACKGROUND:Transgastric flexible endoscopic surgery might offer advantages over open and laparoscopic surgery. The aim of this study was to develop methods for performing transgastric biliary endosurgery. METHODS:Cholecystectomies and biliary anastomoses were performed in 8 anesthetized pigs (27-30 kg) in nonsurvival ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(04)02774-9

    authors： Park PO,Bergström M,Ikeda K,Fritscher-Ravens A,Swain P

    更新日期：2005-04-01 00:00:00

  • Management of persistent gastroesophageal anastomotic strictures with removable self-expandable polyester silicon-covered (Polyflex) stents: an alternative to serial dilation.

    abstract：BACKGROUND:A benign gastroesophageal anastomotic stricture occurs in up to 42% of patients after transhiatal esophagectomy for esophageal cancer. Management of anastomotic strictures may require extended periods of serial endoscopic dilation, with significant risk, cost, and inconvenience for the patient. OBJECTIVE:To...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2007.10.047

    authors： Barthel JS,Kelley ST,Klapman JB

    更新日期：2008-03-01 00:00:00

  • A national study of cardiopulmonary unplanned events after GI endoscopy.

    abstract：BACKGROUND:Cardiopulmonary unplanned events (CUE) related to conscious sedation constitute a major proportion of GI endoscopy-associated complications. OBJECTIVES:Our purpose was to study the incidence of CUE during GI endoscopy and to determine factors that may predict CUE. DESIGN:Retrospective CORI (Clinical Outcom...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2006.12.040

    authors： Sharma VK,Nguyen CC,Crowell MD,Lieberman DA,de Garmo P,Fleischer DE

    更新日期：2007-07-01 00:00:00

  • Quality assessment for systematic reviews and meta-analyses of cohort studies.

    abstract：BACKGROUND AND AIMS:There is a growing need for valid, efficient, and easy scoring scales to rate the quality of cohort studies. We aimed to develop and validate a quality assessment score to be used for cohort studies. METHODS:We followed a rigorous process to establish content, face, and construct validity. Most que...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2020.10.007

    authors： Qumseya BJ

    更新日期：2021-02-01 00:00:00

  • Single-session endoscopic resection and focal radiofrequency ablation for short-segment Barrett's esophagus with early neoplasia.

    abstract：BACKGROUND AND AIMS:The management of early neoplasia in Barrett's esophagus (BE) requires endoscopic resection of visible lesions, followed by radiofrequency ablation (RFA) of the remaining BE. We evaluated the safety and efficacy of combining endoscopic resection and focal RFA in a single endoscopic session in patien...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2015.12.034

    authors： Barret M,Belghazi K,Weusten BL,Bergman JJ,Pouw RE

    更新日期：2016-07-01 00:00:00

  • One-dimensional and 2-dimensional tumor size measurement for prediction of lymph node metastasis in differentiated early gastric cancer with minute submucosal invasion.

    abstract：BACKGROUND AND AIMS:Differentiated minute submucosal cancers measuring ≤3 cm that exhibit no lymphovascular invasion are considered eligible for endoscopic resection; however, the ≤3-cm criterion remains debatable. The aim of this study was to verify the optimal tumor size cutoff for endoscopic resection eligibility, a...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2016.07.046

    authors： Kim TJ,Lee H,Min YW,Min BH,Lee JH,Kim KM,Kim MJ,Kim K,Rhee PL,Kim JJ

    更新日期：2017-04-01 00:00:00

  • Stent-guided sphincterotomy.

    abstract：:Performing sphincterotomy when either Billroth II gastrectomy or complicated periampullary diverticula are present may increase the risk of complications. In addition a sphincterotomy on the main pancreatic sphincter or the papilla of Santorini presents complicated problems. Stent-guided sphincterotomy has been utiliz...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(94)70254-3

    authors： Siegel JH,Cohen SA,Kasmin FE,Veerappan A

    更新日期：1994-09-01 00:00:00

  • Long-term outcomes of endoscopic treatment of aberrant hepatic duct injuries after cholecystectomy.

    abstract：BACKGROUND AND AIMS:Right aberrant hepatic ducts are an anatomic variant with clinical relevance because of the risk of injury during cholecystectomy. Treatment options for aberrant hepatic duct injuries are not standardized. This study aims to analyze the long-term results of endoscopic treatment of aberrant hepatic d...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2019.09.043

    authors： Tringali A,Massinha P,Schepis T,Landi R,Boškoski I,Perri V,Bove V,Costamagna G

    更新日期：2020-03-01 00:00:00

  • Prediction of bleeding and stricture formation after corrosive ingestion by EUS concurrent with upper endoscopy.

    abstract：BACKGROUND:Upper endoscopy provides information that can be used to predict complications and to facilitate clinical decisions for patients who have ingested corrosive substances. The role of EUS in corrosive injury has not been investigated. The aim of this study was to determine whether concurrent catheter-probe EUS ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(04)02031-0

    authors： Chiu HM,Lin JT,Huang SP,Chen CH,Yang CS,Wang HP

    更新日期：2004-11-01 00:00:00

  • Endoscopy in the age of HIV: a study of current practices and attitudes.

    abstract：:Gastroenterologists are frequently asked to perform a variety of endoscopic procedures in patients with AIDS. A study published 6 years ago concluded that costly and inefficient practices resulted from anxiety about transmitting human immunodeficiency virus (HIV) to endoscopic personnel. We re-examined, by means of a ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(94)70214-4

    authors： Shapiro M,Brandt LJ

    更新日期：1994-07-01 00:00:00

  • Diagnosis of submucosal lesions of the upper gastrointestinal tract by endoscopic ultrasonography.

    abstract：:The use of endoscopic ultrasonography (EUS) in the diagnosis of submucosal upper gastrointestinal tract lesions was examined in 308 patients. Two-hundred ten submucosal tumors, 89 cases of esophagogastric varices, and 9 cases of non-Hodgkin's lymphoma were found. EUS images were interpreted based upon a five-layer EUS...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(90)71010-3

    authors： Yasuda K,Cho E,Nakajima M,Kawai K

    更新日期：1990-03-01 00:00:00

  • Utility of contrast-enhanced harmonic EUS in the diagnosis of malignant gallbladder polyps (with videos).

    abstract：BACKGROUND:The differential diagnosis between benign and malignant polyps of the gallbladder (GB) is often challenging. OBJECTIVES:To evaluate whether contrast-enhanced harmonic EUS (CEH-EUS) might be an accurate method for discriminating malignant GB polyps from benign polyps. DESIGN:Observational study. SETTING:Te...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2013.03.1328

    authors： Choi JH,Seo DW,Choi JH,Park DH,Lee SS,Lee SK,Kim MH

    更新日期：2013-09-01 00:00:00

  • Use of high-resolution endoscopic ultrasonography to assess esophageal wall damage after pneumatic dilation and botulinum toxin injection to treat achalasia.

    abstract：OBJECTIVE:The purpose of this study was to utilize high-resolution endoscopic ultrasonography to assess esophageal wall damage in patients with achalasia treated by either pneumatic dilation or botulinum toxin injection and to compare their symptomatic response. METHODS:Twenty-nine patients were treated with pneumatic...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0016-5107(96)70132-3

    authors： Schiano TD,Fisher RS,Parkman HP,Cohen S,Dabezies M,Miller LS

    更新日期：1996-08-01 00:00:00

  • The role of endoscopic Doppler US in patients with peptic ulcer bleeding.

    abstract：BACKGROUND:Stigmata of recent hemorrhage are important prognostic signs for patients with ulcer bleeding, but these are subjective findings. This study evaluated the additional diagnostic value of Doppler US assessment in patients with a bleeding peptic ulcer. METHODS:A prospective, multicenter study was performed of ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1016/s0016-5107(03)02033-9

    authors： van Leerdam ME,Rauws EA,Geraedts AA,Tijssen JG,Tytgat GN

    更新日期：2003-11-01 00:00:00

  • Snare cautery debridement prior to Nd:YAG photoablation improves treatment efficiency of broad-based adenomas of the colorectum.

    abstract：:Forty-six patients who underwent piecemeal resection of large, sessile villous adenomas followed by immediate laser photoablative therapy are presented. In contrast to previously published series utilizing laser alone, prior snare resection of such lesions provides copious tissue for histologic analysis, decreases the...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(89)72793-0

    authors： Low DE,Kozarek RA

    更新日期：1989-07-01 00:00:00

  • Intraductal US in assessing the effects of radiation therapy and prediction of patency of metallic stents in extrahepatic bile duct carcinoma.

    abstract：BACKGROUND:We assessed the local effects of radiation therapy using intraductal ultrasonography (US) to predict the subsequent patency of metallic stents in bile duct carcinoma. METHODS:Data from 16 patients with extrahepatic-suprapancreatic bile duct carcinoma were prospectively analyzed. Thin-caliber US probes (2.0 ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0016-5107(00)70439-1

    authors： Tamada K,Wada S,Ohashi A,Tomiyama T,Satoh Y,Miyata T,Ido K,Nakazawa M,Sugano K

    更新日期：2000-04-01 00:00:00

  • Air and fluid leak tests after NOTES procedures: a pilot study in a live porcine model (with videos).

    abstract：BACKGROUND:Transluminal access site closure remains a major challenge in natural orifice transluminal endoscopic surgery (NOTES). OBJECTIVE:Our purpose was to develop in vivo leak tests for evaluation of the integrity of transgastric access closure. SETTINGS:Survival experiments on 12 50-kg pigs. DESIGN AND INTERVEN...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2007.12.052

    authors： Dray X,Gabrielson KL,Buscaglia JM,Shin EJ,Giday SA,Surti VC,Assumpcao L,Marohn MR,Magno P,Pipitone LJ,Redding SK,Kalloo AN,Kantsevoy SV

    更新日期：2008-09-01 00:00:00