TY - JOUR
T1 - [Korean guidelines for colonoscopic polypectomy].
AU - Lee, Suck Ho
AU - Shin, Sung Jae
AU - Park, Dong Il
AU - Kim, Seong Eun
AU - Hong, Sung Pil
AU - Hong, Sung Noh
AU - Yang, Dong Hoon
AU - Lee, B. I.
AU - Kim, Young Ho
AU - Kim, Hyun Soo
AU - Yang, Suk Kyun
AU - Kim, Hyo Jong
AU - Kim, Se Hyung
AU - Kim, Hyun Jung
AU - Multi-Society Task Force for Development of Guidelines for, Task Force for Development of Guidelines for
AU - Colorectal Polyp Screening, Surveillance, Polyp Screening, Surveillance
PY - 2012/2
Y1 - 2012/2
N2 - There are indirect evidences 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, secondary and tertiary and 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 are indirect evidences 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, secondary and tertiary and 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.
UR - http://www.scopus.com/inward/record.url?scp=84865304261&partnerID=8YFLogxK
U2 - 10.4166/kjg.2012.59.2.85
DO - 10.4166/kjg.2012.59.2.85
M3 - Article
C2 - 22387834
AN - SCOPUS:84865304261
SN - 1598-9992
VL - 59
SP - 85
EP - 98
JO - The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
JF - The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
IS - 2
ER -