Scandinavian surveillance follow-up programmes in patients with malignant colorectal polyps

被引:0
|
作者
Asheer, Zain Elabedin [1 ]
Bisgaard, Thue [2 ]
Mjaland, Odd [3 ]
Angenete, Eva [4 ,5 ]
Bulut, Orhan [1 ]
Souzani, Katarina Levic [6 ]
机构
[1] Hvidovre Univ Hosp, Ctr Surg Res CSR, Surg Div, Gastrounit, Hvidovre, Denmark
[2] Zealand Univ Hosp, Ctr Surg Sci, Dept Surg, Koge, Denmark
[3] Sorlandet Hosp Trust, Surg Dept, Kristiansand, Norway
[4] Univ Gothenburg, SSORG Scandinavian Surg Outcomes Res Grp, Dept Surg, Inst Clin Sci,Sahlgrenska Acad, Gothenburg, Sweden
[5] Sahlgrens Univ Hosp, Dept Surg, Gothenburg, Region Vastra G, Sweden
[6] Herlev Hosp, Dept Surg, Herlev, Denmark
来源
DANISH MEDICAL JOURNAL | 2021年 / 68卷 / 02期
关键词
LONG-TERM OUTCOMES; ENDOSCOPIC RESECTION; CANCER RECURRENCE; MANAGEMENT; MULTICENTER; POPULATION; RISK;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
INTRODUCTION: Following endoscopic removal of malignant colorectal polyps, patients may undergo completion radical resection or surveillance. The optimal surveillance strategy remains unknown. This study included colorectal departments in Scandinavian countries with a focus on follow-up periods and examination modalities for patients with endoscopically removed malignant polyps with a resection margin > 1 mm. METHODS: This study was conducted as an internet-based survey. A questionnaire was sent to all Scandinavian surgical departments performing > 20 colorectal procedures annually. Questions differed between follow-up on rectal and colonic malignant polyps with presence or absence of histological risk factors. The follow-up period was defined as short (one year), intermediate (three years) or long (five years). RESULTS: The majority of the departments used a long (five years) (38-59%) or intermediate (three years) (26-38%) follow-up programme. In patients with rectal malignant polyps and presence of histological risk factors, a significant difference was observed in the use of endoscopy according to length of follow-up. No difference in the use of the different modalities was seen according to length of follow-up in patients with colonic malignant polyps. CONCLUSIONS: The follow-up on patients with endoscopically removed malignant polyps and a surveillance strategy varies both in terms of length and performed modalities. Future studies should compare long-term patient outcomes in departments employing different follow-up strategies.
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页数:8
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