Resect and Discard Approach to Colon Polyps: Real-World Applicability Among Academic and Community Gastroenterologists

Digestive Diseases and Sciences

Volumn 60, Issue 2, 2015, Pages 502-508

  Vu, Hongha T ^a   Sayuk, Gregory S ^a   Hollander, Thomas G ^a   Clebanoff, Jennifer ^a   Edmundowicz, Steven A ^a   Gyawali, Chandra P ^a   Thyssen, Erik P ^b   Weinstock, Leonard B ^b   Early, Dayna S ^a  

^a WASHINGTON UNIVERSITY   (United States)

^b NONE   (United States)

Author keywords

Adenoma; Colonoscopy; Polyp; Resect and discard

Indexed keywords

ADULT; AGE; ARTICLE; COLON ADENOMA; COLON POLYP; COLON RESECTION; COLONOSCOPY; COLORECTAL CANCER; CONTROLLED CLINICAL TRIAL (TOPIC); CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DISEASE SURVEILLANCE; ENDOSCOPY; FAMILY HISTORY; FEMALE; FIRST DEGREE RELATIVE; GASTROENTEROLOGIST; HEALTH CARE QUALITY; HISTOLOGY; HISTOPATHOLOGY; HUMAN; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; NARROW BAND IMAGING; PREDICTION; PREDICTIVE VALUE; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; RESECT AND DISCARD APPROACH; SCORING SYSTEM; SCREENING; SENSITIVITY AND SPECIFICITY; SURGICAL APPROACH; TUMOR LOCALIZATION; TUMOR VOLUME; WHITE LIGHT ENDOSCOPY; ADENOMA; AGED; BIOPSY; COLONIC POLYPS; COLORECTAL NEOPLASMS; COMMUNITY CARE; COMPARATIVE STUDY; GASTROENTEROLOGY; OUTPATIENT DEPARTMENT; PATHOLOGY; PROCEDURES; PROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; STANDARDS; TIME; UNITED STATES; UNIVERSITY HOSPITAL;

ACADEMIC MEDICAL CENTERS; ADENOMA; AGED; BIOPSY; COLECTOMY; COLONIC POLYPS; COLONOSCOPY; COLORECTAL NEOPLASMS; COMMUNITY HEALTH SERVICES; FEMALE; GASTROENTEROLOGY; HUMANS; MALE; MIDDLE AGED; MISSOURI; OUTPATIENT CLINICS, HOSPITAL; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; QUALITY INDICATORS, HEALTH CARE; RISK ASSESSMENT; RISK FACTORS; TIME FACTORS; TUMOR BURDEN;

EID: 84925022868     PISSN: 01632116     EISSN: 15732568     Source Type: Journal    
DOI: 10.1007/s10620-014-3376-z     Document Type: Article

References (18)

1. Howlader N, Noone AM, Krapcho M, et al. (eds). SEER Cancer Statistics Review, 1975–2008. Bethesda, MD: National Cancer Institute. http://seer.cancer.gov/csr/1975_2008/results_single/sect_01_table.01.pdf, based on November 2010 SEER data submission, posted to the SEER web site, 2011.
2. Espey DK, Wu XC, Swan J, et al. Annual report to the nation on the status of cancer, 1975–2004, featuring cancer in American Indians and Alaska Natives. Cancer. 2007;110:2119–2152.
3. Lieberman D, Moravec M, Holub J, et al. Polyp size and advanced histology in patients undergoing colonoscopy screening: implications for CT colonography. Gastroenterology. 2008;135:1100–1105.
4. Butterfly LF, Chase MP, Pohl H, et al. Prevalence of clinically important histology in small adenomas. Clin Gastroenterol Hepatol. 2006;4:343–348.
5. Kessler WR, Imperiale TF, Klein RW, et al. A quantitative assessment of the risks and cost savings of forgoing histologic examination of diminutive polyps. Endoscopy. 2011;43:683–691.
6. Hassan C, Pickhardt PJ, Rex DK. A resect and discard strategy would improve cost-effectiveness of colorectal cancer screening. Clin Gastroenterol Hepatol. 2010;8:865–869.
7. Rex DK, Kahi C, O’Brien M, et al. The American Society for Gastrointestinal Endoscopy PIVI (Preservation and Incorporation of Valuable Endoscopic Innovations) on real-time endoscopic assessment of the histology of diminutive colorectal polyps. Gastrointest Endosc. 2011;73:419–422.
8. Rex DK. Narrow-band imaging without optical magnification for histologic analysis of colorectal polyps. Gastroenterology. 2009;136:1174–1181.
9. Rastogi A, Keighley J, Singh V, et al. High accuracy of narrow band imaging without magnification for the real-time characterization of polyp histology and its comparison with high-definition white light colonoscopy: a prospective study. Am J Gastroenterol. 2009;104:2422–2430.
10. Ignjatovic A, East J, Suzuki N, et al. Optical diagnosis of small colorectal polyps at routine colonoscopy (Detect InSpect ChAracterise Resect and Discard; DISCARD trial): a prospective cohort study. Lancet Oncol. 2009;10:1171–1178.
11. Paggi S, Rondonotti E, Amato A. Resect and discard strategy in clinical practice: a prospective cohort study. Endoscopy. 2012;44:899–904.
12. Kuiper T, Marsman WA, Jansen JM, et al. Accuracy for optical diagnosis of small colorectal polyps in nonacademic settings. Clin Gastroenterol Hepatol. 2012;10:1016–1020.
13. Ladabaum U, Fioritto A, Mitani A, et al. Real-time optical biopsy of colon polyps with narrow band imaging in community practice does not yet meet key thresholds for clinical decisions. Gastroenterology. 2013;144:81–91.
14. Lai EJ, Calderwood AH, Doros G, et al. The Boston bowel preparation scale: a valid and reliable instrument for colonoscopy-oriented research. Gastrointest Endosc. 2009;69:620–625.
15. Rastogi A, Early DS, Gupta N, et al. Randomized, controlled trial of standard-definition white-light, high-definition white-light, and narrow-band imaging colonoscopy for the detection of colon polyps and prediction of polyp histology. Gastrointest Endosc. 2011;74:593–602.
16. Levin B, Lieberman DA, McFarland B, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology. 2008;134:1570–1595.
17. Lieberman DA, Rex DK, Winawer SJ, et al. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2012;143:844–857.
18. Van den Broek FJC, Reitsma JB, Curvers WL, et al. Systematic review of narrow-band imaging for the detection and differentiation of neoplastic and nonneoplastic lesions in the colon. Gastrointest Endosc. 2009;69:124–135.