Incidence of Advanced Colorectal Neoplasia in Individuals With Untreated Diminutive Colorectal Adenomas Diagnosed by Magnifying Image-Enhanced Endoscopy
Incidence of Advanced Colorectal Neoplasia in Individuals With Untreated Diminutive Colorectal Adenomas Diagnosed by Magnifying Image-Enhanced Endoscopy
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DOI：
10.14309/ajg.0000000000000261
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发表时间：
2019-06-01
影响因子：
9.8
通讯作者：
Matsuda, Takahisa
中科院分区：
文献类型：
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作者：
Sekiguchi, Masau;Otake, Yosuke;Matsuda, Takahisa
优点：由于越来越多的检测到的小型结直肠腺瘤，诊断和不切除的方法最近引起了人们的注意，作为一种替代切除。我们评估了未经治疗的小腺瘤的个体中晚期结直肠肿瘤（ACN）的累积发病率，并比较了无腺瘤个体的发病率。方法：分析了1,378例首次筛查结肠镜检查（CS）和至少一次无息肉切除术的随访CS的数据。无腺瘤或仅有非晚期小腺瘤的患者（
OBJECTIVES:Because of the increasing number of detected diminutive colorectal adenomas, the diagnose-and-do-not-resect approach has recently attracted attention as an alternative to resection. We evaluated the cumulative incidence of advanced colorectal neoplasia (ACN) in individuals with untreated diminutive adenomas and compared this incidence in individuals without adenomas.METHODS:Data from 1,378 individuals who underwent first screening colonoscopy (CS) and at least one follow-up CS without polypectomy were analyzed. Patients with no adenomas or with only nonadvanced diminutive adenomas (