Histopathologic features and fragmentation of polyps with cold snare defect protrusions
Histopathologic features and fragmentation of polyps with cold snare defect protrusions
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DOI：
10.1016/j.gie.2020.07.040
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发表时间：
2021-03-16
影响因子：
7.7
通讯作者：
Katanuma, Akio
中科院分区：
文献类型：
--
作者：
Ishii, Tatsuya;Harada, Taku;Katanuma, Akio
背景和目的：冷圈套器缺损突出物（CSDP）包括粘膜肌层（MM）和粘膜下层组织。CSDP被认为是由于在浅切除过程中标本破碎所致。我们在这项研究中的目的是澄清CSDPs是否与息肉fragmentation.Methods：我们回顾性分析了1026肿瘤性结直肠息肉切除冷圈套息肉切除术的存在或不存在的CSDPs进行了评估，从内镜图像。对所有制备的标本进行审查和评估，以确定是否存在息肉碎片，并测量残端上MM的比例。结果：1026例息肉中，116例发生CSDP，发生率为11.3%。单变量分析显示息肉碎裂与CSDP的发生显著相关（比值比[OR]，3.74; P
Background and Aims: Cold snare defect protrusions (CSDPs) include muscularis mucosa (MM) and submucosa tissue. CSDPs are thought to result from fragmentation of the specimen during shallow excision. Our aim in this study was to clarify whether CSDPs are associated with polyp fragmentation.Methods: We retrospectively analyzed 1026 neoplastic colorectal polyps resected by cold snare polypectomy for which the presence or absence of CSDPs was assessed from the endoscopic image. All prepared specimens were reviewed and assessed for the presence or absence of polyp fragmentation, and the proportion of MM on the stump was measured. In addition, the risk factors for CSDP occurrence were evaluated.Results: CSDPs occurred in 116 of the 1026 polyps (11.3%). Polyp fragmentation was significantly associated with the occurrence of CSDP on univariate analysis (odds ratio [OR], 3.74; P