Follow-up after colorectal polypectomy. I. A comparison of the effectiveness of repeated examinations of the colon every 6 and 24 months after removal of stalked polyps.
Follow-up after colorectal polypectomy. I. A comparison of the effectiveness of repeated examinations of the colon every 6 and 24 months after removal of stalked polyps.
复制标题
结直肠息肉切除术后的随访。
DOI：
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发表时间：
1983
影响因子：
1.9
通讯作者：
E. Deichgraeber
中科院分区：
文献类型：
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作者：
O. Kronborg;E. Hage;S. Adamsen;E. Deichgraeber
为了研究结直肠息肉切除术后随访研究的效果，156例有症状的腺瘤伴轻至重度发育不良的患者在结肠镜息肉切除术后随机分配每6 (A)个月和24 (B)个月进行结直肠检查。没有发现高危人群。23个新息肉中有21个位于直肠上方，但15个可以在软性乙状结肠镜检查时切除。在研究的前4年，在所有6个月的检查中，新腺瘤的风险相似。b组在24个月时发现一个小癌（Dukes A）， A组在之前的7次结肠镜检查后发现致命的结肠穿孔，无并发症。新出现的息肉除了在一些患者中出现少量出血外，没有引起任何症状，而且由于结肠镜检查率的增加增加了并发症的风险，因此将检查间隔随机延长至24和48个月被认为是合理的。
To investigate the effect of follow-up study after colorectal polypectomy, 156 patients with symptomatic stalked adenomas with light to severe dysplasia were allocated at random to colorectal examination every 6 (A) and 24 (B) months after colonoscopic polypectomy. No high-risk group could be identified. Twenty-one of the 23 new polyps were located above the rectum, but 15 could have been removed during examination with the flexible sigmoidoscope. The risk of new adenomas was similar at all 6-month examinations, during the first 4 years of the study. A small carcinoma (Dukes A) was found at 24 months in group B. A fatal colonic perforation was seen in group A after seven previous colonoscopies without complications. The new polyps caused no symptoms other than minimal bleeding in some of the patients, and because increasing the rate of colonoscopies increases risk of complications, it was considered justified to prolong the intervals to 24 and 48 months, at random.