Recurrence rates after EMR of large sessile serrated polyps

Kevin D. Rex, Krishna C. Vemulapalli, Douglas Rex

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background Little is known regarding the recurrence rate after EMR of large (≥20 mm) sessile serrated adenoma/polyps (SSA/Ps). Objective To compare the recurrence rate among SSA/Ps and conventional adenomas in patients referred to a specialty practice for EMR. Design Retrospective cohort study. Setting Academic hospital and a satellite surgery center. Patients A total of 362 consecutive patients referred for resection of large (≥20 mm) polyps in the colorectum. Interventions All EMRs were performed with a submucosal contrast agent. All subjects had a follow-up surveillance examination (inspection and biopsy of the EMR) at our center. Main Outcome Measurements Rates of residual polyp at follow-up examination. Results Residual polyp was identified among 8.7% of SSA/Ps compared with 11.1% for conventional adenomas (P =.8). Limitations Retrospective design, procedures performed by a single experienced endoscopist, low number of serrated lesions. Conclusions The rate of recurrence after EMR of SSA/Ps is similar to the rate after EMR of conventional adenomas.

Original languageEnglish
Pages (from-to)538-541
Number of pages4
JournalGastrointestinal Endoscopy
Volume82
Issue number3
DOIs
StatePublished - Sep 1 2015

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Polyps
Adenoma
Recurrence
Community Health Centers
Contrast Media
Cohort Studies
Retrospective Studies
Biopsy

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

Recurrence rates after EMR of large sessile serrated polyps. / Rex, Kevin D.; Vemulapalli, Krishna C.; Rex, Douglas.

In: Gastrointestinal Endoscopy, Vol. 82, No. 3, 01.09.2015, p. 538-541.

Research output: Contribution to journalArticle

Rex, Kevin D. ; Vemulapalli, Krishna C. ; Rex, Douglas. / Recurrence rates after EMR of large sessile serrated polyps. In: Gastrointestinal Endoscopy. 2015 ; Vol. 82, No. 3. pp. 538-541.
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