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Post-polypectomy surveillance colonoscopy: are we following the guidelines?

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

Polyps are a common finding on colonoscopy procedures. After completing polypectomy, patients are to be followed up with endoscopy. The purpose of the study was to assess the adherence of gastroenterologists to international post-polypectomy guidelines.

Methods

Israeli gastroenterologists answered a questionnaire, consisting of 30 items, regarding the recommendation for post-polypectomy surveillance following colonoscopy.

Results

One hundred and twelve gastroenterologists, representing 23% of the total number of Israeli gastroenterologists, participated in this study, by responding to the web-based questionnaire (mean age is 47 ± 10 years, males, 74 (66%)). From the total responses, 57.4% were compatible with the updated European post-polypectomy guidelines. The recommendations appeared remarkably inappropriate when applied to polyps that were identified as having low-risk tubular adenoma, tubular adenoma with high-grade dysplasia, and small serrated adenoma. In 37.2% of questionnaires, the recommended time to follow-up colonoscopy was shorter than currently stated in the guidelines. The appropriate polypectomy technique was chosen by 62% of the responses. Gastroenterologists younger than 45 years of age adhered more strongly to the international guidelines, particularly in cases of piecemeal polypectomy or high-risk adenoma polypectomy.

Conclusions

Gastroenterologists follow the clinical guidelines for post-polypectomy surveillance intervals partially. 57.4% of the recommendations were compatible with the guidelines, whereas 37% of the recommendations were for shorter interval.

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Funding

The study was not funded.

Author information

Authors and Affiliations

  1. The Institute of Gastroenterology and Hepatology, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

    N. Abu Freha, J. Elkrinawi, H. Abu Kaf, D. Schwartz, A. Yahia & O. Etzion

  2. Recanati School for Community Health Professions, Department of Nursing, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel

    M. Abu Tailakh

  3. Medical School for International Health, Ben-Gurion University, Beer-Sheva, Israel

    A. Philip

Authors
  1. N. Abu Freha
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  2. M. Abu Tailakh
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  3. J. Elkrinawi
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  4. H. Abu Kaf
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  5. A. Philip
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  6. D. Schwartz
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  7. A. Yahia
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  8. O. Etzion
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Corresponding author

Correspondence to N. Abu Freha.

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Conflicts of interest

The authors declare that they have no conflicts of interest.

Data availability

The data is available.

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Ethics approval

The study protocol was exempt from Institutional Helsinki Committee approval.

Consent to participate

Not available; the participants are gastroenterologists and not patients.

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We transfer the copyright to the journal should the article be published.

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Abu Freha, N., Abu Tailakh, M., Elkrinawi, J. et al. Post-polypectomy surveillance colonoscopy: are we following the guidelines?. Int J Colorectal Dis 35, 1343–1346 (2020). https://doi.org/10.1007/s00384-020-03556-4

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  • DOI: https://doi.org/10.1007/s00384-020-03556-4

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