-
Mis-sizing of Adenomatous Polyps is Common among Endoscopists and Impacts Colorectal Cancer Screening Recommendations
-
Thu Pham, Aung Bajaj, Lorela Berberi, Chengcheng Hu, Sasha Taleban
-
Clin Endosc 2018;51(5):485-490. Published online June 21, 2018
-
DOI: https://doi.org/10.5946/ce.2017.183
-
-
 Abstract
 PDF PubReader ePub
- Background
/Aims: To determine the accuracy of identifying ≥6-mm adenomatous polyps during colonoscopy and define its impact on subsequent interval screening.
Methods
We conducted a retrospective study of patients who underwent colonoscopies at Banner University Medical Center, Tucson from 2011 to 2015. All patients with ≥6-mm adenomatous polyps based on their colonoscopy report were included. Adenomatous polyps were excluded if they did not meet the criteria. Discrepancies in the polyp size were determined by calculating the percentage of size variation (SV). Clinical mis-sizing was defined as SV >33%.
Results
The polyps analyzed were predominantly <10 mm in size. Approximately 13% of the examined polyps met the inclusion criteria, and 40.7% of the adenomas were ≥10 mm. A total of 189 ≥6-mm adenomatous polyps were collected from 10 different gastroenterologists and a colorectal surgeon. Adenomatous polyps were clinically mis-sized in 56.6% of cases and overestimated in 71.4%. Among the adenomas reviewed, 22% of mis-sized polyps and 11% of non-mis-sized polyps resulted in an inappropriate surveillance interval.
Conclusions
We found that more than half of ≥6-mm adenomatous polyps are mis-sized and that there is a tendency to overestimate adenoma size among endoscopists. This frequently leads to inappropriate intervals of surveillance colonoscopy.
-
Citations
Citations to this article as recorded by  - Measuring Size of Colorectal Polyps Using a Virtual Scale Endoscope or Visual Assessment: A Randomized Controlled Trial
Mahsa Taghiakbari, Roupen Djinbachian, Claire Haumesser, Sacha Sidani, Jeremy Liu Chen Kiow, Benoit Panzini, Daniel von Renteln
American Journal of Gastroenterology.2024; 119(7): 1309. CrossRef - Adenoma-Based Colonoscopy Quality Metrics for the 45–49 Years Old Military Screening Population
Geoffrey A. Bader, Carl L. Kay, Zachary Eagle, Brandon W. Kuiper, Charles B. Miller, John G. Gancayco
Techniques and Innovations in Gastrointestinal Endoscopy.2024; 26(3): 216. CrossRef - CT colonography has advantages over colonoscopy for size measurement of colorectal polyps
Daisuke Tsurumaru, Yusuke Nishimuta, Katsuya Nanjo, Satohiro Kai, Mitsutoshi Miyasaka, Toshio Muraki, Kousei Ishigami
Japanese Journal of Radiology.2024; 42(11): 1255. CrossRef - Impact of Artificial Intelligence on Polyp Size and Surveillance Colonoscopy: A Phantom Study
Muhammad N Yousaf, Neal Sharma, Michelle L Matteson-Kome, Srinivas Puli, Douglas Nguyen, Matthew L Bechtold
Cureus.2024;[Epub] CrossRef - Measuring size of smaller colorectal polyps using a virtual scale function during endoscopies
Daniel von Renteln, Roupen Djinbachian, Melissa Zarandi-Nowroozi, Mahsa Taghiakbari
Gut.2023; 72(3): 417. CrossRef - Estimating colorectal polyp size with a virtual scale endoscope and visual estimation during colonoscopy: Prospective, preliminary comparison of accuracy
Ryo Shimoda, Takashi Akutagawa, Michito Tomonaga, Tatsuro Murano, Kensuke Shinmura, Masato Yoshioka, Yuichi Teramura, Fumiaki Kiyomi, Hiroaki Ikematsu
Digestive Endoscopy.2022; 34(7): 1471. CrossRef - Accuracy of estimation of polyp size at colonoscopy
Linda Tang, Angelina Di Re, Toufic El‐Khoury
ANZ Journal of Surgery.2020; 90(6): 1125. CrossRef - Polyp Characteristics of Nonsyndromic and Potentially Syndromic Juvenile Polyps
Nadia Ibrahimi, Seth S. Septer, Brian R. Lee, Robert Garola, Raj Shah, Thomas M. Attard
Journal of Pediatric Gastroenterology and Nutrition.2019; 69(6): 668. CrossRef - Importance of the Size of Adenomatous Polyps in Determining Appropriate Colonoscopic Surveillance Intervals
Hoon Sup Koo, Kyu Chan Huh
Clinical Endoscopy.2018; 51(5): 404. CrossRef
-
17,010
View
-
126
Download
-
11
Web of Science
-
9
Crossref
|
KSGE
