Korean J Gastrointest Endosc > Volume 39(5); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;39(5): 257-264.
대장 용종 절제 후 추적 관리
연세대학교 원주의과대학 내과학교실
Postpolypectomy Colonoscopy Surveillance
Hyun Soo Kim, M.D.
Department of Medicine, Yonsei University Wonju School of Medicine, Wonju, Korea
Colonoscopy and polypectomy are increasingly being used as the most effective interventions for preventing colorectal cancer (CRC), which has resulted in a growing cohort of patients who require postpolypectomy surveillance (PPS). The goal of PPS is to prevent the development of significant metachronous adenomas and CRCs. The surveillance interval depends on an accurate assessment of the individual patient's risk of developing subsequent colonic neoplasm. The newly developed consensus guidelines (CG) emphasize the concept of 'risk stratification' and these guidelines are more user-friendly than the previous ones, thus eliminate conflicting recommendations that are a barrier to physicians using the guideline. Despite the development of CGs, many specialists and non-specialists overutilize colonoscopy for PPS, which causes an ineffective large burden of cost and it strains already limited resources. The safest and most cost-effective approach by colonoscopists to preventing CRC is to maximize the effectiveness of colonoscopy for clearing the colon and then follow the recommended intervals between procedures, including extended intervals for the low-risk cohorts. Educating colonoscopists and the widespread implementation of continuous quality improvement programs are required to bridge the gap between the guidelines and their clinical application. (Korean J Gastrointest Endosc 2009;39:257-264)
Key Words: Colorectal neoplasm, Colonoscopy, Surveillance, Screening, Practice guideline
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
CrossRef TDM  CrossRef TDM
Related articles
Optimal Colonoscopy Surveillance Interval after Polypectomy  2016 July;49(4)
Korean Guidelines for Postpolypectomy Colonoscopy Surveillance  2012 March;45(1)
Postpolypectomy Surveillance Guidelines of US and Europe  2010 March;42(50)
A Survey on the Interval of Post-polypectomy Surveillance Colonoscopy  2006 December;33(6)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro(LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: ce@kams.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy.                 Developed in M2PI
Close layer