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Korean Guidelines for Colonoscopic Polypectomy / 대한소화기학회지
The Korean Journal of Gastroenterology ; : 85-98, 2012.
Article in Korean | WPRIM | ID: wpr-28742
ABSTRACT
There are indirect evidences to suggest that 80% of colorectal cancers (CRC) develop from adenomatous polyps and that, on average, it takes 10 years for a small polyp to transform into invasive CRC. In multiple cohort studies, colonoscopic polypectomy has been shown to significantly reduce the expected incidence of CRC by 76% to 90%. Colonoscopic polypectomy is performed frequently in primary, secondary and tertiary and medical centers in Korea. However, there are no evidence-based, procedural guidelines for the appropriate performance of this procedure, including the technical aspects. For the guideline presented here, Pubmed, Medline, and Cochrane Library literature searches were performed. When little or no data from well-designed prospective trials were available, an emphasis was placed on the results from large series and reports from recognized experts. Thus, these guidelines for colonoscopic polypectomy are based on a critical review of the available data as well as expert consensus. Further controlled clinical studies are needed to clarify aspects of this statement, and revision may be necessary as new data become available. This guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients. This guideline is not a rule and should not be construed as a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment. Clinical decisions for any particular case involve a complex analysis of the patient's condition and the available courses of action.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Surgical Instruments / Thrombosis / Vasoconstrictor Agents / Colorectal Neoplasms / Epinephrine / Adenoma / Anti-Inflammatory Agents, Non-Steroidal / Aspirin / Colonic Polyps / Databases, Factual Type of study: Practice guideline / Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: Korean Journal: The Korean Journal of Gastroenterology Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Surgical Instruments / Thrombosis / Vasoconstrictor Agents / Colorectal Neoplasms / Epinephrine / Adenoma / Anti-Inflammatory Agents, Non-Steroidal / Aspirin / Colonic Polyps / Databases, Factual Type of study: Practice guideline / Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: Korean Journal: The Korean Journal of Gastroenterology Year: 2012 Type: Article