Endoscopic resection of local recurrences of diminutive polyps by cold forceps polypectomy.

Abstract

OBJECTIVES:

Cold forceps polypectomy (CFP) is an effective treatment for diminutive colorectal polyps. However, polyps occasionally recur, and there is no consensus on their long-term clinical management. Therefore, we investigated the short- and long-term clinical outcomes of re-CFP for recurrent diminutive colorectal polyps.

MATERIALS AND METHODS:

This was a follow-up of a multicenter, prospective study investigating the clinical outcomes of diminutive colorectal polyps excised by CFP with narrowband imaging-enhanced endoscopy and jumbo forceps. We evaluated short-term outcomes of re-CFP and patients at 1-year follow-up post re-CFP for recurrent colorectal polyps to determine long-term recurrence rates. Additionally, complete resection rates, clinicopathological features, number of forceps bites, and rate of short-term adverse events managed by re-CFP were evaluated.

RESULTS:

At 1-year follow-up, local recurrence was identified in 18 patients from the original study. The mean size of local recurrent polyps was 1.5 ± 0.6 mm, and all recurrent lesions were < 3 mm. Re-CFP could successfully excise locally recurrent polyps in all cases. All recurrent lesions were low-grade adenomas; no adverse events were reported. Additionally, 16 of 18 patients were evaluated endoscopically at 2-year follow-up; no recurrence was observed.

CONCLUSIONS:

Recurrent lesions following initial CFP were small and pathologically benign, and re-CFP was an effective treatment.

• Authors: Toshio Kuwai, Takuya Yamada, Tatsuya Toyokawa, Tomohiro Kudo, Naoki Esaka, Hajime Ohta, Haruhiro Yamashita, Yasuo Hosoda, Noriko Watanabe, Naohiko Harada
• Journal: Scandinavian journal of gastroenterology (Scand J Gastroenterol) Vol. 56 Issue 3 Pg. 363-368 (Mar 2021) ISSN: 1502-7708 [Electronic] England
• PMID: 33444508 (Publication Type: Journal Article, Multicenter Study)

Topics

• Colonic Polyps (surgery)
• Colonoscopy
• Colorectal Neoplasms
• Humans
• Neoplasm Recurrence, Local (surgery)
• Prospective Studies
• Surgical Instruments