Clinical Endoscopy

  • 제51권4호
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  • Pages.368-374
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  • 2018
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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DOI QR코드

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Endoscopic Features of Mucous Cap Polyps: A Way to Predict Serrated Polyps

  • Moy, Brian T. (Division of Gastroenterology and Hepatology, UConn Health) ;
  • Forouhar, Faripour (Department of Pathology, UConn Health) ;
  • Kuo, Chia-Ling (Connecticut Institute for Clinical & Translational Science, UConn Health) ;
  • Devers, Thomas J. (Division of Gastroenterology and Hepatology, UConn Health)
  • 투고 : 2017.09.20
  • 심사 : 2017.11.20
  • 발행 : 2018.07.30
⟨ 이전 논문 다음 논문 ⟩

초록

Background/Aims: The aims of the study were to identify whether a mucous-cap predicts the presence of serrated polyps, and to determine whether additional endoscopic findings predict the presence of a sessile serrated adenomas/polyp (SSA/P). Methods: We analyzed 147 mucous-capped polyps with corresponding histology, during 2011-2014. Eight endoscopic features (presence of borders, elevation, rim of debris, location in the colon, size ${\geq}10mm$, varicose vessels, nodularity, and alteration in mucosal folds) of mucous-capped polyps were examined to see if they can predict SSA/Ps. Results: A total of 86% (n=126) of mucous-capped polyps were from the right sided serrated pathway (right-sided hyperplastic [n=83], SSA/Ps [n=43], traditional serrated adenoma [n=1]), 10% (n=15) were left-sided hyperplastic polyps, and 3% (n=5) were from the adenoma-carcinoma sequence. The presence of a mucous cap combined with varicose vessels was the only significant predictor for SSA/Ps. The other seven characteristics were not found to be statistically significant for SSA/Ps, although location in the colon and the presence of nodularity trended towards significance. Conclusions: Our study suggests that mucous-capped polyps have high predictability for being a part of the serrated pathway. Gastroenterologists should be alert for a mucous-capped polyp with varicose veins, as these lesions have a higher risk of SSA/P.

키워드

참고문헌

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