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Showing content from https://pubmed.ncbi.nlm.nih.gov/26163955/ below:

Risk of Metachronous Polyps in Individuals With Serrated Polyps

Affiliations

• ¹ 1 Department of Gastroenterology and Hepatology, The Cleveland Clinic, Cleveland, Ohio 2 Division of Gastroenterology, Washington University, St. Louis, Missouri 3 Department of Quantitative Health Sciences, The Cleveland Clinic, Cleveland, Ohio 4 Department of Anatomic Pathology, The Cleveland Clinic, Cleveland, Ohio.

• PMID: 26163955
• DOI: 10.1097/DCR.0000000000000406

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Carole Macaron et al. Dis Colon Rectum. 2015 Aug.

• ¹ 1 Department of Gastroenterology and Hepatology, The Cleveland Clinic, Cleveland, Ohio 2 Division of Gastroenterology, Washington University, St. Louis, Missouri 3 Department of Quantitative Health Sciences, The Cleveland Clinic, Cleveland, Ohio 4 Department of Anatomic Pathology, The Cleveland Clinic, Cleveland, Ohio.

• PMID: 26163955
• DOI: 10.1097/DCR.0000000000000406

Item in Clipboard

Background: Surveillance colonoscopy is recommended for patients with serrated polyps, but the risk of metachronous polyps is not well established.

Objective: The aim of this study was to determine the risk of metachronous polyps in patients with serrated polyps and assess the relationship of coexistent adenomas in polyp recurrence.

Design and setting: This prospective cohort study was conducted in a single tertiary center in the United States.

Patients: Patients were included if they had a hyperplastic polyp ≥10 mm a sessile serrated polyp or a traditional serrated adenoma with or without coexistent adenomas, or only adenomas at baseline colonoscopy

Main outcome measurements: : The cumulative incidence of advanced adenomas and advanced serrated polyps was the primary outcome measured.

Results: The incidence of metachronous advanced adenomas was highest in patients with baseline advanced adenoma (40%) and 10% in those with serrated polyps only. The coexistence of serrated polyps and adenomas did not increase the risk of metachronous advanced adenoma (27% in serrated polyps + advanced adenoma and 7% in serrated polyps + nonadvanced adenoma). Metachronous serrated polyps ≥10 mm were seen exclusively in patients with baseline serrated polyps (serrated polyps only, 7%; serrated polyps + nonadvanced adenoma, 11%; serrated polyps +advanced adenoma, 9%) and not in patients with only adenomas at baseline.

Limitation: The small cohort and the data collected retrospectively were limitations of this study.

Conclusions: Patients with baseline large hyperplastic polyps, sessile serrated polyps with or without dysplasia, or traditional serrated adenoma have a low risk of metachronous advanced adenoma, but were the sole group with recurrent large serrated polyps. No effect of coexistent serrated polyps and adenomas was seen for the recurrence of advanced adenoma.

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  Anderson JC, Butterly LF, Robinson CM, Weiss JE, Amos C, Srivastava A. Anderson JC, et al. Gastroenterology. 2018 Jan;154(1):117-127.e2. doi: 10.1053/j.gastro.2017.09.011. Epub 2017 Sep 18. Gastroenterology. 2018. PMID: 28927878 Free PMC article.

• Diminutive Polyps With Advanced Histologic Features Do Not Increase Risk for Metachronous Advanced Colon Neoplasia.

  Vleugels JLA, Hassan C, Senore C, Cassoni P, Baron JA, Rex DK, Ponugoti PL, Pellise M, Parejo S, Bessa X, Arnau-Collell C, Kaminski MF, Bugajski M, Wieszczy P, Kuipers EJ, Melson J, Ma KH, Holman R, Dekker E, Pohl H. Vleugels JLA, et al. Gastroenterology. 2019 Feb;156(3):623-634.e3. doi: 10.1053/j.gastro.2018.10.050. Epub 2018 Nov 2. Gastroenterology. 2019. PMID: 30395813

• High-risk metachronous polyps are more frequent in patients with traditional serrated adenomas than in patients with conventional adenomas: a multicenter prospective study.

  Yoon JY, Kim HT, Hong SP, Kim HG, Kim JO, Yang DH, Park DI, Park SJ, Kim HS, Keum B, Park CH, Eun CS, Lee SH, Baek IH, Chang DK, Kim TI. Yoon JY, et al. Gastrointest Endosc. 2015 Dec;82(6):1087-93.e3. doi: 10.1016/j.gie.2015.05.016. Epub 2015 Jun 24. Gastrointest Endosc. 2015. PMID: 26117178 Clinical Trial.

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  Baile-Maxía S, Mangas-Sanjuán C, Ladabaum U, Sánchez-Ardila C, Sala-Miquel N, Hassan C, Rutter MD, Bretthauer M, Zapater P, Jover R. Baile-Maxía S, et al. Gastrointest Endosc. 2024 Oct;100(4):605-615.e14. doi: 10.1016/j.gie.2024.05.021. Epub 2024 Jun 6. Gastrointest Endosc. 2024. PMID: 38851458 Review.

• Risk of Metachronous Neoplasia with High-Risk Adenoma and Synchronous Sessile Serrated Adenoma: A Systematic Review and Meta-Analysis.

  Boregowda U, Umapathy C, Echavarria J, Saligram S. Boregowda U, et al. Diagnostics (Basel). 2023 Apr 27;13(9):1569. doi: 10.3390/diagnostics13091569. Diagnostics (Basel). 2023. PMID: 37174960 Free PMC article. Review.

• Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer.

  Gupta S, Lieberman D, Anderson JC, Burke CA, Dominitz JA, Kaltenbach T, Robertson DJ, Shaukat A, Syngal S, Rex DK. Gupta S, et al. Am J Gastroenterol. 2020 Mar;115(3):415-434. doi: 10.14309/ajg.0000000000000544. Am J Gastroenterol. 2020. PMID: 32039982 Free PMC article. No abstract available.

• Increased risk of metachronous large serrated polyps in individuals with 5- to 9-mm proximal hyperplastic polyps: data from the New Hampshire Colonoscopy Registry.

  Anderson JC, Robinson CM, Butterly LF. Anderson JC, et al. Gastrointest Endosc. 2020 Aug;92(2):387-393. doi: 10.1016/j.gie.2020.04.034. Epub 2020 Apr 26. Gastrointest Endosc. 2020. PMID: 32348745 Free PMC article.

• Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer.

  Gupta S, Lieberman D, Anderson JC, Burke CA, Dominitz JA, Kaltenbach T, Robertson DJ, Shaukat A, Syngal S, Rex DK. Gupta S, et al. Gastroenterology. 2020 Mar;158(4):1131-1153.e5. doi: 10.1053/j.gastro.2019.10.026. Epub 2020 Feb 7. Gastroenterology. 2020. PMID: 32044092 Free PMC article. No abstract available.

• Management of Serrated Polyps of the Colon.

  Fan C, Younis A, Bookhout CE, Crockett SD. Fan C, et al. Curr Treat Options Gastroenterol. 2018 Mar;16(1):182-202. doi: 10.1007/s11938-018-0176-0. Curr Treat Options Gastroenterol. 2018. PMID: 29445907 Free PMC article. Review.

• Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer.

  Gupta S, Lieberman D, Anderson JC, Burke CA, Dominitz JA, Kaltenbach T, Robertson DJ, Shaukat A, Syngal S, Rex DK. Gupta S, et al. Gastrointest Endosc. 2020 Mar;91(3):463-485.e5. doi: 10.1016/j.gie.2020.01.014. Epub 2020 Feb 7. Gastrointest Endosc. 2020. PMID: 32044106 Free PMC article. No abstract available.

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