Endoscopy 2020; 52(S 01): S65
DOI: 10.1055/s-0040-1704202
ESGE Days 2020 oral presentations
Thursday, April 23, 2020 16:30 – 18:00 Improving outcomes in Wicklow Meeting Room 3GI- endoscopy
© Georg Thieme Verlag KG Stuttgart · New York

POST-POLYPECTOMY SURVEILLANCE COLONOSCOPY, ARE WE FOLLOWING THE GUIDELINES?

N Abu-Freha
1   Soroka University Medical Center, Institute of Gastroenterology and Hepatology, Beer Sheva, Israel
2   Ben Gurion University of the Negev, Faculty of Health Sciences, Beer Sheva, Israel
,
MA Tailakh
3   Ben Gurion University of the Negev, Recanati School for Community Health Professions, Beer Sheva, Israel
,
J Elkrinawi
1   Soroka University Medical Center, Institute of Gastroenterology and Hepatology, Beer Sheva, Israel
,
HA Kaf
1   Soroka University Medical Center, Institute of Gastroenterology and Hepatology, Beer Sheva, Israel
,
A Philip
4   Ben Gurion University of the Negev, Medical School for International Health, Beer Sheva, Israel
,
D Schwartz
1   Soroka University Medical Center, Institute of Gastroenterology and Hepatology, Beer Sheva, Israel
2   Ben Gurion University of the Negev, Faculty of Health Sciences, Beer Sheva, Israel
,
A Yehia
1   Soroka University Medical Center, Institute of Gastroenterology and Hepatology, Beer Sheva, Israel
,
O Etzion
1   Soroka University Medical Center, Institute of Gastroenterology and Hepatology, Beer Sheva, Israel
2   Ben Gurion University of the Negev, Faculty of Health Sciences, Beer Sheva, Israel
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    Aims The Aim of this study was to assess the adherence of gastroenterologists to International Post-Polypectomy guidelines.

    Methods Israeli gastroenterologists answered a questionnaire, consisting of 30 items, regarding the recommendation for Post-Polypectomy surveillance following colonoscopy.

    Results 112 gastroenterologists, representing 23% of the total number of Israeli gastroenterologists, participated in this study, by responding to the web-based questionnaire (mean age is 47 ± 10 years, males, 74 (66%) . From the total responses, 54.7% were compatible with the updated European Post-Polypectomy Guidelines. The recommendations appeared remarkably inappropriate when applied to polyps that were identified as having low risk tubular adenoma, tubular adenoma with high grade dysplasia, and small serrated adenoma. In 37.2% of questionnaires, the recommended time to follow up colonoscopy was shorter than currently stated in the guidelines. The appropriate polypectomy technique was chosen by 62% of the responses. Gastroenterologists younger than 45 years of age adhered more strongly to the international guidelines, particularly in cases of Piecemeal Polypectomy or High-Risk Adenoma Polypectomy.

    Conclusions Gastroenterologists follow the clinical guidelines for Post-Polypectomy Surveillance intervals partially. 57.4% of the recommendations were compatible with the guidelines, whereas 37% of the recommendations were for shorter interval.


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