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CC BY 4.0 · Endosc Int Open
DOI: 10.1055/a-2795-7563
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Rates of Colorectal Surgery for Patients with Non-Malignant Colorectal Polyps: Results from a Nationwide Study

Authors

  • Saqr Alsakarneh

    1   Gastroenterology & Hepatology, Mayo Clinic, Rochester, United States (Ringgold ID: RIN6915)

  • Rahul Karna 

    2   Gastroenterology & Hepatology, University of Minnesota System, Minneapolis, United States (Ringgold ID: RIN311816)

  • Aasma Shaukat

    3   Gastroenterology & Hepatology, NYU Langone Health, New York, United States (Ringgold ID: RIN12297)

  • Mohammad Bilal 

    4   Gastroenterology & Hepatology, University of Colorado Anschutz Medical Campus, Aurora, United States (Ringgold ID: RIN129263)
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Despite advances in endoscopic techniques, many colorectal surgeries in the U.S. are still performed for non-malignant colorectal polyps (NMCRPs). This study evaluates trends, demographic variations, and outcomes of surgeries for NMCRPs among all colorectal surgeries over the past decade. Using the TriNetX nationwide database, we identified adults (≥18 years) who underwent colectomy or proctectomy for NMCRPs or colorectal cancer between 2013-2023. We evaluated the proportion of surgeries performed for NMCRPs, stratified by demographic factors, and compared postoperative adverse events between NMCRP and colorectal cancer surgeries. Among 136,721 surgeries, 52,480 (38.4%) were for NMCRPs. The proportion of NMCRP surgeries decreased from 59% in 2013 to 33% in 2023, with the most significant decline between 2013-2016. Black individuals showed the highest decrease. Compared to colorectal cancer surgeries, NMCRP surgeries were associated with significantly lower risks of wound, infectious, urinary, pulmonary, gastrointestinal, and cardiac adverse events. While the proportion of NMCRP surgery have declined, ongoing efforts in education and training are needed to further reduce unnecessary surgeries and improve patient outcomes.



Publication History

Received: 27 February 2025

Accepted after revision: 22 January 2026

Accepted Manuscript online:
23 January 2026

© . The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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Bibliographical Record
Saqr Alsakarneh, Rahul Karna, Aasma Shaukat, Mohammad Bilal. Rates of Colorectal Surgery for Patients with Non-Malignant Colorectal Polyps: Results from a Nationwide Study. Endosc Int Open ; 0: a27957563.
DOI: 10.1055/a-2795-7563