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J Gastroenterol (2010) 45:838–845
DOI 10.1007/s00535-010-0227-3
ORIGINAL ARTICLE—ALIMENTARY TRACT
Recurrence and surveillance of colorectal adenoma
after polypectomy in a southern Chinese population
Yinglong Huang • Wei Gong •
Bingzhong Su • Fachao Zhi • Side Liu •
Yang Bai • Bo Jiang
Received: 1 November 2009 / Accepted: 14 February 2010 / Published online: 25 March 2010
Springer 2010
Abstract 1.27–3.53] were significantly associated with recurrence
Background and aim Repeat colonoscopy is often per- for advanced adenoma, as were the size and number of
formed within a short time after polypectomy due to the baseline adenoma (p \0.05 for trend), tubulovillous, vil-
fear that colorectal adenomas were missed during the initial lous adenoma (HR 2.57, 95% CI 1.24–5.32), and high-
colonoscopy or that new adenomas have developed. The grade dysplasia (HR 1.61, 95% CI 1.07–2.42). When 5% of
aim of this study was to estimate the actual recurrence rate patients had recurring advanced adenoma, the surveillance
of adenoma and its association with the length of the sur- interval was estimated to be 6.9 (95% CI 6.3–12.2) years in
veillance interval after polypectomy in a southern Chinese the low-risk group and 3.0 (95% CI 2.7–3.2) years in the
population. high-risk group.
Methods A total of 1356 patients undergoing endoscopic Conclusions Among our patient group, the recurrence of
polypectomy and completing three or more surveillence advanced adenoma after polypectomy increased with the
colonoscopies between 1976 and 2007 were retrospectively length of the surveillance interval. Based on our results, a
analyzed. The recu
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