Table 3. Features of recurrence in patients with endoscopic resection of colonic polyps by EMR/ESD in patients with IBD.
Characteristics | Recurrence 1 (20) | Recurrence 2 (9) | Recurrence 3 (3) |
Index polyp size (mm) | |||
< 20 | 6 (30.0 %) | 2 (22.2 %) | 0 (0.0 %) |
≥ 20 | 14 (70.0 %) | 7 (77.8 %) | 3 (100.0 %) |
Median size of recurrent polyp (mm) | 6.5 | 5 | 3.5 |
Resection technique of index polyp | |||
ESD only | 1 | ||
EMR only | 19 | ||
ESD + EMR | 0 | ||
Location of polyps, n (%) | Top of Form | ||
Ascending colon | 10 (50 %) | ||
Transverse colon | 4 (20 %) | ||
Sigmoid colon | 4 (20 %) | ||
Rectum | 2 (10 %) | ||
Morphology (Paris classification), n (%) | |||
Polypoid sessile | 15 (75.0 %) | 7 (77.8 %) | 3 (100.0 %) |
Non polypoid flat | 5 (25.0 %) | 2 (22.2 %) | 0 (0.0 %) |
Resectioning technique; polyps ≥ 20 mm, n (%) | |||
En bloc | 13 (92.9 %) | 1 | |
Piecemeal | 1 (7.1 %) | ||
Type of snare used, n (%) | |||
Standard/small | 10 (83.3 %) | 5 | |
Histolock | 1 (9.2 %) | ||
Spiral | 1 (9.2 %) | ||
Additional therapy, n (%) | |||
APC | 5 (16.7 %) | 3 (23.1 %) | 1 (25 %) |
Hot biopsy | 2 (6.7 %) | ||
Hot snare | 10 (33.3 %) | 4 (30.8 %) | |
Cold biopsy | 5 (16.7 %) | 4 (30.8 %) | 2 (50 %) |
Cold snare | 8 (26.7 %) | 2 (15.4 %) | 1 (25 %) |
Polyps needing clips used, n (%) | 5 | ||
Histology, n (%) | |||
Tubular adenoma, low grade dysplasia | 9 (45 %) | 6 (66.6 %) | 1 (33 %) |
Tubulovillous adenoma, low grade dysplasia | 5 (25 %) | ||
Serrated | 5 (25 %) | 1 (11.1 %) | 1 (33 %) |
Adenocarcinoma | |||
Hyperplastic | 1 (2.5 %) | 2 (22.2 %) | 1 (33 %) |
EMR, endoscopic mucosal resection; ESD, endoscopic submucosal dissection; IBD, inflammatory bowel disease; APC, adenomatous polyposis coli