Surveillance after Colorectal Polypectomy : Comparison Between Japan and U.S.
スポンサーリンク
概要
- 論文の詳細を見る
Background: Recently, early detection and early treatment of the colorectal cancer have been enabled by the improvement of endoscopic diagnosis and introduction of new techniques. In Japan, although Japan Polyp Study is running, there is no standard strategy concerning the post-polypectomy colonoscopic surveillance yet. Post-polypectomy colonoscopic surveillance is so far entrusted to each institute or each gastroenterologist at present. Material and method To analyze the present states of the surveillance after polypectomy in Japan, we performed questionary survey and compared them with the results in U.S. and U.S.Multisociety Task Force on colorectal Cancer. A simple random sample of 132 doctors who engaged in a digestive organ disease in plural institutes was obtained. Result: Many doctors recommend surveillance every around 1 year regardless of the kind of the polyp. Doctors in Japan tend to recommend postpolypectomy colonoscopic surveillance more frequently than that recommended U.S. Multisociety Task Force on colorectal Cancer. Furthermore in all types of polyps except for 12 mm tubular adenoma with high grade dysplasia, the majority of doctors in Japan recommend post-polypectomy colonoscopic surveillance more frequently than American doctors. Significant difference was found in surveillance of hyperplastic polyp among doctors with 1 to 5 years experience and those with more than 6 years. Conclusion: It has been shown that surveillance intervals varies substantially in each doctor. The agreement of the surveillance program in Japan is necessary to standardize the strategy for the post-polypectomy surveillance of the colon.
- 神戸大学医学部の論文
著者
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Yoshida Masaru
Department Of Gastroenterology Kobe University Hospital
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Azuma Takeshi
Department Of Gastroenterology Kobe University Hospital
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Kutsumi Hiromu
Department Of Gastroenterology Kobe University Hospital
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Kutsumi H
Division Of Gastrointestinal Medicine Akashi City Hospital
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Kutsumi Hiromu
Frontier Medical Science In Gastroenterology International Center For Medical Research And Treatment
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Morita Yoshinori
Department Of Gastroenterology Kobe University Hospital
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Azuma Takeshi
Second Department Of Internal Medicine School Of Medicine Fukui University
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Inokuchi Hideto
Department Of Gastroenterology Kobe University Hospital
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Sanuki Tsuyoshi
Department Of Endoscopy Kobe University Hospital
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Yoshida Masaru
Division Of Gastroenterology Department Of Internal Medicine Kobe University Graduate School Of Medi
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Chinzei Ryo
Division Of Gastroenterology Department Of Internal Medicine Kobe University Graduate School Of Medi
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Obata Daisuke
Division Of Gastroenterology Department Of Internal Medicine Kobe University Graduate School Of Medi
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Fujita Tsuyoshi
Department Of Gastroenterology Kobe University Graduate School Of Medicine
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Azuma Takeshi
Division Of Gastroenterology Department Of Internal Medicine Kobe University Graduate School Of Medi
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Toyonaga Takashi
Department Of Gastroenterology Kobe University Graduate School Of Medicine
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Tanaka Shinwa
Department Of Gastroenterology Kobe University Graduate School Of Medicine National University Corpo
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