Frequency of Errors in Colorectal Lesion Description and Management Prior to Referral to A Tertiary Center.
Journal
Gastrointestinal endoscopy
ISSN: 1097-6779
Titre abrégé: Gastrointest Endosc
Pays: United States
ID NLM: 0010505
Informations de publication
Date de publication:
29 Oct 2024
29 Oct 2024
Historique:
received:
25
05
2024
revised:
07
09
2024
accepted:
26
10
2024
medline:
1
11
2024
pubmed:
1
11
2024
entrez:
31
10
2024
Statut:
aheadofprint
Résumé
Accurate reporting of polyp characteristics is crucial for effective resource allocation in endoscopic resection referrals. We present our experience with pre-referral management of challenging colorectal lesions. We reviewed a prospectively collected database of consecutive referrals for endoscopic resection of challenging colorectal lesions. The database included details of prior colonoscopies. We assessed pre-referral management using established guidelines. Among 1,826 referred lesions in 1826 patients, size estimates were missing for 421 (24%) lesions; 56 (3.2%) were found twice as large as previously estimated, while 65 (3.7%) were half the previous estimate. Morphological descriptions were absent for 376 (22%) polyps. Tattooing was performed for 822 (47%) lesions, with 247 (30%) placed correctly. Of the 1,103 (77%) polyps biopsied, only 11 (1.1%) were classified as high-risk by the referring endoscopist. Errors in pre-referral management of challenging colorectal lesions are frequent. Improved adherence to national guidelines could enhance practice.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
Accurate reporting of polyp characteristics is crucial for effective resource allocation in endoscopic resection referrals. We present our experience with pre-referral management of challenging colorectal lesions.
METHODS
METHODS
We reviewed a prospectively collected database of consecutive referrals for endoscopic resection of challenging colorectal lesions. The database included details of prior colonoscopies. We assessed pre-referral management using established guidelines.
RESULTS
RESULTS
Among 1,826 referred lesions in 1826 patients, size estimates were missing for 421 (24%) lesions; 56 (3.2%) were found twice as large as previously estimated, while 65 (3.7%) were half the previous estimate. Morphological descriptions were absent for 376 (22%) polyps. Tattooing was performed for 822 (47%) lesions, with 247 (30%) placed correctly. Of the 1,103 (77%) polyps biopsied, only 11 (1.1%) were classified as high-risk by the referring endoscopist.
CONCLUSIONS
CONCLUSIONS
Errors in pre-referral management of challenging colorectal lesions are frequent. Improved adherence to national guidelines could enhance practice.
Identifiants
pubmed: 39481578
pii: S0016-5107(24)03668-X
doi: 10.1016/j.gie.2024.10.056
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.