Long-term adenoma recurrence following wide-field endoscopic mucosal resection (WF-EMR) for advanced colonic mucosal neoplasia is infrequent: results and risk factors in 1000 cases from the Australian Colonic EMR (ACE) study.

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Abstract

Wide-field endoscopic mucosal resection (WF-EMR) is an alternative to surgery for treatment of advanced colonic mucosal neoplasia up to 120 mm in size, but has been criticised for its potentially high recurrence rates. We aimed to quantify recurrence at 4 months (early) and 16 months (late) following successful WF-EMR and identify its risk factors and clinical significance.

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Journal

Journal ID (iso-abbrev): Gut

Title: Gut

ISSN (Electronic): 1468-3288

ISSN (Print): 0017-5749

Publication date (Electronic): Jan 2015

Volume: 64

Issue: 1

Affiliations

[1 ] Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia Department of Endoscopy, Western Health and The University of Melbourne, Melbourne, Australia.

[2 ] Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia.

[3 ] Department of Gastroenterology, Princess Alexandra Hospital, Brisbane, Australia.

[4 ] Department of Gastroenterology, The Epworth Hospital, Melbourne, Australia Department of Gastroenterology, The Alfred Hospital, Melbourne, Australia.

[5 ] Department of Gastroenterology, Lyell McEwin Hospital, Adelaide, Australia.

[6 ] Department of Endoscopy, Western Health and The University of Melbourne, Melbourne, Australia Department of Gastroenterology, The Alfred Hospital, Melbourne, Australia.

[7 ] Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.

[8 ] Medical Statistician, Research and Education Network, Westmead Hospital and Sydney University, Sydney, New South Wales, Australia.

Article

Publisher Item ID: gutjnl-2013-305516

DOI: 10.1136/gutjnl-2013-305516

PubMed ID: 24986245

SO-VID: 2951bae6-09c3-487b-8c22-b0cc8ae4fb5d

History

Keywords: Adenoma,Colonic Polyps,Colonoscopy,Colorectal Cancer,Endoscopic Polypectomy

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Keywords: Adenoma, Colonic Polyps, Colonoscopy, Colorectal Cancer, Endoscopic Polypectomy

Long-term adenoma recurrence following wide-field endoscopic mucosal resection (WF-EMR) for advanced colonic mucosal neoplasia is infrequent: results and risk factors in 1000 cases from the Australian Colonic EMR (ACE) study.

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