Endoscopy 2020; 52(S 01): S192
DOI: 10.1055/s-0040-1704596
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 15:00 – 15:30 Standards of endoscopy ePoster Podium 4
© Georg Thieme Verlag KG Stuttgart · New York

ASSOCIATION OF PATIENT FACTORS WITH PEDUNCULATED AND NON-PEDUNCULATED LESION REPORTING: OBSERVATIONS FROM THE EUROPEAN COLONOSCOPY QUALITY INVESTIGATION QUESTIONNAIRE

A Koulaouzidis
1   The Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
,
P Amaro
1   Coimbra University Hospital, Coimbra, Portugal
,
A Agrawal
1   Doncaster Royal Infirmary, Doncaster, United Kingdom
,
L Brink
1   Herlev Hospital, Copenhagen, Denmark
,
W Fischbach
1   Gastroenterologie und Innere Medizin, Aschaffenburg, Germany
,
L Fuccio
1    S. Orsola-Malpighi University Hospital, Bologna, Italy
,
M Hünger
1   Private Practice for Internal Medicine, Wurzburg, Germany
,
U Kinnunen
1   Tampere University Hospital, Tampere, Finland
,
A Ono
1   Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
,
L Petruzziello
1   Fondazione Policlinico Universitario A.Gemelli IRCCS, Digestive Endoscopy Unit, Rome, Italy
1   Universita Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy
,
JF Riemann
1   Chairman, LebensBlicke Foundation for the Prevention of Colorectal Cancer, Ludwigshafen, Germany
1   Director em. Klinikum, Ludwigshafen, Germany
,
E Toth
1   Skåne University Hospital, Lund University, Malmö, Sweden
,
B Amlani
1   Norgine, Harefield, Middlesex, United Kingdom
,
C Spada
1   Fondazione Poliambulanza, Brescia, Italy
,
on Behalf of the ECQI Group › Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    Aims To assess patient factors associated with pedunculated (Ip + Isp) and non-pedunculated (Is + flat) lesion reporting, as defined by Paris classification.

    Methods The development of the procedure questionnaire, by the European Colonoscopy Quality Investigation (ECQI) Group, has been previously described (UEGW 2015 and 2016). We analysed data collected between 2/6/16 and 30/4/18.

    Results Of 6,445 procedures, 2,621 reported a polyp in at least one colon segment (40.7%). Pedunculated lesions were reported in 601 procedures and non-pedunculated lesions in 2,255 procedures.

    Reporting of pedunculated lesions varied with age (increasing with increasing age group, p < 0.0001 overall). Non-pedunculated lesions varied by age with a peak in the 60–69 age group (p < 0.0001 overall): 10–29 3.0%, 30–39 16.0%, 40–49 23.8%, 50–59 31.9%, 60–69 42.5%, 70–79 42.1%, 80 or over 38.0%.

    Reporting of pedunculated lesions varied by BMI (increasing with increasing BMI group, p = 0.042 overall). Non-pedunculated lesions also varied by BMI, generally increasing with increasing BMI group (p < 0.0001 overall).

    In those who had received a previous total colonoscopy within the last 5 years, reporting of pedunculated lesions decreased (7.9% vs 10.2%, p = 0.003), while reporting of non-pedunculated lesions increased (43.2% vs 29.6%, p < 0.0001).

    There was no difference in the reporting of either pedunculated (p = 0.121) or non-pedunculated (p = 0.509) lesions between in- and outpatients. Interestingly, the adequacy of bowel clearance also had no association with the reporting of either type of lesion (p = 0.935 and p = 0.714).

    Conclusions Pedunculated lesions are less commonly reported than non-pedunculated lesions. Reporting of both pedunculated and non-pedunculated lesions varied by age and BMI. In patients with a previous total colonoscopy in the past 5 years the reporting of pedunculated lesions was decreased while reporting of non-pedunculated lesions was increased.


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