Endoscopy 2020; 52(S 01): S112
DOI: 10.1055/s-0040-1704345
ESGE Days 2020 oral presentations
Saturday, April 25, 2020 08:30 – 10:30 Large colonic polyps: Slice and dice The Liffey B
© Georg Thieme Verlag KG Stuttgart · New York

POLYPS REFERRED TO EXPERT CENTER FOR POLYPECTOMY ACCORDING TO ENDOSCOPIST’S SPECIALTY

Austrian Society of Gastroenterology and Hepatology (OEGGH): Quality Assurance Working Group
B Majcher
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
,
D Penz
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
,
E Kammerlander-Waldmann
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
,
A Hinterberger
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
,
A Szymanska
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
,
A Asaturi
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
,
M Trauner
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
,
M Ferlitsch
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Aims The ESGE-Guideline for colorectal polypectomy (Ferlitsch M et al.) recommends which polyps should be referred to expert centers for polypectomy. Not much is known about these polyps referred to tertiary centers. Therefore,our aim of the study was to assess rates of referred polyps according to endoscopist’s specialty.

Methods Screening colonoscopies from the years 2007-2019 were analyzed within Austrian Certificate in Quality for Screening Colonoscopy. We evaluated the rate of polyps referred to expert centers for polypectomy according to polyps’ size and compared these rates in relation to endoscopist’s specialty. Polyp’s size could be described as < 5mm, 0,5-1cm, 1-2cm and >2cm.

Results From 131 489 screening colonoscopies with polyps in the results, 62,62% were performed by internists, 32,89% by surgeons and 4,49% interdisciplinary. Mean polyps’ rate referred for polypectomy was 5,71%(SD=9,5) for internists, 4,64%(SD=5,66) for surgeons and 3,59%(SD=4,24) in the interdisciplinary group.

No statistical difference was found between the rates of internists and surgeons (polyps < 5mm: 1,48%(SD=7,24) vs. 1,19%(SD=3,74), p=0,714; polyps 0,5-1cm: 6,46%(SD=12,37) vs. 4,80%(SD=10,21), p=0,256; polyps 1-2 cm: 25,16%(SD=30,66) vs. 23,65%(SD=28,94), p=0,691; polyps >2cm: 42,62%(SD=37,94) vs. 44,65%(SD=35,58), p=0,683).

There was also no significant difference between internists and the interdisciplinary group (polyps < 5mm: 1,48%(SD=7,24) vs. 0,65%(SD=1,05), p=0,681; polyps 0,5-1cm: 6,46%(SD=12,37) vs. 4,19%(SD=6,3), p=0,514; polyps 1-2 cm: 25,16%(SD=30,66) vs. 19,75%(SD=24,69), p=0,550; polyps >2cm: 42,62%(SD=37,94) vs. 33,77%(SD=33,21), p=0,471).

Between surgeons and the interdisciplinary group no statistical difference could be found (polyps < 5mm: 1,19%(SD=3,74) vs. 0,65%(SD=1,05), p=0,681, p= 0,605, polyps 0,5-1cm: 4,80%(SD=10,21), p=0,256 vs. 4,19%(SD=6,3), p=0,834; polyps 1-2 cm: 23,65%(SD=28,94) vs. 19,75%(SD=24,69), p= 0,656; polyps >2cm: 44,65%(SD=35,58) vs. 33,77%(SD=33,21), p=0,361).

Conclusions Most of the polyps referred to expert centers were bigger than 2cm. The study did not show significant difference in referring polyps to expert centers for polypectomy according to endoscopist’s specialty.