Endoscopy 2020; 52(S 01): S248
DOI: 10.1055/s-0040-1704777
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Clinical endoscopic practice ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC MANAGEMENT OF NON-DIMINUTIVE POLYPS: OBSERVATIONS FROM THE EUROPEAN COLONOSCOPY QUALITY INVESTIGATION QUESTIONNAIRE

P Amaro
1   Coimbra University Hospital, Coimbra, Portugal
,
A Agrawal
2   Doncaster Royal Infirmary, Doncaster, United Kingdom
,
L Brink
3   Herlev Hospital, Copenhagen, Denmark
,
W Fischbach
4   Gastroenterologie und Innere Medizin, Aschaffenburg, Germany
,
L Fuccio
5    S. Orsola-Malpighi University Hospital, Bologna, Italy
,
M Hünger
6   Private Practice for Internal Medicine, Wurzburg, Germany
,
U Kinnunen
7   Tampere University Hospital, Tampere, Finland
,
A Koulaouzidis
8   The Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
,
A Ono
9   Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
,
L Petruzziello
10   Fondazione Policlinico Universitario A.Gemelli IRCCS, Digestive Endoscopy Unit, Rome, Italy
11   Universita Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy
,
E Toth
12   Skåne University Hospital, Lund University, Malmö, Sweden
,
JF Riemann
13   LebensBlicke Foundation for the Prevention of Colorectal Cancer, Ludwigshafen, Germany
14   Klinikum, Ludwigshafen, Germany
,
B Amlani
15   Norgine, Harefield, Middlesex, United Kingdom
,
C Spada
16   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 the endoscopic interventions performed in procedures where a non-diminutive polyp was recorded.

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

Results Of 6445 procedures, 2621 reported a polyp (40.7%). Polyp size was missing in 35 procedures, leaving 2586 procedures with at least one polyp of known size.

Polyps > 5 mm: 1294 procedures reported at least one polyp > 5 mm: 1156 reported an endoscopic intervention (89.3%), 136 reported that there was no endoscopic intervention (10.5%) while 2 did not answer (DNA, 0.15%).

Of the 138 procedures with a polyp > 5 mm that did not report an endoscopic intervention, there was one procedure in which an immediate complication (vascular syncope) was reported (132 stated no immediate complications, 5 DNA), and 37 who reported a requirement for a non-routine (immediate) repeat procedure (no 93, DNA 8).

Polyps ≥ 20 mm (polyp size ≥ 20 mm is a subset of > 5 mm): 280 procedures reported a polyp ≥ 20 mm: 227 (81.1%) reported an endoscopic intervention while 53 (18.9%) reported that they did not. Tattooing was only reported in 28 procedures (10%). In procedures where there was definitely a non-pedunculated lesion ≥ 20 mm, 19/173 (11.0%) reported tattooing.

Conclusions In procedures reporting non-diminutive polyps, no immediate endoscopic intervention was reported in over 1 in 10 procedures, rising to nearly one in five for procedures reporting a polyp ≥ 20 mm. Our findings indicate that tattooing rates are very low.

Tab. 1

Endoscopic interventions in procedures with non-diminutive polyps (multiple options possible). Note: Biopsies may not be related with polyp resection

Type of endoscopic intervention

Polyp size > 5 mm, Number, N = 1156

Polyp size ≥ 20 mm, Number N = 227 (subset of > 5 mm)

Endoscopic mucosal resection

154

58

Polypectomy: complete/incomplete

1012/18

159/10

Other: Argon plasma coagulation/biopsy/endoscopic submucosal dissection

4/41/14

1/21/6

Tattooing

40

28