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

P Amaro; A Agrawal; L Brink; W Fischbach; L Fuccio; M Hünger; U Kinnunen; A Koulaouzidis; A Ono; L Petruzziello; E Toth; JF Riemann; B Amlani; C Spada; on Behalf of the ECQI Group

doi:10.1055/s-0040-1704777

Endoscopy, Table of Contents

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

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

Authors

P Amaro

¹Coimbra University Hospital, Coimbra, Portugal
A Agrawal

²Doncaster Royal Infirmary, Doncaster, United Kingdom
L Brink

³Herlev Hospital, Copenhagen, Denmark
W Fischbach

⁴Gastroenterologie und Innere Medizin, Aschaffenburg, Germany
L Fuccio

⁵ S. Orsola-Malpighi University Hospital, Bologna, Italy
M Hünger

⁶Private Practice for Internal Medicine, Wurzburg, Germany
U Kinnunen

⁷Tampere University Hospital, Tampere, Finland
A Koulaouzidis

⁸The Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
A Ono

⁹Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
L Petruzziello

¹⁰Fondazione Policlinico Universitario A.Gemelli IRCCS, Digestive Endoscopy Unit, Rome, Italy

¹¹Universita Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy
E Toth

¹²Skåne University Hospital, Lund University, Malmö, Sweden
JF Riemann

¹³LebensBlicke Foundation for the Prevention of Colorectal Cancer, Ludwigshafen, Germany

¹⁴Klinikum, Ludwigshafen, Germany
B Amlani

¹⁵Norgine, Harefield, Middlesex, United Kingdom
C Spada

¹⁶Fondazione Poliambulanza, Brescia, Italy

on Behalf of the ECQI Group

Abstract

Full Text

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