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다국어 초록 (Multilingual Abstract)

Post-polypectomy surveillance has become a major indication for colonoscopy as a result of increased use of screening colonoscopy in Korea. However, because the medical resource is limited, and the first screening colonoscopy produces the greatest effect on reducing the incidence and mortality of colorectal cancer, there is aneed to increase the efficiency of postpolypectomy surveillance. In the present report, a careful analytic approach was used to address all available evidences to delineate the predictors for advanced neoplasia at surveillance colonoscopy. Based on the results of review of the evidences, we elucidated the high risk findings of the index colonoscopy as follows: 1) 3 or more adenomas, 2) any adenoma larger than 10 mm, 3) any tubulovillous or villous adenoma, 4) any adenoma with high-grade dysplasia, and 5) any serrated polyps larger than 10 mm. In patients without any high-risk findings at the index colonoscopy, surveillance colonoscopy should be performed five years after index colonoscopy. In patients with one or more high risk findings, surveillance colonoscopy should be performed three years after polypectomy. However, the surveillance interval can be shortened considering the quality of the index colonoscopy, the completeness of polyp removal, the patient`s general condition, and family and medical history. This practical guideline cannot totally take the place of clinical judgments made by practitioners and should be revised and supplemented in the future as new evidence becomes available. (Intest Res 2012;10:89-109)

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참고문헌 (Reference)

1 강문수, "용종절제술 후 대장내시경 추적검사 시기에 관한 설문 조사" 대한소화기내시경학회 33 (33): 339-345, 2006

2 박세영, "용종 절제술 후 확인된 대장직장 용종의 간과율" 대한소화기내시경학회 36 (36): 132-137, 2008

3 김진배, "대장용종절제술 후 용종의 재발률 및 추적 검사 시기" 대한소화기학회 44 (44): 77-83, 2004

4 최규용, "대장내시경의 대장직장 용종 및 선종의 간과율" 대한소화기내시경학회 26 (26): 199-204, 2003

5 정춘식, "대장내시경 검사에서 용종의 간과율" 대한소화기내시경학회 28 (28): 179-182, 2004

6 Ferretti G, "there a right-sided shift for colorectal cancer in women compared with men?" 15 : 1054-, 2006

7 Zhang J, "What's the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes" 280 : 1690-1691, 1998

8 Laiyemo AO, "Utilization and yield of surveillance colonoscopy in the continued follow-up study of the polyp prevention trial" 7 : 562-567, 2009

9 Robertson DJ, "Using the results of a baseline and a surveillance colonoscopy to predict recurrent adenomas with high-risk characteristics" 151 : 103-109, 2009

10 Health Insurance Policy Research Institute, The National Health Insurance Corporation, "Trend of studies about economic evaluation of the cancer screening programs"