Hackmann R J, van der Putten A B, Loffeld R J
Ziekenhuis De Heel, afd. Interne Geneeskunde, Zaandam.
Ned Tijdschr Geneeskd. 1998 Jul 25;142(30):1720-3.
To determine the results of follow-up endoscopy after resection of adenomatous polyps from the colon.
Retrospective.
De Heel Hospital, department of Internal Medicine, Zaandam, the Netherlands.
The 124 patients, 66 males and 58 females, with a mean age of 53 years (range: 23-74), in whom a colonpolyp had been removed endoscopically, who had no colonic carcinoma and no positive family history, were registered for follow-up after one year and after 3 or 5 years. In 1997, data were collected on the polyps found and removed at follow-up.
At the original coloscopy, 68 patients (55%) had one polyp, 46 (37%) had two to four polyps and 10 (8%) > or = five polyps. The localizations of the polyps were: rectum 17%, sigmoid 66%, descending colon 12%, transverse colon 3%, ascending colon 1% and caecum 1%. Over one-third of the polyps were larger than 1.5 cm. Ninety-eight patients underwent a first follow-up endoscopy after an average of 12 months (range: 0.4-57); one or more polyps were found and removed in 37 of them (38%). At a second follow-up endoscopy after an average of 28 months (range: 5.4-68 months), polyps were again found and removed in 26 of the 57 patients (46%). If two or more polyps had been removed at an earlier coloscopy, the risk of polyps being found again at the next coloscopy was larger (p < 0.001).
确定结肠腺瘤性息肉切除术后的随访内镜检查结果。
回顾性研究。
荷兰赞丹市De Heel医院内科。
124例患者，男性66例，女性58例，平均年龄53岁（范围：23 - 74岁），这些患者经内镜切除结肠息肉，无结肠癌且无阳性家族史，登记进行1年、3年或5年的随访。1997年收集随访时发现并切除的息肉数据。
在初次结肠镜检查时，68例患者（55%）有1个息肉，46例（37%）有2至4个息肉，10例（8%）有≥5个息肉。息肉的部位分布为：直肠17%，乙状结肠66%，降结肠12%，横结肠3%，升结肠1%，盲肠1%。超过三分之一的息肉直径大于1.5厘米。98例患者平均在12个月（范围：0.4 - 57个月）后接受了首次随访内镜检查；其中37例（38%）发现并切除了1个或多个息肉。在平均28个月（范围：5.4 - 68个月）后的第二次随访内镜检查中，57例患者中有26例（46%）再次发现并切除了息肉。如果在早期结肠镜检查时切除了2个或更多息肉，在下一次结肠镜检查时再次发现息肉的风险更大（p < 0.001）。
