Patients with advanced or high-risk adenomas are recommended to undergo surveillance earlier than patients with low-risk adenomas. In the U.S., the traditional high-risk group classification for patients includes those with adenomas \u22651 cm, high-grade dysplasia or villous elements, or \u22653 adenomas. In 2020, the European Society of Gastrointestinal Endoscopy (ESGE) redefined the high-risk group as those with adenomas \u22651 cm, high-grade dysplasia, or \u22655 adenomas. A Polish study was used to create a novel definition of adenomas \u226520 mm or high-grade dysplasia.<\/p>\n\n\n\n
Using national registries in Norway, investigators identified and studied a group of patients with cancer and a subcohort of patients with adenomas. The patients were diagnosed between 1993 and 2007 and followed for a median of 12.7 years.<\/p>\n\n\n\n
The fraction of the adenoma cohort having high-risk findings was 52.7%, 45.2%, and 27% with the traditional, ESGE, and novel risk classification schemes, respectively. A diagnosis of colorectal cancer (CRC) would have been delayed in 3.4% of cases using the ESGE classification and 24.1% using the novel classification.<\/p>\n\n\n\n
The low-risk adenoma cohorts had CRC risk below the general population risk using all 3 definitions of high risk.<\/p>\n","protected":false},"excerpt":{"rendered":"
Patients with advanced or high-risk adenomas are recommended to undergo surveillance earlier than patients with low-risk adenomas. In the U.S., the traditional high-risk group classification for patients includes those with adenomas \u22651 cm, high-grade dysplasia or villous elements, or \u22653 adenomas. In 2020, the European Society of Gastrointestinal Endoscopy (ESGE) redefined the high-risk group as … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2065,2058,1343],"class_list":["post-14211","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-adenomas-2","tag-colon-2","tag-crc"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/14211","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=14211"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=14211"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=14211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}