Survival and Endoscopic/Clinical Features of Patients with Colorectal Cancer Resected by Cold Snare Polypectomy: The Importance of Chronic Kidney Disease
Background and Aims: Colorectal polyps resected by cold snare polypectomy (CSP) are rarely diagnosed as colorectal cancer (CRC). We aimed to investigate the prevalence, clinical features, and prognosis of patients with CRC resected by CSP. Subjects: Patients with colorectal polyps treated with CSP b...
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| Published in | Kurume medical journal Vol. 71; no. 1.2; pp. 1 - 9 |
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| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
Kurume University School of Medicine
27.09.2024
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0023-5679 1881-2090 1881-2090 |
| DOI | 10.2739/kurumemedj.MS7112002 |
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| Abstract | Background and Aims: Colorectal polyps resected by cold snare polypectomy (CSP) are rarely diagnosed as colorectal cancer (CRC). We aimed to investigate the prevalence, clinical features, and prognosis of patients with CRC resected by CSP. Subjects: Patients with colorectal polyps treated with CSP between 2018 and 2022 were enrolled and regularly followed up (median observation period: 30.6 months). Logistic regression analysis and decision tree analysis were employed to investigate the clinical features of the patients. Results: A total of 5,064 colorectal polyps from 2,530 patients were resected by CSP. Of these, 0.24% were diagnosed as CRC; however, no patients died due to CRC. eGFR was an independent risk factor for the presence of CRC (unit 10, OR 0.716, 95%CI 0.525-0.973, P=0.0323) and its optimal cut-off value was 59.9 mL/min/1.73 m2. The decision-tree analysis revealed that 2.03% of patients with creatinine ≥ 1.0 mg/dL had CRC. Conclusion: CRC was diagnosed in 0.24% of the polyps; however, no patients died due to CRC. eGFR <60 mL/min/1.73 m2 and creatinine >1.0 mg/dL were associated with CRC. Thus, colorectal polyps should be carefully examined in patients with chronic kidney disease. |
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| AbstractList | Colorectal polyps resected by cold snare polypectomy (CSP) are rarely diagnosed as colorectal cancer (CRC). We aimed to investigate the prevalence, clinical features, and prognosis of patients with CRC resected by CSP.
Patients with colorectal polyps treated with CSP between 2018 and 2022 were enrolled and regularly followed up (median observation period: 30.6 months). Logistic regression analysis and decision tree analysis were employed to investigate the clinical features of the patients.
A total of 5,064 colorectal polyps from 2,530 patients were resected by CSP. Of these, 0.24% were diagnosed as CRC; however, no patients died due to CRC. eGFR was an independent risk factor for the presence of CRC (unit 10, OR 0.716, 95%CI 0.525-0.973, P=0.0323) and its optimal cut-off value was 59.9 mL/min/1.73 m
. The decision-tree analysis revealed that 2.03% of patients with creatinine ≥ 1.0 mg/dL had CRC.
CRC was diagnosed in 0.24% of the polyps; however, no patients died due to CRC. eGFR <60 mL/min/1.73 m
and creatinine >1.0 mg/dL were associated with CRC. Thus, colorectal polyps should be carefully examined in patients with chronic kidney disease. Colorectal polyps resected by cold snare polypectomy (CSP) are rarely diagnosed as colorectal cancer (CRC). We aimed to investigate the prevalence, clinical features, and prognosis of patients with CRC resected by CSP.BACKGROUND AND AIMSColorectal polyps resected by cold snare polypectomy (CSP) are rarely diagnosed as colorectal cancer (CRC). We aimed to investigate the prevalence, clinical features, and prognosis of patients with CRC resected by CSP.Patients with colorectal polyps treated with CSP between 2018 and 2022 were enrolled and regularly followed up (median observation period: 30.6 months). Logistic regression analysis and decision tree analysis were employed to investigate the clinical features of the patients.SUBJECTSPatients with colorectal polyps treated with CSP between 2018 and 2022 were enrolled and regularly followed up (median observation period: 30.6 months). Logistic regression analysis and decision tree analysis were employed to investigate the clinical features of the patients.A total of 5,064 colorectal polyps from 2,530 patients were resected by CSP. Of these, 0.24% were diagnosed as CRC; however, no patients died due to CRC. eGFR was an independent risk factor for the presence of CRC (unit 10, OR 0.716, 95%CI 0.525-0.973, P=0.0323) and its optimal cut-off value was 59.9 mL/min/1.73 m2. The decision-tree analysis revealed that 2.03% of patients with creatinine ≥ 1.0 mg/dL had CRC.RESULTSA total of 5,064 colorectal polyps from 2,530 patients were resected by CSP. Of these, 0.24% were diagnosed as CRC; however, no patients died due to CRC. eGFR was an independent risk factor for the presence of CRC (unit 10, OR 0.716, 95%CI 0.525-0.973, P=0.0323) and its optimal cut-off value was 59.9 mL/min/1.73 m2. The decision-tree analysis revealed that 2.03% of patients with creatinine ≥ 1.0 mg/dL had CRC.CRC was diagnosed in 0.24% of the polyps; however, no patients died due to CRC. eGFR <60 mL/min/1.73 m2 and creatinine >1.0 mg/dL were associated with CRC. Thus, colorectal polyps should be carefully examined in patients with chronic kidney disease.CONCLUSIONCRC was diagnosed in 0.24% of the polyps; however, no patients died due to CRC. eGFR <60 mL/min/1.73 m2 and creatinine >1.0 mg/dL were associated with CRC. Thus, colorectal polyps should be carefully examined in patients with chronic kidney disease. Background and Aims: Colorectal polyps resected by cold snare polypectomy (CSP) are rarely diagnosed as colorectal cancer (CRC). We aimed to investigate the prevalence, clinical features, and prognosis of patients with CRC resected by CSP. Subjects: Patients with colorectal polyps treated with CSP between 2018 and 2022 were enrolled and regularly followed up (median observation period: 30.6 months). Logistic regression analysis and decision tree analysis were employed to investigate the clinical features of the patients. Results: A total of 5,064 colorectal polyps from 2,530 patients were resected by CSP. Of these, 0.24% were diagnosed as CRC; however, no patients died due to CRC. eGFR was an independent risk factor for the presence of CRC (unit 10, OR 0.716, 95%CI 0.525-0.973, P=0.0323) and its optimal cut-off value was 59.9 mL/min/1.73 m2. The decision-tree analysis revealed that 2.03% of patients with creatinine ≥ 1.0 mg/dL had CRC. Conclusion: CRC was diagnosed in 0.24% of the polyps; however, no patients died due to CRC. eGFR <60 mL/min/1.73 m2 and creatinine >1.0 mg/dL were associated with CRC. Thus, colorectal polyps should be carefully examined in patients with chronic kidney disease. |
| ArticleNumber | MS7112002 |
| Author | TSUTOMU NAGATA AKIHIRO OHUCHI HIROSHI TANAKA TOMONORI CHO TOMOYUKI NAKANE MICHITA MUKASA JUN AKIBA SHINPEI MINAMI MIWA SAKAI SHUHEI FUKUNAGA YOSHINOBU OKABE TAKUMI KAWAGUCHI |
| Author_xml | – sequence: 1 givenname: TSUTOMU surname: NAGATA fullname: NAGATA, TSUTOMU – sequence: 2 givenname: MIWA surname: SAKAI fullname: SAKAI, MIWA – sequence: 3 givenname: MICHITA surname: MUKASA fullname: MUKASA, MICHITA – sequence: 4 givenname: HIROSHI surname: TANAKA fullname: TANAKA, HIROSHI – sequence: 5 givenname: SHINPEI surname: MINAMI fullname: MINAMI, SHINPEI – sequence: 6 givenname: TOMONORI surname: CHO fullname: CHO, TOMONORI – sequence: 7 givenname: TOMOYUKI surname: NAKANE fullname: NAKANE, TOMOYUKI – sequence: 8 givenname: AKIHIRO surname: OHUCHI fullname: OHUCHI, AKIHIRO – sequence: 9 givenname: SHUHEI surname: FUKUNAGA fullname: FUKUNAGA, SHUHEI – sequence: 10 givenname: JUN surname: AKIBA fullname: AKIBA, JUN – sequence: 11 givenname: YOSHINOBU surname: OKABE fullname: OKABE, YOSHINOBU – sequence: 12 givenname: TAKUMI surname: KAWAGUCHI fullname: KAWAGUCHI, TAKUMI |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/39343578$$D View this record in MEDLINE/PubMed |
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Sabatino A, Regolisti G, Brusasco I, Cabassi A, Morabito S et al. Alterations of intestinal barrier and microbiota in chronic kidney disease. Nephrol Dial Transplant 2015; 30:924-933. 18. Horii T, Suzuki S, Sugita A, Yamauchi M, Ikehara H et al. Comparison of complete resection rates in cold snare polypectomy using two different wire diameter snares: A randomized controlled study. J Gastroenterol Hepatol 2023; 38:752-760. 22 23 24 25 26 27 28 29 30 31 10 32 11 33 12 34 13 35 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 21 |
| References_xml | – reference: 32. Sabatino A, Regolisti G, Brusasco I, Cabassi A, Morabito S et al. Alterations of intestinal barrier and microbiota in chronic kidney disease. Nephrol Dial Transplant 2015; 30:924-933. – reference: 29. Takizawa K, Ono H, Hasuike N, Takashima A, Minashi K et al. A nonrandomized, single-arm confirmatory trial of expanded endoscopic submucosal dissection indication for undifferentiated early gastric cancer: Japan Clinical Oncology Group study (JCOG1009/1010). Gastric Cancer 2021; 24:479-491. – reference: 15. Harada T, Hamada Y, Tanaka K, Horiki N, and Nakagawa H. Invasive Colon Cancer Inadvertently Resected by Cold Snare Polypectomy. Intern Med 2023; 62:227-231. – reference: 12. Yoshida N, Naito Y, Murakami T, Ogiso K, Hirose R et al. A Diminutive T1 Cancer 4 mm in Size Resected by Cold Snare Polypectomy. Case Rep Gastroenterol 2018; 12:27-31. – reference: 22. Hashida R, Matsuse H, Kawaguchi T, Yoshio S, Bekki M et al. Effects of a low-intensity resistance exercise program on serum miR-630, miR-5703, and Fractalkine/CX3CL1 expressions in subjects with No exercise habits: A preliminary study. Hepatol Res 2021; 51:823-833. – reference: 19. Shichijo S, Takeuchi Y, Kitamura M, Kono M, Shimamoto Y et al. Does cold snare polypectomy completely resect the mucosal layer? A prospective single-center observational trial. J Gastroenterol Hepatol 2020; 35:241-248. – reference: 16. Shimose S, Hiraoka A, Casadei-Gardini A, Tsutsumi T, Nakano D et al. The beneficial impact of metabolic dysfunction-associated fatty liver disease on lenvatinib treatment in patients with non-viral hepatocellular carcinoma. Hepatol Res 2023; 53:104-115. – reference: 17. Kim MJ, Na SY, Kim JS, Choi HH, Kim DB et al. Cold snare polypectomy versus cold endoscopic mucosal resection for small colorectal polyps: a multicenter randomized controlled trial. Surg Endosc 2023; 37:3789-3795. – reference: 3. de Assis JV, Coutinho LA, Oyeyemi IT, Oyeyemi OT, and Grenfell R. Diagnostic and therapeutic biomarkers in colorectal cancer: a review. Am J Cancer Res 2022; 12:661-680. – reference: 14. Xing Y, Hosaka H, Tanaka H, Kasuga K, Nakata K et al. Early Rectal Cancer With Submucosal Infiltration: When to Avoid Cold Snare Polypectomy for <1 cm Lesions? Am J Gastroenterol 2022; 117:1733. – reference: 26. Sano T, Amano K, Ide T, Yokoyama K, Noguchi K et al. A combination of hepatic encephalopathy and body mass index was associated with the point of no return for improving liver functional reserve after sofosbuvir/velpatasvir treatment in patients with hepatitis C virus-related decompensated cirrhosis. Hepatol Res 2023; 53:26-34. – reference: 23. Kawaguchi T, Honda A, Sugiyama Y, Nakano D, Tsutsumi T et al. Association between the albumin-bilirubin (ALBI) score and severity of portopulmonary hypertension (PoPH): A data-mining analysis. Hepatol Res 2021; 51:1207-1218. – reference: 31. Komaki Y, Komaki F, Micic D, Ido A, and Sakuraba A. Risk of Colorectal Cancer in Chronic Kidney Disease: A Systematic Review and Meta-Analysis. J Clin Gastroenterol 2018; 52:796-804. – reference: 6. Tappero G, Gaia E, De Giuli P, Martini S, Gubetta L et al. Cold snare excision of small colorectal polyps. Gastrointest Endosc 1992; 38:310-313. – reference: 27. Tsutsumi T, Eslam M, Kawaguchi T, Yamamura S, Kawaguchi A et al. MAFLD better predicts the progression of atherosclerotic cardiovascular risk than NAFLD: Generalized estimating equation approach. Hepatol Res 2021; 51:1115-1128. – reference: 9. Zauber AG, Winawer SJ, O’Brien MJ, Lansdorp-Vogelaar I, van Ballegooijen M et al. Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med 2012; 366:687-696. – reference: 4. Leslie A, Carey FA, Pratt NR, and Steele RJ. The colorectal adenoma-carcinoma sequence. Br J Surg 2002; 89:845-860. – reference: 2. 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| Snippet | Background and Aims: Colorectal polyps resected by cold snare polypectomy (CSP) are rarely diagnosed as colorectal cancer (CRC). We aimed to investigate the... Colorectal polyps resected by cold snare polypectomy (CSP) are rarely diagnosed as colorectal cancer (CRC). We aimed to investigate the prevalence, clinical... |
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| SubjectTerms | Adult Aged Aged, 80 and over chronic kidney disease cold polypectomy colon cancer colon polyp Colonic Polyps - complications Colonic Polyps - surgery Colonoscopy - methods Colorectal Neoplasms - complications Colorectal Neoplasms - diagnosis Colorectal Neoplasms - mortality Colorectal Neoplasms - surgery Decision Trees Female Glomerular Filtration Rate histological diagnosis Humans magnifying endoscopy Male Middle Aged pre-diabetes Prognosis Renal Insufficiency, Chronic - complications Risk Factors |
| Title | Survival and Endoscopic/Clinical Features of Patients with Colorectal Cancer Resected by Cold Snare Polypectomy: The Importance of Chronic Kidney Disease |
| URI | https://www.jstage.jst.go.jp/article/kurumemedj/71/1.2/71_MS7112002/_article/-char/en https://www.ncbi.nlm.nih.gov/pubmed/39343578 https://www.proquest.com/docview/3111201500 |
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