Role of baseline adenoma characteristics for adenoma recurrencein patients with high-risk adenoma

Authors: TEVFİK SOLAKOĞLU, HÜSEYİN KÖSEOĞLU, SEVİL ÖZER SARI, FATMA EBRU AKIN, AYLİN DEMİREZER BOLAT, ÖYKÜ TAYFUR YÜREKLİ, NACİYE ŞEMNUR BÜYÜKAŞIK, OSMAN ERSOY

Abstract: Background/aim: The present observational study aimed to determine the predictive value of 3-year recurrence adenoma characteristics at baseline conventional colonoscopy in patients with high-risk adenoma.Materials and methods: A total of 47 patients with high-risk adenoma at baseline colonoscopy were followed up and underwent a surveillance colonoscopy at 3 years. Correlations between adenoma recurrence and baseline adenoma characteristics (size, number, histological features, and location) were analyzed.Results: Among 135 patients with high-risk adenoma, 47 patients (35%) who underwent surveillance colonoscopy at 3 years following baseline colonoscopy were included in the study. In these 47 patients, at least one new adenoma was detected in 19 (40.4%) patients, and new advanced adenomas were detected in 5 (10.6%) patients during the surveillance colonoscopy. No significant difference was found in patients who had adenoma recurrence versus those who did not in terms of size of adenomas (P = 0.143), number of adenomas (P = 0.562), histological properties of adenomas (P = 0.658), or locations of adenomas (P = 0.567).Conclusion: Baseline adenoma characteristics were not associated with the recurrence of adenomas or advanced adenomas in patients with high-risk adenoma.

Keywords: Colonoscopy, adenoma characteristics, high-risk adenoma, surveillance

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