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Published in: Journal of Gastroenterology 3/2015

01-03-2015 | Special Article

Evidence-based clinical practice guidelines for management of colorectal polyps

Authors: Shinji Tanaka, Yusuke Saitoh, Takahisa Matsuda, Masahiro Igarashi, Takayuki Matsumoto, Yasushi Iwao, Yasumoto Suzuki, Hiroshi Nishida, Toshiaki Watanabe, Tamotsu Sugai, Ken-ichi Sugihara, Osamu Tsuruta, Ichiro Hirata, Nobuo Hiwatashi, Hiroshi Saito, Mamoru Watanabe, Kentaro Sugano, Tooru Shimosegawa

Published in: Journal of Gastroenterology | Issue 3/2015

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Abstract

Background

Recently in Japan, the morbidity of colorectal polyp has been increasing. As a result, a large number of cases of colorectal polyps that are diagnosed and treated using colonoscopy has now increased, and clinical guidelines are needed for endoscopic management and surveillance after treatment.

Methods

Three committees [the professional committee for making clinical questions (CQs) and statements by Japanese specialists, the expert panelist committee for rating statements by the modified Delphi method, and the evaluating committee by moderators] were organized. Ten specialists for colorectal polyp management extracted the specific clinical statements from articles published between 1983 and September 2011 obtained from PubMed and a secondary database, and developed the CQs and statements. Basically, statements were made according to the GRADE system. The expert panel individually rated the clinical statements using a modified Delphi approach, in which a clinical statement receiving a median score greater than seven on a nine-point scale from the panel was regarded as valid.

Results

The professional committee created 91CQs and statements for the current concept and diagnosis/treatment of various colorectal polyps including epidemiology, screening, pathophysiology, definition and classification, diagnosis, treatment/management, practical treatment, complications and surveillance after treatment, and other colorectal lesions (submucosal tumors, nonneoplastic polyps, polyposis, hereditary tumors, ulcerative colitis-associated tumor/carcinoma).

Conclusions

After evaluation by the moderators, evidence-based clinical guidelines for management of colorectal polyps have been proposed for 2014.
Appendix
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Metadata
Title
Evidence-based clinical practice guidelines for management of colorectal polyps
Authors
Shinji Tanaka
Yusuke Saitoh
Takahisa Matsuda
Masahiro Igarashi
Takayuki Matsumoto
Yasushi Iwao
Yasumoto Suzuki
Hiroshi Nishida
Toshiaki Watanabe
Tamotsu Sugai
Ken-ichi Sugihara
Osamu Tsuruta
Ichiro Hirata
Nobuo Hiwatashi
Hiroshi Saito
Mamoru Watanabe
Kentaro Sugano
Tooru Shimosegawa
Publication date
01-03-2015
Publisher
Springer Japan
Published in
Journal of Gastroenterology / Issue 3/2015
Print ISSN: 0944-1174
Electronic ISSN: 1435-5922
DOI
https://doi.org/10.1007/s00535-014-1021-4

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