Long-term adenoma recurrence following wide-field endoscopic mucosal resection (WF-EMR) for advanced colonic mucosal neoplasia is infrequent: results and risk factors in 1000 cases from the Australian Colonic EMR (ACE) study

Conclusions
Following colonic WF-EMR, early recurrent/residual adenoma occurs in 16%, and is usually unifocal and diminutive. Risk factors were identified. Late recurrence occurs in 4%. Overall, recurrence was managed endoscopically in 93% of cases. Recurrence is not a significant clinical problem following WF-EMR, as with strict colonoscopic surveillance, it can be managed endoscopically with high success rates.

Trial registration number:
NCT01368289.

Source: Gut - December 8, 2014 Category: Gastroenterology Authors: Moss, A., Williams, S. J., Hourigan, L. F., Brown, G., Tam, W., Singh, R., Zanati, S., Burgess, N. G., Sonson, R., Byth, K., Bourke, M. J. Tags: Endoscopy, Colon cancer Source Type: research