Risk factors for colon adenomas recurrence after endoscopic mucosal resection

Aim : to identify risk factors for neoplasms recurrence removed by endoscopic mucosal resection (EMR). Patients and methods the single-center retrospective observational study included 207 patients with 260 benign colon neoplasms. There were 95 (45.9%) males 112 (54.1%) females. The median age of was 67 (27-80) years. results obtained assessed using following criteria: morbidity rate, complication type, hospital stay, tumor site, number in colon, lateral growth, fragmentation technical difficulties (mucosal fold convergence)during surgery, grade dysplasia, rate. Results intraoperative during mucosectomy occurred 48/260 (18.5%) cases. Postoperative complications within period up 30 days 13/207 (6.3%) patients. most frequent 9 (4.2%) postoperative arising after post-polypectomy syndrome. Another 4 (2.0%) produced bleeding which required repeated procedure. No mortality occurred. size exceeding 25 mm (Exp (B) = 0.179; 95% CI 0.05-0.7; p 0.014), severe dysplasia 0.113; 0.03-0.4; 0.001) convergence 0.2; 0.07-0.7; 0.015) are independent disease recurrence. Conclusion is indicated adenomas if its does not exceed can be en bloc.