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Updated: Jun 9, 2025
Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
Frequency of errors in colorectal lesion description and management prior to referral to a tertiary center
Yervant Ichkhanian1, Rachel E Lahr1, John J Guardiola1
1Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Background And Aims:
Accurate reporting of polyp characteristics is crucial for effective resource allocation in endoscopic resection referrals. We present our experience with prereferral management of challenging colorectal lesions.
Methods:
We reviewed a prospectively collected database of consecutive referrals for endoscopic resection of challenging colorectal lesions. The database included details of prior colonoscopies. We assessed prereferral management using established guidelines.
Results:
Among 1826 referred lesions in 1508 patients, size estimates were missing for 421 (24%) lesions; 56 (3.2%) were twice as large as previously estimated, and 65 (3.7%) were half the previous estimate. Morphologic descriptions were absent for 376 (22%) polyps. Tattooing was performed for 822 (47%) lesions, with 195 (24%) placed correctly. Of the 872 (61%) polyps that underwent biopsy, only 11 (1.3%) were classified high risk by the referring endoscopist.
Conclusions:
Errors in prereferral management of challenging colorectal lesions are frequent. Improved adherence to national guidelines could enhance practice.
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