Itabashi Michio
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor (Fixed Term)
Article types Original article
Language English
Peer review Non peer reviewed
Title Evidence-based clinical practice guidelines for management of colorectal polyps.
Journal Formal name:Journal of gastroenterology
Abbreviation:J Gastroenterol
ISSN code:14355922/09441174
Domestic / ForeginDomestic
Volume, Issue, Page 56(4),pp.323-335
Author and coauthor Tanaka Shinji, Saitoh Yusuke, Matsuda Takahisa, Igarashi Masahiro, Matsumoto Takayuki, Iwao Yasushi, Suzuki Yasumoto, Nozaki Ryoichi, Sugai Tamotsu, Oka Shiro, Itabashi Michio, Sugihara Ken-Ichi, Tsuruta Osamu, Hirata Ichiro, Nishida Hiroshi, Miwa Hiroto, Enomoto Nobuyuki, Shimosegawa Tooru, Koike Kazuhiko
Publication date 2021/04
Summary BACKGROUND:The Japanese Society of Gastroenterology (JSGE) published ''Daicho Polyp Shinryo Guideline 2014'' in Japanese and a part of this guideline was published in English as "Evidence-based clinical practice guidelines for management of colorectal polyps" in the Journal of Gastroenterology in 2015. A revised version of the Japanese-language guideline was published in 2020, and here we introduce a part of the contents of revised version.METHODS:The guideline committee discussed and drew up a series of clinical questions (CQs). Recommendation statements for the CQs were limited to items with multiple therapeutic options. Items with established conclusions that had 100% agreement with previous guidelines (background questions) and items with no (or old) evidence that are topics for future research (future research questions: FRQs) were given descriptions only. To address the CQs and FRQs, PubMed, ICHUSHI, and other sources were searched for relevant articles published in English from 1983 to October 2018 and articles published in Japanese from 1983 to November 2018. The Japan Medical Library Association was also commissioned to search for relevant materials. Manual searches were performed for questions with insufficient online references.RESULTS:The professional committee created 18 CQs and statements concerning the current concept and diagnosis/treatment of various colorectal polyps, including their epidemiology, screening, pathophysiology, definition and classification, diagnosis, management, practical treatment, complications, and surveillance after treatment, and other colorectal lesions (submucosal tumors, nonneoplastic polyps, polyposis, hereditary tumors, ulcerative colitis-associated tumors/carcinomas).CONCLUSIONS:After evaluation by the moderators, evidence-based clinical practice guidelines for management of colorectal polyps were proposed for 2020. This report addresses the therapeutic related CQs introduced when formulating these guidelines.
DOI 10.1007/s00535-021-01776-1
PMID 33710392