Colorectal serrated lesions and polyps in the Danish population: A large nationwide register-based cohort study

Background and study aims Colorectal serrated lesions and polyps (SPs) include hyperplastic polyps (HP), sessile serrated lesions-/+dysplasia (SSL/SSL-D), and traditional serrated adenomas (TSA). From 20% to 30% of colorectal cancers (CRC) develop from SP. We present incidence and baseline characteristics of SP in a Danish cohort. Patients and methods We used The Danish Pathology Registry to include all SPs in the Danish population from January 1, 2000 to December 31, 2021. Based on the unique Danish personal identification number and SNOMED-codes, combined with the age and sex of patients, and date of procedure, we determined the incidence of the SP subtypes, anatomical location, and changes over time. Results During the period from 2000 to 2021, a total of 292,761 SPs were removed from 163,840 patients: 51,649 SSLs, 5959 SSL-Ds, 224,860 HDs, and 10,293 TSAs. The median age of patients was 64.1 years (range 55.2–71.6) and 53.3% were male. We found a general increase in SPs from 3525 in 2000 to 25,853 in 2021 and a rise in the SSL proportion from 1.7% in 2006 to 38% in 2021. Half of all patients had more than one lesion at endoscopy with conventional adenomas being the most common. CRC was found along with SPs in 3.3% of procedures, while 1% to 2.5% of the patients developed metachronous CRC. Conclusions We found an increasing number of SPs, especially SSLs. From 2019 to 2021 the number of SPs seem to stabilize, while the proportion of SSLs keeps rising. Synchronous lesions were common along all subtypes of SP.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Colorectal serrated lesions and polyps in the Danish population: A large nationwide register-based cohort study ; volume:11 ; number:12 ; year:2023 ; pages:E1116-E1122
Endoscopy International Open ; 11, Heft 12 (2023), E1116-E1122

Beteiligte Personen und Organisationen
Andrea, Mille
Jepsen, Rikke Karlin
Klein, Mads Falk
Gögenur, Ismail
Kuhlmann, Tine Plato

DOI
10.1055/a-2206-4486
URN
urn:nbn:de:101:1-2024012512383853958535
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:32 MESZ

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Beteiligte

  • Andrea, Mille
  • Jepsen, Rikke Karlin
  • Klein, Mads Falk
  • Gögenur, Ismail
  • Kuhlmann, Tine Plato

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