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Background: Colonic polyps are a common finding and adenomatous polyps, can have severe dysplasia and neoplasia. Early detection of risk of cancer is possible by using the four classifications of polyps: Paris, Kudo, Showa and Histological. Aims and Objectives: This study looks at compliance of endoscopists with usage of these classifications. Methods: 979 patients with one or more polyps detected at flexible sigmoidoscopy or colonoscopy in continuous six months from three district hospitals in the United Kingdom were identified. Reports were analysed for description and characterisation of the polyps and adherence to the polyp classifications. Results: At least 20% reports did not have adequate polyp description and did not use Paris classification. Kudo classification was not used in 95.3% and Showa classification was not used at all. Discussion: Lack of usage of these classifications leads to inadequate description and characterization of the polyps and therefore cannot properly risk stratify for cancer or dysplasia. It is recommended that usage of polyp classification should be considered by authorities to be made an integral part of the measurable outcomes in advanced colonoscopy.

journal of  gastric disorders and therapy

A Study to Measure the Compliance with the Recommended Colonic Polyp Classifications to Risk Stratify for Severe Dysplasia and Cancer in United Kingdom