Risk Factors Associated with Recurrence in Patients after Endoscopic Gastrointestinal Polypectomy and the Intervention Effect of the Informatized Hierarchical Management Model

Cui MA; Qianjing ZHENG; Lijun WU; Yan NIE

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Cui MA, Qianjing ZHENG, Lijun WU, Yan NIE. Risk Factors Associated with Recurrence in Patients after Endoscopic Gastrointestinal Polypectomy and the Intervention Effect of the Informatized Hierarchical Management Model[J]. Journal of Kunming Medical University.

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Risk Factors Associated with Recurrence in Patients after Endoscopic Gastrointestinal Polypectomy and the Intervention Effect of the Informatized Hierarchical Management Model

1.
Digestive Endoscopy Center of the First Affiliated Hospital of PLA Air Force Military Medical University，Xi’an Shaanxi 710032
2.
Department of Internal Medicine Clinic of the First Affiliated Hospital of PLA Air Force Military Medical University，Xi’an Shaanxi 710032，China

Received Date: 2026-01-28

Abstract

Abstract

Objective To explore the risk factors for recurrence in patients after endoscopic gastrointestinal polypectomy, and to evaluate the intervention effect of the informatized hierarchical management model on patients with recurrence based on these risk factors. Methods A retrospective analysis was conducted on 234 patients who underwent endoscopic gastrointestinal polypectomy in our hospital from June 2022 to May 2024. The ratio of recurrent to non-recurrent patients was approximately 1:1.3 （100 recurrent, 134 non-recurrent）. General data [sex, age, body mass index （BMI）, smoking and drinking history, hypertension, diabetes, cardiovascular disease, Helicobacter pylori （Hp） infection], clinical data （polyp location, type, number, diameter, morphology）, and laboratory indicators [gastrin （GAS）, motilin （MTL）, pepsinogen I （PG I）, pepsinogen II （PG II）, ghrelin] were collected. Logistic regression analysis was used to identify independent risk factors. Results Multivariate logistic regression analysis showed that villous tubular adenoma, number of polyps, age, BMI, GAS, MTL, PG I, PG II, and ghrelin were independent risk factors for recurrence after endoscopic gastrointestinal polypectomy （P < 0.05）. The total incidence of adverse reactions and the scores of negative emotions in the observation group were lower than those in the control group, while the scores of management quality and self-care ability in the observation group were higher than those in the control group, with statistically significant differences （P < 0.05）. Conclusion Villous tubular adenoma, number of polyps, age, BMI, GAS, MTL, PG I, PG II, and ghrelin are independent risk factors for recurrence after endoscopic gastrointestinal polypectomy. The information-based hierarchical management model can reduce adverse reactions and improve management quality and patients’ self-care ability.
- Endoscopic gastrointestinal polypectomy,
- Recurrence risk factors,
- Informatized hierarchical management model,
- Nursing intervention

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References(25)

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