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Colorectal polyp classification and management of complex polyps for surgeon endoscopists
Increasing familiarity with advanced endoscopic excision techniques allows for more colorectal lesions to be removed without major surgery. Endoscopic excision with negative margins is adequate for most polyps and low-risk T1 cancers. The use of modern polyp classification techniques based on size,...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
CMA Impact Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521811/ https://www.ncbi.nlm.nih.gov/pubmed/37734853 http://dx.doi.org/10.1503/cjs.011422 |
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author | Johnson, Garrett G.R.J. Helewa, Ramzi Moffatt, Dana C. Coneys, John Gerard Park, Jason Hyun, Eric |
author_facet | Johnson, Garrett G.R.J. Helewa, Ramzi Moffatt, Dana C. Coneys, John Gerard Park, Jason Hyun, Eric |
author_sort | Johnson, Garrett G.R.J. |
collection | PubMed |
description | Increasing familiarity with advanced endoscopic excision techniques allows for more colorectal lesions to be removed without major surgery. Endoscopic excision with negative margins is adequate for most polyps and low-risk T1 cancers. The use of modern polyp classification techniques based on size, morphology and pit pattern by an experienced endoscopist allow for an optical diagnosis of these lesions and can predict, with high accuracy, which lesions contain malignant disease and the level of invasion. A surgeon endoscopist must be able to recognize which complex polyps can be resected with advanced polypectomy techniques and which require upfront surgery. We aimed to provide an overview of polyp classification techniques to help surgeons select the correct treatment algorithm for advanced colorectal lesions based on their visual characteristics at index endoscopy. |
format | Online Article Text |
id | pubmed-10521811 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | CMA Impact Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105218112023-09-27 Colorectal polyp classification and management of complex polyps for surgeon endoscopists Johnson, Garrett G.R.J. Helewa, Ramzi Moffatt, Dana C. Coneys, John Gerard Park, Jason Hyun, Eric Can J Surg Discussions in Surgery Increasing familiarity with advanced endoscopic excision techniques allows for more colorectal lesions to be removed without major surgery. Endoscopic excision with negative margins is adequate for most polyps and low-risk T1 cancers. The use of modern polyp classification techniques based on size, morphology and pit pattern by an experienced endoscopist allow for an optical diagnosis of these lesions and can predict, with high accuracy, which lesions contain malignant disease and the level of invasion. A surgeon endoscopist must be able to recognize which complex polyps can be resected with advanced polypectomy techniques and which require upfront surgery. We aimed to provide an overview of polyp classification techniques to help surgeons select the correct treatment algorithm for advanced colorectal lesions based on their visual characteristics at index endoscopy. CMA Impact Inc. 2023-09-21 /pmc/articles/PMC10521811/ /pubmed/37734853 http://dx.doi.org/10.1503/cjs.011422 Text en © 2023 CMA Impact Inc. or its licensors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use) and no modifications or adaptations are made. See: https://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Discussions in Surgery Johnson, Garrett G.R.J. Helewa, Ramzi Moffatt, Dana C. Coneys, John Gerard Park, Jason Hyun, Eric Colorectal polyp classification and management of complex polyps for surgeon endoscopists |
title | Colorectal polyp classification and management of complex polyps for surgeon endoscopists |
title_full | Colorectal polyp classification and management of complex polyps for surgeon endoscopists |
title_fullStr | Colorectal polyp classification and management of complex polyps for surgeon endoscopists |
title_full_unstemmed | Colorectal polyp classification and management of complex polyps for surgeon endoscopists |
title_short | Colorectal polyp classification and management of complex polyps for surgeon endoscopists |
title_sort | colorectal polyp classification and management of complex polyps for surgeon endoscopists |
topic | Discussions in Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521811/ https://www.ncbi.nlm.nih.gov/pubmed/37734853 http://dx.doi.org/10.1503/cjs.011422 |
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