Current Trends in the Management of a Complex Polyp: Endoscopy versus Surgery

IF 1.2 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Clinics in Colon and Rectal Surgery Pub Date : 2024-07-03 DOI:10.1055/s-0044-1787892
Mahnoor Khan, Kavel Visrodia, Amrita Sethi
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Abstract

Many colorectal cancers arise from either adenomatous polyps or sessile serrated lesions. However, due to the implementation of screening guidelines at the age of 45 years and the ability to perform therapeutic endoscopic polyp resections, the incidence and mortality of colorectal cancer has been decreasing in the United States. Polyps can be distinguished not only by pathology, but characterized by their complexity depending on the size, location, and morphology. Historically, polyps that were endoscopically more challenging to resect were referred for surgical resection. However, due to rapid advancement in endoscopic techniques and availability of tools, many of these complex polyps can be safely and effectively resected endoscopically. In this section, we review the different methods and potential challenges associated with endoscopic resection techniques including endoscopic mucosal resection, endoscopic submucosal dissection, or endoscopic full-thickness resection of a complex polyp.

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复杂息肉治疗的当前趋势:内镜与手术
许多大肠癌都源于腺瘤性息肉或无柄锯齿状病变。然而,由于实施了 45 岁筛查指南以及能够进行治疗性内镜息肉切除术,美国的结直肠癌发病率和死亡率都在下降。息肉不仅可以通过病理学来区分,还可以根据其大小、位置和形态的复杂性来区分。从历史上看,内镜下切除难度较大的息肉会被转到外科手术切除。然而,由于内镜技术的快速发展和工具的普及,许多复杂的息肉都可以在内镜下安全有效地切除。在本节中,我们将回顾与内镜切除技术相关的不同方法和潜在挑战,包括内镜粘膜切除、内镜粘膜下剥离或内镜全厚切除复杂息肉。
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来源期刊
Clinics in Colon and Rectal Surgery
Clinics in Colon and Rectal Surgery GASTROENTEROLOGY & HEPATOLOGYSURGERY-SURGERY
CiteScore
2.60
自引率
7.10%
发文量
84
期刊介绍: Clinics in Colon and Rectal Surgery is a review journal that publishes topic-specific issues on diseases of the small bowel, colon, rectum, and anus. Designed for clinicians, researchers, and educators involved with diseases of the intestinal tract, the journal covers a broad spectrum of basic information, controversial clinical issues, and established and innovative diagnostic techniques. Issue topics comprehensively cover the entire specialty over a 3-4 year period, allowing the articles to serve as study material for educational programs and certifying examinations. The inclusion of research and clinical material also allows physicians to remain knowledgeable of current advances in the specialty.
期刊最新文献
Corrigendum: Current Position of Sacral Neuromodulation in Treatment of Fecal Incontinence. Current Trends in the Management of a Complex Polyp: Endoscopy versus Surgery Hereditary Colorectal Cancer: From Diagnosis to Surgical Options The Young: Early-Onset Colon Cancer The Old: Is There Any Role for Screening Colonoscopy after the Age of 75? The Surgeon's Perspective
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