Endoscopic Resection of Neoplasia in the Lower GI Tract: A Clinical Algorithm.

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY Visceral Medicine Pub Date : 2024-08-01 Epub Date: 2024-06-26 DOI:10.1159/000539219
Timothy O'Sullivan, Michael J Bourke
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引用次数: 0

Abstract

Background: Colorectal cancer is a highly prevalent malignancy and a significant driver of cancer mortality and health-related expenditure worldwide. Polyp removal reduces the incidence and mortality of colorectal cancer. In 2024, endoscopists have an array of resection modalities at their disposal. Each technique requires a unique skillset and has individual advantages and limitations. Consequently, resection in the colorectum requires an evidence-based algorithm approach that considers these factors.

Summary: A literature review of endoscopic resection for colonic neoplasia was conducted. Best supporting scientific evidence was summarized for the endoscopic resection of diminutive polyps, large ≥20 mm lesions and polyps containing invasive cancer. Factors including resection modality, complications and lesion selection were explored to inform an algorithm approach to colorectal resection.

Key messages: Endoscopic resection in the colorectum is not a one-size-fits-all approach. Detailed understanding of polyp size, location, morphology and predicted histology are critical factors that inform appropriate endoscopic resection practice.

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下消化道肿瘤的内镜下切除术:临床算法。
背景:结直肠癌是一种高发恶性肿瘤,也是全球癌症死亡率和健康相关支出的重要驱动因素。切除息肉可降低结直肠癌的发病率和死亡率。2024 年,内镜医师可以使用一系列切除方式。每种技术都需要独特的技能,并具有各自的优势和局限性。因此,结直肠切除术需要一种基于证据的算法方法来考虑这些因素。摘要:对结肠肿瘤的内镜切除术进行了文献综述。总结了内镜下切除微小息肉、≥20 毫米大病变和含有浸润性癌的息肉的最佳科学证据。研究还探讨了切除方式、并发症和病变选择等因素,为结肠直肠切除术的算法提供参考:关键信息:内窥镜结直肠切除术并非放之四海而皆准的方法。详细了解息肉的大小、位置、形态和预测组织学是指导内镜切除术实践的关键因素。
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来源期刊
Visceral Medicine
Visceral Medicine Medicine-Surgery
CiteScore
4.50
自引率
0.00%
发文量
40
期刊介绍: This interdisciplinary journal is unique in its field as it covers the principles of both gastrointestinal medicine and surgery required for treating abdominal diseases. In each issue invited reviews provide a comprehensive overview of one selected topic. Thus, a sound background of the state of the art in clinical practice and research is provided. A panel of specialists in gastroenterology, surgery, radiology, and pathology discusses different approaches to diagnosis and treatment of the topic covered in the respective issue. Original articles, case reports, and commentaries make for further interesting reading.
期刊最新文献
Effect of Early Removal of Urinary Catheter in Patients Undergoing Abdominal and Thoracic Surgeries with Continuous Thoracic Epidural Analgesia on Postoperative Urinary Retention. Gastroesophageal Reflux Disease: Still a Complex and Complicated Disease with Many Uncertainties and Challenges. The Role of Magnesium in Acute Pancreatitis and Pancreatic Injury: A Systematic Review. Endoscopic Resection of Neoplasia in the Lower GI Tract: A Clinical Algorithm. Endoscopy First: The Best Choice to Optimize Outcomes for Early Gastrointestinal Malignancy.
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