Large nonpedunculated colorectal polyp management through the lens of an interventional endoscopist.

IF 2.2 4区 医学 Q2 SURGERY Canadian Journal of Surgery Pub Date : 2024-10-23 Print Date: 2024-09-01 DOI:10.1503/cjs.010623
Shirley Jiang, Neal Shahidi
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Abstract

SummaryMinimally invasive endoscopic resection techniques are now the first-line management strategy for most large (> 20 mm) nonpedunculated colorectal polyps (LNPCPs). Appropriate technique selection depends on optical evaluation to predict lesion histopathology alongside the presence of and depth of malignant invasion. We review the indications and performance of endoscopic mucosal resection, cold snare resection, and endoscopic submucosal dissection. These complementary techniques, bolstered by site-specific technical modifications and ancillary techniques, are an effective, efficient, and safe alternative to surgery. An understanding of the role of minimally invasive endoscopic resection techniques is crucial for all endoscopists and surgeons involved in LNPCP management.

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从介入内镜医师的视角看大块非截石性结肠直肠息肉的治疗。
摘要 微创内镜切除技术是目前治疗大多数大型(大于 20 毫米)无瘘管结直肠息肉(LNPCPs)的一线治疗策略。适当的技术选择取决于光学评估,以预测病变组织病理学以及恶性侵袭的存在和深度。我们回顾了内镜下粘膜切除术、冷套管切除术和内镜下粘膜下剥离术的适应症和表现。这些辅助技术在特定部位的技术改造和辅助技术的支持下,是一种有效、高效、安全的手术替代方法。了解微创内镜切除技术的作用对所有参与 LNPCP 治疗的内镜医师和外科医生都至关重要。
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来源期刊
CiteScore
3.00
自引率
8.00%
发文量
120
审稿时长
6-12 weeks
期刊介绍: The mission of CJS is to contribute to the meaningful continuing medical education of Canadian surgical specialists, and to provide surgeons with an effective vehicle for the dissemination of observations in the areas of clinical and basic science research.
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