Evolving management of colorectal polyps.

IF 3 Q2 GASTROENTEROLOGY & HEPATOLOGY
Therapeutic Advances in Gastrointestinal Endoscopy Pub Date : 2021-09-28 eCollection Date: 2021-01-01 DOI:10.1177/26317745211047010
Yervant Ichkhanian, Tobias Zuchelli, Andrew Watson, Cyrus Piraka
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引用次数: 4

Abstract

Advances in endoscopic technology have led to increased success in colorectal cancer (CRC) screening and polyp management, with reduction of CRC incidence and mortality. Despite these advances, CRC is still one of the leading causes of cancer deaths, and half of all CRC develops from lesions that were missed during colonoscopy while one-fifth of CRC arise from prior incomplete resection. Techniques to improve polyp detection are needed, along with optimization of complete resection of any abnormal lesions that are found. This article will review the currently available endoscopic resection techniques and will discuss where they fit in the management of polyps of different sizes and types, such as pedunculated versus nonpedunculated, and those with or without suspected invasion.

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结直肠息肉治疗的演变。
内镜技术的进步提高了结直肠癌(CRC)筛查和息肉治疗的成功率,降低了CRC的发病率和死亡率。尽管取得了这些进展,但结直肠癌仍然是癌症死亡的主要原因之一,一半的结直肠癌是由结肠镜检查时遗漏的病变发展而来的,而五分之一的结直肠癌是由先前的不完全切除引起的。需要提高息肉检测的技术,以及对发现的任何异常病变进行完全切除的优化。本文将回顾目前可用的内镜切除技术,并讨论它们在不同大小和类型息肉的治疗中的适用范围,如有带蒂的与无带蒂的,以及有或没有怀疑侵犯的息肉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
0.00%
发文量
8
审稿时长
13 weeks
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