PT  - JOURNAL ARTICLE
AU  - Garrett G.R.J. Johnson
AU  - Ramzi Helewa
AU  - Dana C. Moffatt
AU  - John Gerard Coneys
AU  - Jason Park
AU  - Eric Hyun
TI  - Colorectal polyp classification and management of complex polyps for surgeon endoscopists
AID  - 10.1503/cjs.011422
DP  - 2023 Sep 21
TA  - Canadian Journal of Surgery
PG  - E491--E498
VI  - 66
IP  - 5
4099  - http://canjsurg.ca/content/66/5/E491.short
4100  - http://canjsurg.ca/content/66/5/E491.full
SO  - CAN J SURG2023 Sep 21; 66
AB  - 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.