RT Journal Article
SR Electronic
T1 Colorectal polyp classification and management of complex polyps for surgeon endoscopists
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP E491
OP E498
DO 10.1503/cjs.011422
VO 66
IS 5
A1 Garrett G.R.J. Johnson
A1 Ramzi Helewa
A1 Dana C. Moffatt
A1 John Gerard Coneys
A1 Jason Park
A1 Eric Hyun
YR 2023
UL http://canjsurg.ca/content/66/5/E491.abstract
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.