Standardization of endoscopic resection for colorectal tumors larger than 10 mm in diameter

被引:6
作者
Oka, Shiro [1 ]
Uraoka, Toshio [2 ]
Tamai, Naoto [3 ]
Ikematsu, Hiroaki [4 ]
Chino, Akiko [5 ]
Okamoto, Koichi [6 ]
Takeuchi, Yoji [7 ]
Imai, Kenichiro [8 ]
Ohata, Ken [9 ]
Shiga, Hisashi [10 ]
Raftopoulos, Spiro [11 ]
Lee, Bo-In [12 ]
Matsuda, Takahisa [13 ]
机构
[1] Hiroshima Univ Hosp, Dept Gastroenterol & Metab, Hiroshima, Japan
[2] Natl Hosp Org Tokyo Med Ctr, Dept Gastroenterol, Tokyo, Japan
[3] Jikei Univ, Sch Med, Dept Endoscopy, Tokyo, Japan
[4] Natl Canc Ctr Hosp East, Dept Gastrointestinal Oncol & Endoscopy, Kashiwa, Chiba, Japan
[5] Japanese Fdn Canc Res, Canc Inst Hosp, Dept Gastroenterol, Tokyo, Japan
[6] Tokushima Univ, Grad Sch, Inst Biomed Sci, Dept Gastroenterol & Oncol, Tokushima, Japan
[7] Osaka Med Ctr Canc & Cardiovasc Dis, Dept Gastrointestinal Oncol, Osaka, Japan
[8] Shizuoka Canc Ctr, Div Endoscopy, Shizuoka, Japan
[9] NTT Med Ctr Tokyo, Dept Gastroenterol, Tokyo, Japan
[10] Akita Univ, Grad Sch Med, Dept Gastroenterol, Akita, Japan
[11] Sir Charles Gairdner Hosp, Dept Gastroenterol & Hepatol, Perth, WA, Australia
[12] Catholic Univ Korea, Coll Med, Dept Internal Med, Seoul, South Korea
[13] Natl Canc Ctr, Canc Screening Ctr, Tokyo, Japan
关键词
10 mm <=; colorectal tumor; endoscopic resection; endoscopic mucosal resection; endoscopic submucosal dissection; COLONIC MUCOSAL NEOPLASIA; SUBMUCOSAL DISSECTION; MULTICENTER; JAPAN; RECURRENCE; OUTCOMES; PERFORATION; INJECTION; POLYPS; CANCER;
D O I
10.1111/den.12829
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Currently, several endoscopic resection (ER) methods for colorectal tumors are available, including polypectomy, conventional endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and modified ER. In the present review, we mainly focus on the current status of ER for colorectal tumors as well as the report from the Endoscopic Forum Japan (EFJ) 2016, which was held in Tokyo in August 2016. The proposed ER methods for colorectal tumors larger than 10 mm in diameter are as follows. (i) Pedunculated-type tumor is an indication for polypectomy, regardless of size. (ii) Non-pedunculated-type tumor larger than 20 mm in diameter is an indication for ESD in which en bloc resection using conventional EMR is difficult or impossible. (iii) Non-pedunculated-type tumor from 10 mm to 20 mm in diameter is an indication for conventional EMR. However, ESD or modified ER methods are acceptable according to the procedure and the condition of the tumor.
引用
收藏
页码:40 / 44
页数:5
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