Current status and future perspectives of endoscopic diagnosis and treatment of diminutive colorectal polyps

被引:20
作者
Matsuda, Takahisa [1 ]
Kawano, Hiroshi [4 ]
Hisabe, Takashi [5 ]
Ikematsu, Hiroaki [6 ]
Kobayashi, Nozomu [7 ]
Mizuno, Kenichi [8 ]
Oka, Shiro [9 ]
Takeuchi, Yoji [10 ]
Tamai, Naoto [2 ]
Uraoka, Toshio [3 ]
Hewett, David [11 ]
Chiu, Han-Mo [12 ]
机构
[1] Natl Canc Ctr, Endoscopy Div, Tokyo 1040045, Japan
[2] Jikei Univ, Sch Med, Dept Endoscopy, Tokyo, Japan
[3] Keio Univ, Sch Med, Ctr Canc, Div Res & Dev Minimally Invas Treatment, Tokyo, Japan
[4] St Marys Hosp, Dept Gastrointestinal Med, Kurume, Fukuoka, Japan
[5] Fukuoka Univ, Chikushi Hosp, Dept Gastroenterol, Fukuoka 81401, Japan
[6] Natl Canc Ctr Hosp East, Dept Gastrointestinal Oncol & Endoscopy, Kashiwa, Chiba, Japan
[7] Tochigi Canc Ctr, Dept Diagnost Imaging, Utsunomiya, Tochigi, Japan
[8] Niigata Univ, Med & Dent Hosp, Dept Endoscopy, Niigata, Japan
[9] Hiroshima Univ Hosp, Dept Endoscopy, Hiroshima, Japan
[10] Osaka Med Ctr Canc & Cardiovasc Dis, Dept Gastrointestinal Oncol, Osaka, Japan
[11] Univ Queensland, Sch Med, Brisbane, Qld, Australia
[12] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei 100, Taiwan
关键词
resect and discard strategy; colonoscopy; endoscopic management; colorectal polyp; diminutive polyp; COLONOSCOPIC POLYPECTOMY; COLONIC POLYPS; DIFFERENTIAL-DIAGNOSIS; LESIONS; CANCER; CHROMOENDOSCOPY; PREVENTION; PATTERN; SYSTEM; SNARE;
D O I
10.1111/den.12281
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
During colonoscopy, small and diminutive colorectal polyps are commonly encountered. It is estimated that at least one adenomatous polyp is detected in almost half of all patients undergoing screening colonoscopy. In contrast, the 'predict, resect, and discard' strategy for diminutive and small colorectal polyps is a current topic especially in Western countries. 'Is this an acceptable policy in Japan?' Herein, we report the results of a questionnaire survey with regard to the management of diminutive colorectal polyps, including the thoughts of Japanese endoscopists regarding the 'predict, resect, and discard' strategy. At the moment, we propose that this strategy should be used by skilled endoscopists only.
引用
收藏
页码:104 / 108
页数:5
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