State of Art Update: Detection and Classification of Early Colonic Neoplasia
Journal Title: Archives of Clinical Gastroenterology - Year 2017, Vol 3, Issue 1
Abstract
Colonoscopy has been shown to be effective in the detection and removal of precancerous lesions and early cancers, and as a result, colorectal screening programs are in preparation, or in place throughout the world. Screening efforts are reducing the incidence of colorectal cancer (CRC) and allow diagnosis CRCs at an earlier stage. It is increasingly evident that colonoscopic polypectomy including endoscopic mucosal resection and submucosal dissection has become a means of cancer prevention with evidence of reduced predicted incidence and mortality of colorectal malignancies. However, the risk of interval CRC relates to the skill of the performing colonoscopist, rather than any patient or polyp characteristic. Every endoscopist needs to actively look for proximal and flat or depressed lesions. For the general endoscopist, this means the ability to find and accurately assess a lesion is vital. In addition, advancing endotherapeutics means more lesions are potentially removable, and so endoscopists must be able to describe lesions in a standard fashion. This review deals with the current means of describing lesion morphology and surface characteristics, together with the significance of these. We also discuss the developing adjuncts to endoscopic imaging.
Authors and Affiliations
McWhirter K, George R, Ang Y
Keywords
Related Articles
- EP ID EP325628
- DOI 10.17352/2455-2283.000032
- Views 70
- Downloads 0
Helicobacter pylori Infection and Hematologic Disorders: what do We Really Know?
One of the most important events on gastroenterology certainly was the isolation of Helicobacter pylori (H. pylori) by Barry Marshall and Robin Warren in 1983 [1], occurrence which redirected our understanding of the pat...
Isolated Distal Pancreatic Transection Secondary to an Abdominal Blunt Trauma - A Case Report
Isolated pancreatic trauma (IPT) secondary to an abdominal blunt trauma, is an uncommon condition- IPT diagnosis usually is insidious, requiring the integration of multiple parameters, regarding anamnesis, physical exami...
Corrosive Injury of the Upper Gastrointestinal Tract: A Review
Ingestion of a corrosive substance can produce severe injury to the gastrointestinal tract and can even result in death. The degree and extent of damage depends on several factors like the type of substance, the morpholo...
Long Pentraxin PTX 3 and Faecal Calprotectin as a Non Invasive Biomarkers for Ulcerative Colitis
Background and Study Aims: as there is no single golden rule for the diagnosis and activity of ulcerative colitis disease, this study is going to discuss the clinical relevance of calprotectin and PTX 3 in cases of ulcer...
Overall operative outcomes of Laparoscopic Cholecystectomy and our experience in Statistics
Background: The laparoscopic surgery technique has rapidly spread because of its several advantages over conventional open surgery. The diminishment of postoperative pain provided positive human impact, and the reduction...