Colonic polyps. Are we ready to resect and discard?

Cesare Hassan; Alessandro Repici; Angelo Zullo; Vijay Kanakadandi; Prateek Sharma

doi:10.1016/j.giec.2013.03.005

Colonic polyps. Are we ready to resect and discard?

Cesare Hassan, Alessandro Repici, Angelo Zullo, Vijay Kanakadandi, Prateek Sharma

Istituto Clinico Humanitas

Research output: Contribution to journal › Article › peer-review

Abstract

Colorectal cancer represents a major cause of mortality in Western countries, and population-based colonoscopy screening is supported by official guidelines. A significant determinant of the cost of colonoscopy screening/surveillance is driven by polypectomy of diminutive (≤5 mm) lesions. When considering the low prevalence of advanced neoplasia within diminutive polyps, the additional cost of pathologic examination is mainly justified by the need to differentiate between precancerous adenomatous versus hyperplastic polyps. The aim of this review is to summarize the data supporting the clinical application of a resect and discard strategy, also addressing the potential pitfalls associated with this approach.

Original language	English
Pages (from-to)	663-678
Number of pages	16
Journal	Gastrointestinal Endoscopy Clinics of North America
Volume	23
Issue number	3
DOIs	https://doi.org/10.1016/j.giec.2013.03.005
Publication status	Published - Jul 2013

Keywords

Colonoscopy
Electronic chromoendoscopy
Narrow-band imaging
Polypectomy
Preservation and incorporation of valuable endoscopic innovations

ASJC Scopus subject areas

Gastroenterology

Access to Document

10.1016/j.giec.2013.03.005

Cite this

@article{7e4d2fdbf9fb402681a8b2a483fd5832,

title = "Colonic polyps. Are we ready to resect and discard?",

abstract = "Colorectal cancer represents a major cause of mortality in Western countries, and population-based colonoscopy screening is supported by official guidelines. A significant determinant of the cost of colonoscopy screening/surveillance is driven by polypectomy of diminutive (≤5 mm) lesions. When considering the low prevalence of advanced neoplasia within diminutive polyps, the additional cost of pathologic examination is mainly justified by the need to differentiate between precancerous adenomatous versus hyperplastic polyps. The aim of this review is to summarize the data supporting the clinical application of a resect and discard strategy, also addressing the potential pitfalls associated with this approach.",

keywords = "Colonoscopy, Electronic chromoendoscopy, Narrow-band imaging, Polypectomy, Preservation and incorporation of valuable endoscopic innovations",

author = "Cesare Hassan and Alessandro Repici and Angelo Zullo and Vijay Kanakadandi and Prateek Sharma",

year = "2013",

month = jul,

doi = "10.1016/j.giec.2013.03.005",

language = "English",

volume = "23",

pages = "663--678",

journal = "Gastrointestinal Endoscopy Clinics of North America",

issn = "1052-5157",