Guidelines interpretation for endoscopic resection of colorectal polyp in 2015
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1 2015 1,2 1 * R657.1 A DOI /j.wph Guidelines interpretation for endoscopic resection of colorectal polyp in 2015 ZHANG Rong 1,2, LIN Hui 1 * 1. Department of Gastroenterology, Tenth People s Hospital of Tongji University, Shanghai ; 2. The First Clinical Medical College of Nanjing Medical University, Nanjing , China Abstract: Colorectal polyp refers to the protruded lesions on intestinal tract surface, which has a closed correlation with colorectal cancer. Endoscopic polypectomy is helpful to reducing colorectal cancer incidence and mortality. This review describes recent related guidelines of endoscopic polypectomy including the major techniques and indications and colonoscopy survilliance. Key words: endoscopy; polypectomy; guideline ; diagnosis; treatment SS EMR EMR pemr ESD 4 / 5 2 ACPGBI /
2 / / / / / / / / 0 Cowden P-J / 0 / 1 / 2 / 3 ESMO 7 ASCRS 8 G3-4 ESMO p 0 - s 0 - sp 0 - a 0 - b 0 - c 0 - a + c 0 - c + a c c BSG /ACPGBI 9 BSG /mm SS SS SS SS SS 0 - p SS/EMR EMR EMR EMR pemr 0 - a, 0 - a+b EMR EMR EMR/ESD ESD/Surg Surg 0 - c EMR EMR/ESD Surg Surg Surg LST-G EMR EMR EMR pemr/esd pemr/esd LST-NG EMR EMR EMR/ESD ESD ESD/Surg LST-G LST-NG Surg
3 NPCP LST NICE NBI Kudo 2 2 cm NPCP NPCP LNPCP 3 0- c 0- a+ c LST LST- NG LST LST-G NICE NBI Sano 6 4 / 40 mm / 5 NPCP / SMSA NPCP BSG/ ACPGBI 9 1 LNPCP / 2 LNPCP 7 d 3 LNPCP 5 d INR NPCP 1 LNPCP MDM 1 NPCP 1 1 MDM NPCP 2 LNPCP KPI 3 LNPCP 4 LNPCP
4 mm LNPCP 7 APC NPCP / 9 BSG ACPGBI NCCN MDM MDM % 80% 95% 20 ADR baseline colonoscopy 2012 US MSTF ESGE CAG 29 US MSTF 2002 BSG/ACPGBI NICE 20 BSG/ACPGBI 817
5 US MSTF / mm mm 5 10 >10 < mm mm 5 10 mm >10 mm 20 5 NICE 14,20 / MSTF 1 > 5 mm LRAS BSG/ACPGBI ESGE USPSTF 85 5 LRA - LRA LRA 5 LRA LRA IRA 3 IRA LRA HRA 1 HRA IRA - 3 IRA LRA/IRA 3 IRA IRA HRA 1 HRA HRA - 3 IRA HRA LRA 3 IRA HRA IRA 3 IRA HRA HRA 1 HRA LRA 5 IRA 3 HRA 1 26 >5 mm , N., Tanaka S, Saitoh Y, Matsuda T, et al. Evidence-based clinical practice guidelines for management of colorectal polyps J. J Gastroenterol, 2015, 50 3 : J., 2013, 14 7 : Anderloni A, Jovani M, Hassan C, et al. Advances, problems, and complications of polypectomy J. Clin Exp Gastroenterol, 2014, 7 8 : Endoscopic Classification Review Group. Update on the paris classification of superficial neoplastic lesions in the digestive tract J. Endoscopy, 2005, 37 6 : Williams JG, Pullan RD, Hill J, et al. Management of the malignant colorectal polyp: ACPGBI position statement J.
6 2015 Colorectal Dis, 2013, 15 Suppl 2 : S1-S38. 7 Glimelius B, Tiret E, Cervantes A, et al. Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up J. Ann Oncol, 2013, 24 Suppl 6 : vi81-vi88. 8, J., 2012, : Rutter MD, Chattree A, Barbour JA, et al. British Society of Gastroenterology/Association of Coloproctologists of Great Britain and Ireland guidelines for the management of large non-pedunculated colorectal polyps J. Gut, 2015, : Jover R, Herráiz M, Alarcón O, et al. Clinical practice guidelines: quality of colonoscopy in colorectal cancer screening J. Endoscopy, 2012, 44 4 : Anderson MA, Ben-Menachem T, Gan SI, et al. Management of antithrombotic agents for endoscopic procedures J. Gastrointest Endosc, 2009, 70 6 : Boustière C, Veitch A, Vanbiervliet G, et al. Endoscopy and antiplatelet agents. European Society of Gastrointestinal Endoscopy ESGE guideline J. Endoscopy, 2011, 43 5 : Sharaf RN, Shergill AK, Odze RD, et al. Endoscopic mucosal tissue sampling J. Gastrointest Endosc, 2013, 78 2 : Cairns SR, Scholefield JH, Steele RJ, et al. Guidelines for colorectal cancer screening and surveillance in moderate and high risk groups update from 2002J. Gut, 2010, 59 5 : Hampel H. NCCN increases the emphasis on genetic/familial high-risk assessment in colorectal cancer J. J Natl Compr Canc Netw, 2014, 12 5 Suppl : Cooper HS. Pathologic issues in the treatment of endoscopically removed malignant colorectal polyps J. J Natl Compr Canc Netw, 2007, 5 9 : Hassan C, Zullo A, Risio M, et al. Histologic risk factors and clinical outcome in colorectal malignant polyp: a pooled-data analysis J. Dis Colon Rectum, 2005, 48 8 : Siegel R, Ward E, Brawley O, et al. Cancer statistics, 2011: the impact of eliminating socioeconomic and racial disparities on premature cancer deaths J. CA Cancer J Clin, 2011, 61 4 : Yoshii S, Nojima M, Nosho K, et al. Factors associated with risk for colorectal cancer recurrence after endoscopic resection of T1 tumors J. Clin Gastroenterol Hepatol, 2014, 12 2 : UK, CFCP. Colonoscopic surveillance for prevention of colorectal cancer in people with ulcerative colitis, Crohn's disease or adenomas. national institute for health and clinical excellence: guidance Z. London: National Institute for Health and Clinical Excellence UK, Quirke P, Risio M, Lambert R, et al. European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition-Quality assurance in pathology in colorectal cancer screening and diagnosis J. Endoscopy, 2012, 44 Suppl 3 : Sanduleanu S, le Clercq CM, Dekker E, et al. Definition and taxonomy of interval colorectal cancers: a proposal for standardising nomenclature J. Gut, 2015, 64 8 : ,,. J., 2013, : Rex DK, Goldblum JR. Pro: Villous elements and highgrade dysplasia help guide post-polypectomy colonoscopic surveillance J. Am J Gastroenterol, 2008, : Winawer SJ, Zauber AG Fletcher RH et al. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society task force on colorectal cancer and the American cancer society J. Gastroenterology, 2006, : Lieberman DA, Rex DK, Winawer SJ, et al. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US multi-society task force on colorectal cancer J. Gastroenterology, 2012, : Hassan C, Quintero E, Dumonceau JM, et al. Post-polypectomy colonoscopy surveillance: European Society of Gastrointestinal Endoscopy ESGE Guideline J. Endoscopy, 2013, : Yang DH, Hong SN, Kim YH, et al. Korean guidelines for postpolypectomy colonoscopy surveillance J. Clin Endosc, 2012, 45 1 : Leddin D, Enns R, Hilsden R, et al. Colorectal cancer surveillance after index colonoscopy: guidance from the Canadian Association of Gastroenterology J. Can J Gastroenterol, 2013, 27 4 :
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