How to avoid overtreatment of benign colorectal lesions:Rationale for an evidence-based management  

作　　者：Marco Bustamante-Balén 

机构地区：[1]Gastrointestinal Endoscopy Unit,Gastrointestinal Endoscopy Research Group,Hospital Universitari Ⅰ Politècnic La Fe,Health Research Institute Hospital La Fe(ⅡSLaFe),Valencia 46026,Spain

出　　处：《World Journal of Gastroenterology》2022年第47期6619-6631,共13页世界胃肠病学杂志（英文版）

摘　　要：Implementing population-based screening programs for colorectal cancer has led to an increase in the detection of large but benign histological lesions.Currently,endoscopic mucosal resection can be considered the standard technique for the removal of benign lesions of the colon due to its excellent safety profile and good clinical results.However,several studies from different geographic areas agree that many benign colon lesions are still referred for surgery.Moreover,the referral rate to surgery is not decreasing over the years,despite the theoretical improvement of endoscopic resection techniques.This article will review the leading causes for benign colorectal lesions to be referred for surgery and the influence of the endoscopist experience on the referral rate.It will also describe how to categorize a polyp as complex for resection and consider an endoscopist as an expert in endoscopic resection.And finally,we will propose a framework for the accurate and evidence-based treatment of complex benign colorectal lesions.

关 键 词：Colorectal polyps Endoscopic mucosal resection Colorectal surgery 

分 类 号：R735.34[医药卫生—肿瘤]