Large non-pedunculated colorectal polyp management: The elephant in the room  

作　　者：Shirley X Jiang Neal Shahidi 

机构地区：[1]Department of Medicine,University of British Columbia,Vancouver V6Z 2K5,BC,Canada

出　　处：《World Journal of Gastroenterology》2024年第25期3126-3131,共6页世界胃肠病学杂志（英文版）

摘　　要：Minimally invasive innovations have transformed coloproctology.Specific to colorectal cancer(CRC),there has been a shift towards less invasive surgical techniques and use of endoscopic resection as an alternative for low risk T1 CRC.The role of endoscopic resection is however much more extensive:It is now considered the first line management strategy for most large(≥20 mm)non-pedunculated colorectal polyps,the majority of which are benign.This is due to the well-established efficacy,safety,and cost-effectiveness of endoscopic techniques compared to surgery.Multiple endoscopic modalities now exist with distinct risk-benefit profiles and their outcomes are further improved by site-specific technical modifications,auxiliary techniques,and adverse event miti-gation strategies.Endoscopic capacity continues to evolve with emerging endoscopic techniques and expanding applications,particularly in the confines of a multi-disciplinary setting.

关 键 词：CANCER COLONOSCOPY ENDOSCOPY POLYP Endoscopic mucosal resection Endoscopic submucosal dissection 

分 类 号：R735.3[医药卫生—肿瘤]