Endoskopie 2009; 18(4): 150-155

Endoscopic diagnosis and treatment of superficial colorectal neoplasia

MUDr. Martin Kliment, MUDr. Přemysl Falt, MUDr. Petr Fojtík, MUDr. Ondřej Urban Ph.D
Centrum péče o zažívací trakt, Vítkovická nemocnice a. s., Ostrava

Colorectal cancer (CRC) is the second most prevalent malignancy with good prognosis in case of early diagnosis and treatment. Approximately

70 % of CRCs develope through adenoma–carcinoma sequence, whereas 30 % probably develope without previous adenomatous

precursors, de novo. Colonoscopy with techniques of endoscopic polypectomy and mucosal resection plays a major role in the secondary

prevention of CRC by the interruption of adenoma–carcinoma sequence. Moreover, it is essential in the diagnosis and treatment of early

CRC. In this paper the authors inform about endoscopic diagnosis and treatment of superficial colorectal neoplasia in order to provide

complex information and, thereby, enable increase in the quality of diagnostic and therapeutic colonoscopy.

Keywords: adenoma, colorectal cancer, endoscopic mucosal resection, superficial neoplasia.

Published: December 10, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kliment M, Falt P, Fojtík P, Urban O. Endoscopic diagnosis and treatment of superficial colorectal neoplasia. Endoskopie. 2009;18(4):150-155.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Muto T, Bussey HJ, Morson BC. The evolution of cancer of the colon and rectum. Cancer 1975; 36: 2251-70. Go to original source... Go to PubMed...
    2. Chen CD, Yen MF, Wang WM, et al. A case-cohort study for the disease natural history of adenoma-carcinoma and de novo carcinoma and surveillance of colon and rectum after polypectomy: implication for efficacy of colonoscopy. Br J Cancer 2003; 88: 1866-1873. Go to original source... Go to PubMed...
    3. Inoue H, Kashida H, Kudo S, et al. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc 2003; 58: S3-43. Go to original source... Go to PubMed...
    4. Kudo S, Lambert R, Allen JI, et al. Nonpolypoid neoplastic lesions of the colorectal mucosa. Gastroeintest Endosc 2008; 4: S3-47. Go to original source... Go to PubMed...
    5. Okuno T, Sano Y, Ohkura Y, et al. Incidence and clinicopathological characteristics of depressed type lesions: base line findings of multicenter retrospective cohort study [in Japanese]. Early Colorectal Cancer 2004; 8: 21-27.
    6. Togashi K, Konishi F, Koinuma K, et al. Flat and depressed lesions of the colon and rectum: pathogenesis and clinical management. Ann Acad Med Singapore 2003; 32: 152-158.
    7. O'Brien MJ, Winawer SJ, Zauber AG, et al. Flat adenomas in the National Polyp Study: is there increased risk for highgrade dysplasia initially or during surveillance? Clin Gastroenterol Hepatol 2004; 2: 905-911. Go to original source... Go to PubMed...
    8. Soetikno RM, Kaltenbach T, Rouse RV, et al. Prevalence of nonpolypoid (flat and depressed) colorectal neoplasms in asymptomatic and symptomatic adults. JAMA 2008; 299: 1027-1035. Go to original source... Go to PubMed...
    9. Goldstein N. Small colonic microsatellite unstable adenocarcinomas and high-grade epithelial dysplasia in sessile serrated adenoma. Am J Clin Pathol 2006; 125: 132-145. Go to original source...
    10. Makinen MJ. Colorectal serrated adenocarcinoma. Histopathology 2007; 50: 131-150. Go to original source... Go to PubMed...
    11. Kliment M, Fojtík P, Urban O, et al. High definition 170° wide-angle colonocopy versus standard-resolution standardangle versus high-resolution standard-angle colonoscopy for diagnosing neoplastic colorectal lesions - a prospective single center study. Endoscopy 2008; 40(Suppl. I): A 23. Go to PubMed...
    12. Kudo S, Hirota S, Nakajima T, et al. Colorectal tumours and pit pattern. J Clin Pathol. 1994; 47: 880-885. Go to original source... Go to PubMed...
    13. Weston AP, Campbell DR. Diminutive colonic polyps: Histopathology, spatial distribution, concomitant significant lesions, and treatment complications. Am J Gastroenterol 1995; 90: 24-28.
    14. Church JM. Clinical significance of small colorectal polyps. Dis Colon Rectum 2004; 47: 481-485. Go to original source... Go to PubMed...
    15. Davila RE, Rajan E, Adler D, et al. ASGE guideline: the role of endoscopy in the diagnosis, staging and management of colorectal cancer. Gastrointest Endosc 2005; 61: 1-7. Go to original source... Go to PubMed...
    16. Singh N, Harrison M, Rex DK. A survey of colonoscopic polypectomy practices among clinical gastroenterologists. Gastrointest Endosc 2004; 99: 414-418. Go to original source... Go to PubMed...
    17. Yamamoto H, Yube T, Isoda N, et al. A novel method of endoscopic mucosal resection using sodium hyaluronate. Gastrointest Endosc 1999; 50: 251-256. Go to original source... Go to PubMed...
    18. Giday SA, Magno P, Buscaglia JM, et al. Is blood the ideal submucosal cushioning agent? A comparative study in a porcine model. Endoscopy 2006; 38: 1230-1234. Go to original source... Go to PubMed...
    19. Uno Y, Manukat A. The non-lifting sign of invasive colon cancer. Gastrointest Endosc 1994; 40: 485-489. Go to original source... Go to PubMed...
    20. Brooker JC, Saunders BP, Dshah SG, et al. Treatment with argon plasma coagulation reduces recurrenceafter picemeal resection of large sessile colonic polyps: a randomized trial and recommendations. Gastrointest Endosc 2002; 55: 371-375. Go to original source... Go to PubMed...
    21. Turner J, Dolwani S, Green J. The role of prophylactic clips in endoscopic mucosal resection. Gastrointest Endosc 2009; 69: AB209. Go to original source...
    22. Conio M, Repici A, Demarquay JF, et al. EMR of large sessile colorectal polyps. Gastrointest Endosc 2004; 60: 234-241. Go to original source... Go to PubMed...
    23. 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. Gastroenterology 2006; 130: 1872-1885. Go to original source... Go to PubMed...
    24. Rex DK. Have we defined best colonoscopic polypectomy practice in the United States? Clin Gastroenterol Hepatol 2007; 5: 674-677. Go to original source... Go to PubMed...
    25. Tanaka S, Oka S, Kanenko I, et al. Endoscopic submucosal dissection for colorectal neoplasia: possibility of standardizattion. Gastrointest Endosc 2007; 66: 100-107. Go to original source... Go to PubMed...
    26. Urban O, Vitek P, Fojtik P, et al. Laterally spreading tumors - experience based on 138 consecutive cases. Hepatogastroenterology 2008; 55(82-83): 351-355. Go to PubMed...
    27. Isomoto H, Nishiyama H, Yamaguchi N, et al. Clinicopathological factors associated with clinical outcomes of endoscopic submucosal dissection for colorectal epithelial neoplasms. Endoscopy 2009; 41: 679-683. Go to original source... Go to PubMed...
    28. Kikuchi R, Takano M, Takagi K, et al. Management of early invasive colorectal cancer. Risk of recurrence and clinical guidelines. Dis Colon Rectum 1995; 38: 1286-1295. Go to original source... Go to PubMed...

    Return to the content


    Endoscopy

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.