Why attempt en bloc resection of non-pedunculated colorectal adenomas? A systematic review of the prevalence of superficial submucosal invasive cancer after endoscopic submucosal dissection.
Por:
Fuccio L, Repici A, Hassan C, Ponchon T, Bhandari P, Jover R, Triantafyllou K, Mandolesi D, Frazzoni L, Bellisario C, Bazzoli F, Sharma P, Rosch T and Rex DK
Publicada:
1 ago 2018
Ahead of Print:
5 dic 2017
Categoría:
Gastroenterology
Resumen:
Endoscopic submucosal dissection (ESD) aims to achieve en bloc resection of non-pedunculated colorectal adenomas which might be indicated in cases with superficial submucosal invasive cancers (SMIC), but the procedure is time consuming and complex. The prevalence of such cancers is not known but may determine the clinical necessity for ESD as opposed to the commonly used piecemeal mucosal resection (endoscopic mucosal resection) of colorectal adenomas. The main aim was to assess the prevalence of SMIC SM1 (ie, invasion =1000 µm or less than one-third of the submucosa) on colorectal lesions removed by ESD.
Filiaciones:
Fuccio L:
Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
Repici A:
Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Research and University Hospital, Rozzano, Italy
Hassan C:
Nuovo Regina Margherita Hospital, Rome, Italy
Ponchon T:
Department of Gastroenterology and Endoscopy, Edouard Herriot Hospital, Lyon, France
Bhandari P:
Queen Alexandra Hospital, Portsmouth, UK
Jover R:
Service of Digestive Medicine, Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), Alicante, Spain
Triantafyllou K:
Etaepatogastroenterology Unit, Second Department of Internal Medicine, Research Institute and Diabetes Center, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece
?epatogastroenterology Unit, Second Department of Internal Medicine, Research Institute and Diabetes Center, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece
Mandolesi D:
Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
Frazzoni L:
Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
Bellisario C:
Department of Cancer Screening, Centre for Epidemiology and Prevention in Oncology (CPO), University Hospital Città della Salute e della Scienza di Torino, Turin, Italy
Bazzoli F:
Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
Sharma P:
Division of Gastroenterology & Hepatology, Department of Internal Medicine, University of Kansas Medical Center, Kansas, Missouri, USA
Department of Gastroenterology, Veteran Affairs Medical Center, Kansas, Missouri, USA
Division of Gastroenterology Hepatology, Department of Internal Medicine, University of Kansas Medical Center, Kansas, Missouri, USA
Rosch T:
Department of Interdisciplinary Endoscopy, University Hospital Hamburg-Eppendorf, Hamburg, Germany
Rex DK:
Division of Gastroenterology/Hepatology, Indiana University Hospital, Indianapolis, Indiana, USA
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