Can Magnification Endoscopy Detect Residual Adenoma After Piecemeal Resection of Large Sessile Colorectal Lesions to Guide Subsequent Treatment? A Prospective Single-Center Study

Cipolletta, Livio; Bianco, Maria Antonia; Garofano, Maria Lucia; Cipolleta, Fabio; Piscopo, Roberto; Rotondano, G.

doi:10.1007/dcr.0b013e3181b5539c

Cited by 16 publications

(5 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21,39,45,93,94 Previous reports showed that when piecemeal EMR was carried out, magnifying endoscopic observation of the lesion margin and ulcer base after the resection is useful to decrease the local residual/recurrence rate. 95 To confirm local residual/recurrence, follow-up colonoscopy should be done approximately 6 months after the treatment. 42,[96][97][98] The frequency of T1 (SM) carcinoma increases as the tumor size increases.…”

Section: Choosing Between Esd and Emrmentioning

confidence: 99%

JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection

Tanaka

Kashida

Saito

et al. 2015

Digestive Endoscopy

527

479

View full text Add to dashboard Cite

Colorectal endoscopic submucosal dissection (ESD) has become common in recent years. Suitable lesions for endoscopic treatment include not only early colorectal carcinomas but also many types of precarcinomatous adenomas. It is important to establish practical guidelines in which the preoperative diagnosis of colorectal neoplasia and the selection of endoscopic treatment procedures are properly outlined, and to ensure that the actual endoscopic treatment is useful and safe in general hospitals when carried out in accordance with the guidelines. In cooperation with the Japanese Society for Cancer of the Colon and Rectum, the Japanese Society of Coloproctology, and the Japanese Society of Gastroenterology, the Japan Gastroenterological Endoscopy Society has recently compiled a set of colorectal ESD/endoscopic mucosal resection (EMR) guidelines using evidence-based methods. The guidelines focus on the diagnostic and therapeutic strategies and caveat before, during, and after ESD/EMR and, in this regard, exclude the specific procedures, types and proper use of instruments, devices, and drugs. Although eight areas, ranging from indication to pathology, were originally planned for inclusion in these guidelines, evidence was scarce in each area. Therefore, grades of recommendation were determined largely through expert consensus in these areas.

show abstract

Section: Choosing Between Esd and Emrmentioning

confidence: 99%

JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection

Tanaka

Kashida

Saito

et al. 2015

Digestive Endoscopy

527

479

View full text Add to dashboard Cite

show abstract

“…The reason for this restriction is that if SM invasive carcinoma is cut into pieces, pathological diagnosis for the invasion depth and lymph‐vascular invasion would be difficult, and necessary additional treatment might not be given . Previous reports have shown that when piecemeal EMR is carried out, magnifying endoscopic observation of the lesion margin and ulcer base after resection is useful to decrease the local residual/recurrence rate . To confirm local residual/recurrence, follow‐up colonoscopy should be done approximately 6 months after treatment …”

Section: Techniquesmentioning

confidence: 99%

“…22,47,55,116,117 Previous reports have shown that when piecemeal EMR is carried out, magnifying endoscopic observation of the lesion margin and ulcer base after resection is useful to decrease the local residual/recurrence rate. 118 To confirm local residual/recurrence, follow-up colonoscopy should be done approximately 6 months after treatment. 49,[119][120][121] Frequency of T1 (SM) carcinomas increases as tumor size increases.…”

Section: Choosing Between Esd and Emrmentioning

confidence: 99%

Japan Gastroenterological Endoscopy Society guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection

Tanaka

Kashida

Saito

et al. 2019

Digestive Endoscopy

298

292

View full text Add to dashboard Cite

Suitable lesions for endoscopic treatment include not only early colorectal carcinomas but also several types of precarcinomatous adenomas. It is important to establish practical guidelines wherein preoperative diagnosis of colorectal neoplasia and selection of endoscopic treatment procedures are appropriately outlined and to ensure that actual endoscopic treatment is useful and safe in general hospitals when carried out in accordance with guidelines. In cooperation with the Japanese Society for Cancer of the Colon and Rectum, the Japanese Society of Coloproctology, and the Japanese Society of Gastroenterology, the Japan Gastroenterological Endoscopy Society compiled colorectal endoscopic submucosal dissection/endoscopic mucosal resection guidelines by using evidence‐based methods in 2014. The first edition of these guidelines was published 5 years ago. Accordingly, we have published the second edition of these guidelines based on recent new knowledge and evidence.

show abstract

“…The sensitivity of magnification endoscopy for predicting residual tissue at resection margins was 98% (95% CI 90% to 100%); specificity was 90% (95% CI 79% to 100%) with an overall accuracy of 94.5% (95% CI 87.2% to 98.6%). 172 Chromoendoscopy was found to accurately predict completeness of endoscopic resection in a 2004 study of 684 lesions (sensitivity 80%; specificity 97%; accuracy 94%). 173 A 2011 study comparing the accuracy of NBI with white light examination for the detection of residual neoplasia found that NBI increased detection of residual neoplasia at the resection site, with 63% of identified lesions found to be more extensive with NBI than initially thought with white light examination.…”

Section: Executive Summary Of Key Recommendationsmentioning

confidence: 99%

British Society of Gastroenterology/Association of Coloproctologists of Great Britain and Ireland guidelines for the management of large non-pedunculated colorectal polyps

Rutter

Chattree

Barbour

et al. 2015

Gut

180

206

View full text Add to dashboard Cite

These guidelines provide an evidence-based framework for the management of patients with large non-pedunculated colorectal polyps (LNPCPs), in addition to identifying key performance indicators (KPIs) that permit the audit of quality outcomes. These are areas not previously covered by British Society of Gastroenterology (BSG) Guidelines.A National Institute of Health and Care Excellence (NICE) compliant BSG guideline development process was used throughout and the Appraisal of Guidelines for Research and Evaluation (AGREE II) tool was used to structure the guideline development process. A systematic review of literature was conducted for English language articles up to May 2014 concerning the assessment and management of LNPCPs. Quality of evaluated studies was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) Methodology Checklist System. Proposed recommendation statements were evaluated by each member of the Guideline Development Group (GDG) on a scale from 1 (strongly agree) to 5 (strongly disagree) with >80% agreement required for consensus to be reached. Where consensus was not reached a modified Delphi process was used to re-evaluate and modify proposed statements until consensus was reached or the statement discarded. A round table meeting was subsequently held to finalise recommendations and to evaluate the strength of evidence discussed. The GRADE tool was used to assess the strength of evidence and strength of recommendation for finalised statements.KPIs, a training framework and potential research questions for the management of LNPCPs were also developed. It is hoped that these guidelines will improve the assessment and management of LNPCPs.

show abstract

Can Magnification Endoscopy Detect Residual Adenoma After Piecemeal Resection of Large Sessile Colorectal Lesions to Guide Subsequent Treatment? A Prospective Single-Center Study

Cited by 16 publications

References 25 publications

JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection

JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection

Japan Gastroenterological Endoscopy Society guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection

British Society of Gastroenterology/Association of Coloproctologists of Great Britain and Ireland guidelines for the management of large non-pedunculated colorectal polyps

Contact Info

Product

Resources

About