Precision endoscopy in colorectal polyps' characterization and planning of endoscopic therapy

Abstract

Precision endoscopy in the management of colorectal polyps and early colorectal cancer has emerged as the standard of care. It includes optical characterization of polyps and estimation of submucosal invasion depth of large non‐pedunculated colorectal polyps to select the appropriate endoscopic resection modality.Over time, several imaging modalities have been implemented in endoscopic practice to improve optical performance. Among these, image‐enhanced endoscopy systems and magnification endoscopy represent now well‐established tools. New advanced technologies, such as endocytoscopy and confocal laser endomicroscopy, have recently shown promising results in predicting histology of colorectal polyps. In recent years, Artificial Intelligence has continued to enhance endoscopic performance in the characterization of colorectal polyps, overcoming the limitations of other imaging modes.In this review, we retrace the path of precision endoscopy, analyzing the yield of various endoscopic imaging techniques in personalizing management of colorectal polyps and early CRC.

The Dual Lens of Endoscopy and Histology in the Diagnosis and Management of Eosinophilic Gastrointestinal Disorders—A Comprehensive Review

“…Recent advances in diagnostic endoscopic tools are paving the way for new era in EoE endoscopic assessment [77]. Virtual Chromoendoscopy (VC) techniques have enhanced endoscopic diagnostic performances in multiple settings [78]. In a recent study conducted by Gregory and colleagues, the use of iScan technology (Pentax EC-3490Fi; Pentax, Tokyo, Japan) has shown a sensitivity of 97.6% and specificity of 89.5% in detecting EoE endoscopic features.…”