Large Colorectal Lesions: Evaluation and Management
In the last years, a distinctive interest has been raised on large polypoid and non-polypoid colorectal tumors, and specially on flat neoplastic lesions ≥20 mm tending to grow laterally, the so called laterally spreading tumors (LST). Real or virtual chromoendoscopy, endoscopic ultrasound or magneti...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2016-07-01
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| Series: | GE: Portuguese Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2341454516000107 |
| _version_ | 1819171130875838464 |
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| author | Carlos Eduardo Oliveira dos Santos Júlio Carlos Pereira-Lima Fernanda de Quadros Onófrio |
| author_facet | Carlos Eduardo Oliveira dos Santos Júlio Carlos Pereira-Lima Fernanda de Quadros Onófrio |
| author_sort | Carlos Eduardo Oliveira dos Santos |
| collection | DOAJ |
| description | In the last years, a distinctive interest has been raised on large polypoid and non-polypoid colorectal tumors, and specially on flat neoplastic lesions ≥20 mm tending to grow laterally, the so called laterally spreading tumors (LST). Real or virtual chromoendoscopy, endoscopic ultrasound or magnetic resonance should be considered for the estimation of submucosal invasion of these neoplasms. Lesions suitable for endoscopic resection are those confined to the mucosa or selected cases with submucosal invasion ≤1000 μm. Polypectomy or endoscopic mucosal resection remain a first-line therapy for large colorectal neoplasms, whereas endoscopic submucosal dissection in high-volume centers or surgery should be considered for large LSTs for which en bloc resection is mandatory. |
| first_indexed | 2024-12-22T19:46:24Z |
| format | Article |
| id | doaj.art-c0355a96ba7945c68b0e2b51704e1106 |
| institution | Directory Open Access Journal |
| issn | 2341-4545 |
| language | English |
| last_indexed | 2024-12-22T19:46:24Z |
| publishDate | 2016-07-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | GE: Portuguese Journal of Gastroenterology |
| spelling | doaj.art-c0355a96ba7945c68b0e2b51704e11062022-12-21T18:14:41ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452016-07-0123419720710.1016/j.jpge.2016.01.001Large Colorectal Lesions: Evaluation and ManagementCarlos Eduardo Oliveira dos Santos0Júlio Carlos Pereira-Lima1Fernanda de Quadros Onófrio2Gastroenterology and Endoscopy Department, Hospital Santa Casa, Bagé, RS, BrazilGastroenterology and Endoscopy Department, Universidade Federal de Ciências da Saúde de Porto Alegre – UFCSPA/Santa Casa de Porto Alegre, RS, BrazilGastroenterology and Endoscopy Department, Universidade Federal de Ciências da Saúde de Porto Alegre – UFCSPA/Santa Casa de Porto Alegre, RS, BrazilIn the last years, a distinctive interest has been raised on large polypoid and non-polypoid colorectal tumors, and specially on flat neoplastic lesions ≥20 mm tending to grow laterally, the so called laterally spreading tumors (LST). Real or virtual chromoendoscopy, endoscopic ultrasound or magnetic resonance should be considered for the estimation of submucosal invasion of these neoplasms. Lesions suitable for endoscopic resection are those confined to the mucosa or selected cases with submucosal invasion ≤1000 μm. Polypectomy or endoscopic mucosal resection remain a first-line therapy for large colorectal neoplasms, whereas endoscopic submucosal dissection in high-volume centers or surgery should be considered for large LSTs for which en bloc resection is mandatory.http://www.sciencedirect.com/science/article/pii/S2341454516000107Endoscopy, GastrointestinalColorectal NeoplasmsColonic Polyps |
| spellingShingle | Carlos Eduardo Oliveira dos Santos Júlio Carlos Pereira-Lima Fernanda de Quadros Onófrio Large Colorectal Lesions: Evaluation and Management GE: Portuguese Journal of Gastroenterology Endoscopy, Gastrointestinal Colorectal Neoplasms Colonic Polyps |
| title | Large Colorectal Lesions: Evaluation and Management |
| title_full | Large Colorectal Lesions: Evaluation and Management |
| title_fullStr | Large Colorectal Lesions: Evaluation and Management |
| title_full_unstemmed | Large Colorectal Lesions: Evaluation and Management |
| title_short | Large Colorectal Lesions: Evaluation and Management |
| title_sort | large colorectal lesions evaluation and management |
| topic | Endoscopy, Gastrointestinal Colorectal Neoplasms Colonic Polyps |
| url | http://www.sciencedirect.com/science/article/pii/S2341454516000107 |
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