Colonic polyps. Are we ready to resect and discard?

Cesare Hassan, Alessandro Repici, Angelo Zullo, Vijay Kanakadandi, Prateek Sharma

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Colorectal cancer represents a major cause of mortality in Western countries, and population-based colonoscopy screening is supported by official guidelines. A significant determinant of the cost of colonoscopy screening/surveillance is driven by polypectomy of diminutive (≤5 mm) lesions. When considering the low prevalence of advanced neoplasia within diminutive polyps, the additional cost of pathologic examination is mainly justified by the need to differentiate between precancerous adenomatous versus hyperplastic polyps. The aim of this review is to summarize the data supporting the clinical application of a resect and discard strategy, also addressing the potential pitfalls associated with this approach.

Original languageEnglish
Pages (from-to)663-678
Number of pages16
JournalGastrointestinal Endoscopy Clinics of North America
Volume23
Issue number3
DOIs
Publication statusPublished - Jul 2013

Fingerprint

Colonic Polyps
Colonoscopy
Polyps
Costs and Cost Analysis
Colorectal Neoplasms
Guidelines
Mortality
Population
Neoplasms

Keywords

  • Colonoscopy
  • Electronic chromoendoscopy
  • Narrow-band imaging
  • Polypectomy
  • Preservation and incorporation of valuable endoscopic innovations

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Colonic polyps. Are we ready to resect and discard? / Hassan, Cesare; Repici, Alessandro; Zullo, Angelo; Kanakadandi, Vijay; Sharma, Prateek.

In: Gastrointestinal Endoscopy Clinics of North America, Vol. 23, No. 3, 07.2013, p. 663-678.

Research output: Contribution to journalArticle

Hassan, Cesare ; Repici, Alessandro ; Zullo, Angelo ; Kanakadandi, Vijay ; Sharma, Prateek. / Colonic polyps. Are we ready to resect and discard?. In: Gastrointestinal Endoscopy Clinics of North America. 2013 ; Vol. 23, No. 3. pp. 663-678.
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