Endoscopic management of colorectal adenomas

Ann Gastroenterol. 2017;30(6):592-597. doi: 10.20524/aog.2017.0193. Epub 2017 Sep 23.

Abstract

Colorectal adenomas are well known precursors of invasive adenocarcinoma. Colonoscopy is the gold standard for adenoma detection. Colonoscopy is far more than a diagnostic tool, as it allows effective treatment of colorectal adenomas. Endoscopic resection of colorectal adenomas has been shown to reduce the incidence and mortality of colorectal cancer. Difficult resection techniques are available, such as endoscopic mucosal resection, endoscopic submucosal dissection and endoscopic full-thickness resection. This review aims to provide an overview of the different endoscopic resection techniques and their indications, and summarizes the current recommendations in the recently published guideline of the European Society of Gastrointestinal Endoscopy.

Keywords: Polypectomy; endoscopic full-thickness resection; endoscopic mucosal resection; endoscopic submucosal dissection.

Publication types

  • Review