Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2024.

1: :ESGE recommends cold snare polypectomy (CSP), to include a clear margin of normal tissue (1-2 mm) surrounding the polyp, for the removal of diminutive polyps (= 5 mm).Strong recommendation, high quality of evidence. 2: :ESGE recommends against the use of cold biopsy forceps excision because of i...

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Autores: Ferlitsch M, Hassan C, Bisschops R, Bhandari P, Dinis-Ribeiro M, Risio M, Paspatis GA, Moss A, Libânio D, Lorenzo-Zúñiga V, Voiosu AM, Rutter MD, Pellisé M, Moons LMG, Probst A, Awadie H, Amato A, Takeuchi Y, Repici A, Rahmi G, Koecklin HU, Albéniz E, Rockenbauer LM, Waldmann E, Messmann H, Triantafyllou K, Jover R, Gralnek IM, Dekker E, Bourke MJ
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p10421
Acesso em linha:https://isabial.portalinvestigacion.com/publicaciones10421
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2304-3219
Access Level:acceso abierto
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spelling Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2024.Ferlitsch MHassan CBisschops RBhandari PDinis-Ribeiro MRisio MPaspatis GAMoss ALibânio DLorenzo-Zúñiga VVoiosu AMRutter MDPellisé MMoons LMGProbst AAwadie HAmato ATakeuchi YRepici ARahmi GKoecklin HUAlbéniz ERockenbauer LMWaldmann EMessmann HTriantafyllou KJover RGralnek IMDekker EBourke MJ1: :ESGE recommends cold snare polypectomy (CSP), to include a clear margin of normal tissue (1-2 mm) surrounding the polyp, for the removal of diminutive polyps (= 5 mm).Strong recommendation, high quality of evidence. 2: :ESGE recommends against the use of cold biopsy forceps excision because of its high rate of incomplete resection.Strong recommendation, moderate quality of evidence. 3: :ESGE recommends CSP, to include a clear margin of normal tissue (1-2 mm) surrounding the polyp, for the removal of small polyps (6-9 mm).Strong recommendation, high quality of evidence. 4: :ESGE recommends hot snare polypectomy for the removal of nonpedunculated adenomatous polyps of 10-19 mm in size.Strong recommendation, high quality of evidence. 5: :ESGE recommends conventional (diathermy-based) endoscopic mucosal resection (EMR) for large (= 20 mm) nonpedunculated adenomatous polyps (LNPCPs).Strong recommendation, high quality of evidence. 6: :ESGE suggests that underwater EMR can be considered an alternative to conventional hot EMR for the treatment of adenomatous LNPCPs.Weak recommendation, moderate quality of evidence. 7: :Endoscopic submucosal dissection (ESD) may also be suggested as an alternative for removal of LNPCPs of = 20 mm in selected cases and in high-volume centers.Weak recommendation, low quality evidence. 8: :ESGE recommends that, after piecemeal EMR of LNPCPs by hot snare, the resection margins should be treated by thermal ablation using snare-tip soft coagulation to prevent adenoma recurrence.Strong recommendation, high quality of evidence. 9: :ESGE recommends (piecemeal) cold snare polypectomy or cold EMR for SSLs of all sizes without suspected dysplasia.Strong recommendation, moderate quality of evidence. 10: :ESGE recommends prophylactic endoscopic clip closure of the mucosal defect after EMR of LNPCPs in the right colon to reduce to reduce the risk of delayed bleeding.Strong recommendation, high quality of evidence. 11: :ESGE recommends that en bloc resection techniques, such as en bloc EMR, ESD, endoscopic intermuscular dissection, endoscopic full-thickness resection, or surgery should be the techniques of choice in cases with suspected superficial invasive carcinoma, which otherwise cannot be removed en bloc by standard polypectomy or EMR.Strong recommendation, moderate quality of evidence.GEORG THIEME VERLAG KG2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones10421https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2304-3219ENDOSCOPYISSN: 0013726XISSNe: 14388812reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Inglésinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p104212026-06-12T10:20:37Z
dc.title.none.fl_str_mv Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2024.
title Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2024.
spellingShingle Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2024.
Ferlitsch M
title_short Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2024.
title_full Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2024.
title_fullStr Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2024.
title_full_unstemmed Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2024.
title_sort Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2024.
dc.creator.none.fl_str_mv Ferlitsch M
Hassan C
Bisschops R
Bhandari P
Dinis-Ribeiro M
Risio M
Paspatis GA
Moss A
Libânio D
Lorenzo-Zúñiga V
Voiosu AM
Rutter MD
Pellisé M
Moons LMG
Probst A
Awadie H
Amato A
Takeuchi Y
Repici A
Rahmi G
Koecklin HU
Albéniz E
Rockenbauer LM
Waldmann E
Messmann H
Triantafyllou K
Jover R
Gralnek IM
Dekker E
Bourke MJ
author Ferlitsch M
author_facet Ferlitsch M
Hassan C
Bisschops R
Bhandari P
Dinis-Ribeiro M
Risio M
Paspatis GA
Moss A
Libânio D
Lorenzo-Zúñiga V
Voiosu AM
Rutter MD
Pellisé M
Moons LMG
Probst A
Awadie H
Amato A
Takeuchi Y
Repici A
Rahmi G
Koecklin HU
Albéniz E
Rockenbauer LM
Waldmann E
Messmann H
Triantafyllou K
Jover R
Gralnek IM
Dekker E
Bourke MJ
author_role author
author2 Hassan C
Bisschops R
Bhandari P
Dinis-Ribeiro M
Risio M
Paspatis GA
Moss A
Libânio D
Lorenzo-Zúñiga V
Voiosu AM
Rutter MD
Pellisé M
Moons LMG
Probst A
Awadie H
Amato A
Takeuchi Y
Repici A
Rahmi G
Koecklin HU
Albéniz E
Rockenbauer LM
Waldmann E
Messmann H
Triantafyllou K
Jover R
Gralnek IM
Dekker E
Bourke MJ
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
description 1: :ESGE recommends cold snare polypectomy (CSP), to include a clear margin of normal tissue (1-2 mm) surrounding the polyp, for the removal of diminutive polyps (= 5 mm).Strong recommendation, high quality of evidence. 2: :ESGE recommends against the use of cold biopsy forceps excision because of its high rate of incomplete resection.Strong recommendation, moderate quality of evidence. 3: :ESGE recommends CSP, to include a clear margin of normal tissue (1-2 mm) surrounding the polyp, for the removal of small polyps (6-9 mm).Strong recommendation, high quality of evidence. 4: :ESGE recommends hot snare polypectomy for the removal of nonpedunculated adenomatous polyps of 10-19 mm in size.Strong recommendation, high quality of evidence. 5: :ESGE recommends conventional (diathermy-based) endoscopic mucosal resection (EMR) for large (= 20 mm) nonpedunculated adenomatous polyps (LNPCPs).Strong recommendation, high quality of evidence. 6: :ESGE suggests that underwater EMR can be considered an alternative to conventional hot EMR for the treatment of adenomatous LNPCPs.Weak recommendation, moderate quality of evidence. 7: :Endoscopic submucosal dissection (ESD) may also be suggested as an alternative for removal of LNPCPs of = 20 mm in selected cases and in high-volume centers.Weak recommendation, low quality evidence. 8: :ESGE recommends that, after piecemeal EMR of LNPCPs by hot snare, the resection margins should be treated by thermal ablation using snare-tip soft coagulation to prevent adenoma recurrence.Strong recommendation, high quality of evidence. 9: :ESGE recommends (piecemeal) cold snare polypectomy or cold EMR for SSLs of all sizes without suspected dysplasia.Strong recommendation, moderate quality of evidence. 10: :ESGE recommends prophylactic endoscopic clip closure of the mucosal defect after EMR of LNPCPs in the right colon to reduce to reduce the risk of delayed bleeding.Strong recommendation, high quality of evidence. 11: :ESGE recommends that en bloc resection techniques, such as en bloc EMR, ESD, endoscopic intermuscular dissection, endoscopic full-thickness resection, or surgery should be the techniques of choice in cases with suspected superficial invasive carcinoma, which otherwise cannot be removed en bloc by standard polypectomy or EMR.Strong recommendation, moderate quality of evidence.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://isabial.portalinvestigacion.com/publicaciones10421
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2304-3219
url https://isabial.portalinvestigacion.com/publicaciones10421
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2304-3219
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv GEORG THIEME VERLAG KG
publisher.none.fl_str_mv GEORG THIEME VERLAG KG
dc.source.none.fl_str_mv ENDOSCOPY
ISSN: 0013726X
ISSNe: 14388812
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
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