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Screening, management and surveillance for the sessile serrated adenomas/polyps.

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机构: [1]Department of Gastroenterology, The Affiliated Hospital of Luzhou Medical College, Sichuan, China, 646000 [2]The Institute for Digestive Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, China, 510515
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关键词: Serrated polyp sessile serrated adenomas/polyps screening management surveillance

摘要:
Abstract: The incidence and mortality rates from right-sided colorectal cancers (CRCs) have not decreased, compared with the significant reduction of CRCs in the left colon in recent years. It is likely that a significant proportion of right-sided CRCs evolve from undetected sessile serrated adenomas/polyps (SSA/Ps) in the primary colonoscopy. Increasing evidences suggest that SSA/Ps are high-risk lesions, with 15% of the SSA/P patients developing subsequent CRCs or adenomas with high-grade dysplasia. However, there are many issues in the screening, management and surveillance of SSA/Ps. Based on new evidences, this review addresses major issues in the diagnostic criteria for the serrated polyps of the colorectum, new endoscopic techniques (high-resolution magnifying endoscopy, narrow- band imaging, autofluorescence imaging, confocal laser endoscopy, and endocytoscopy) for the realtime identification of SSA/Ps, and the management of SSA/Ps by endoscopic mucosal resection, endoscopic sub-mucosal dissection or surgical resection in practice.

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出版当年[2014]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学 4 区 病理学
最新[2023]版:
第一作者:
第一作者机构: [1]Department of Gastroenterology, The Affiliated Hospital of Luzhou Medical College, Sichuan, China, 646000 [*1]Department of Gastroenterology, The Affiliated Hospital of Luzhou Medical College, Street Taiping 25#, Region Jiangyang, Sichuan, 646000, China.
通讯作者:
通讯机构: [1]Department of Gastroenterology, The Affiliated Hospital of Luzhou Medical College, Sichuan, China, 646000 [*1]Department of Gastroenterology, The Affiliated Hospital of Luzhou Medical College, Street Taiping 25#, Region Jiangyang, Sichuan, 646000, China.
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