Gao Pingting, Zhou Kaiqian, Su Wei, Yu Jia, Zhou Pinghong
Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, P. R. China.
Surgery Department, Zhongshan Hospital, Fudan University, Shanghai, P. R. China.
Gastroenterol Rep (Oxf). 2023 May 27;11:goad027. doi: 10.1093/gastro/goad027. eCollection 2023.
Colorectal polyps are premalignant lesions in the lower gastrointestinal tract. Endoscopic polypectomy is an effective strategy to prevent colorectal cancer morbidity and more invasive procedures. Techniques for the endoscopic resection of polyps keep evolving, and endoscopists are required to perform the most appropriate technique for each polyp. In this review, we outline the evaluation and classification of polyps, update the recommendations for optimal treatment, describe the polypectomy procedures and their strengths/weaknesses, and discuss the promising innovative methods or concepts.
结直肠息肉是下消化道的癌前病变。内镜下息肉切除术是预防结直肠癌发病和避免更具侵入性手术的有效策略。息肉的内镜切除技术不断发展,要求内镜医师针对每个息肉采用最合适的技术。在本综述中,我们概述了息肉的评估和分类,更新了最佳治疗建议,描述了息肉切除手术及其优缺点,并讨论了有前景的创新方法或理念。