Sadeghi Amir, Yousefian Astaneh Ali, Arabpour Erfan, Zali Mohammad Reza
Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Student Research Committee, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Gastroenterol Hepatol Bed Bench. 2025;18(1):39-52. doi: 10.22037/ghfbb.v18i1.3085.
With the growing incidence of colorectal cancer worldwide, mainly due to increased early detection in screening programs, usage of endoscopic techniques for management of colorectal lesions have been gaining progressive attention. Each year, more advanced endoscopic techniques come to practice and old ones find technical enhancements. By reviewing guidelines, randomized controlled trials, meta-analyses, and original research, we aim to establish an evidence-based approach for selecting the optimal endoscopic method based on the polyp size, morphology, and classification. We critically analyze the advantages, limitations, and potential complications associated with each technique, providing a comprehensive overview for clinicians and suggest areas which may yet need further studies to be conducted. Our comprehensive review can provide a framework that will help clinicians choose an approach most suitable for their patients. This review attempts to contribute to the optimization of endoscopic management in colorectal polyps, with eventual improvement in patient outcomes.
随着全球结直肠癌发病率的上升，主要归因于筛查项目中早期检测的增加，用于结直肠病变管理的内镜技术越来越受到关注。每年，更多先进的内镜技术开始应用，旧技术也有技术改进。通过回顾指南、随机对照试验、荟萃分析和原始研究，我们旨在建立一种基于证据的方法，根据息肉大小、形态和分类选择最佳内镜方法。我们批判性地分析了每种技术的优点、局限性和潜在并发症，为临床医生提供全面概述，并指出可能仍需进一步研究的领域。我们的全面综述可以提供一个框架，帮助临床医生选择最适合其患者的方法。本综述试图为结直肠息肉内镜管理的优化做出贡献，最终改善患者预后。
