The DOI matches its Crossref record; 113 of the 113 references it cites were found in a registry or an index.
Colorectal polypectomy and endoscopic mucosal resection (EMR): European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline
Open accessAbstract
1 ESGE recommends cold snare polypectomy (CSP) as the preferred technique for removal of diminutive polyps (size ≤ 5 mm). This technique has high rates of complete resection, adequate tissue sampling for histology, and low complication rates. (High quality evidence, strong recommendation.) 2 ESGE suggests CSP for sessile polyps 6 – 9 mm in size because of its superior safety profile, although evidence comparing efficacy with hot snare polypectomy (HSP) is lacking. (Moderate quality evidence, weak recommendation.) 3 ESGE suggests HSP (with or without submucosal injection) for removal of sessile polyps 10 – 19 mm in size. In most cases deep thermal injury is a potential risk and thus submucosal injection prior to HSP should be considered. (Low quality evidence, strong recommendation.) 4 ESGE recommends HSP for pedunculated polyps. To prevent bleeding in pedunculated colorectal polyps with head ≥ 20 mm or a stalk ≥ 10 mm in diameter, ESGE recommends pretreatment of the stalk with injection of dilute adrenaline and/or mechanical hemostasis. (Moderate quality evidence, strong recommendation.) 5 ESGE recommends that the goals of endoscopic mucosal resection (EMR) are to achieve a completely snare-resected lesion in the safest minimum number of pieces, with adequate margins and without need for adjunctive ablative techniques. (Low quality evidence; strong recommendation.) 6 ESGE recommends careful lesion assessment prior to EMR to identify features suggestive of poor outcome. Features associated with incomplete resection or recurrence include lesion size > 40 mm, ileocecal valve location, prior failed attempts at resection, and size, morphology, site, and access (SMSA) level 4. (Moderate quality evidence; strong recommendation.) 7 For intraprocedural bleeding, ESGE recommends endoscopic coagulation (snare-tip soft coagulation or coagulating forceps) or mechanical therapy, with or without the combined use of dilute adrenaline injection. (Low quality evidence, strong recommendation.) An algorithm of polypectomy recommendations according to shape and size of polyps is given ( Fig. 1 ).
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Cites
Grading quality of evidence and strength of recommendations
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Colonoscopic Polypectomy and Long-Term Prevention of Colorectal-Cancer Deaths
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Endoscopic submucosal dissection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
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Serrated Lesions of the Colorectum: Review and Recommendations From an Expert Panel
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Update on the Paris Classification of Superficial Neoplastic Lesions in the Digestive Tract
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Risk factors for an adverse outcome in early invasive colorectal carcinoma
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Incomplete Polyp Resection During Colonoscopy—Results of the Complete Adenoma Resection (CARE) Study
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Rutter, M. D., East, J., Rees, C. J., Cripps, N., Docherty, J., Dolwani, S., Kaye, P. V., Monahan, K. J., Novelli, M. R., Plumb, A., et al. (2020) · Gut · doi:10.1136/gutjnl-2019-319858 · Cited by 380
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Nass, K. J., Zwager, L. W., van der Vlugt, M., Dekker, E., Bossuyt, P. M. M., Ravindran, S., Thomas-Gibson, S., & Fockens, P. (2022) · Gastrointestinal Endoscopy · doi:10.1016/j.gie.2021.11.038 · Cited by 323
Self-citationOptimizing the quality of colorectal cancer screening worldwide
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Metadata
- Authors
- Ferlitsch, M., Moss, A., Hassan, C., Bhandari, P., Dumonceau, J.-M., Paspatis, G., Jover, R., Langner, C., Bronzwaer, M., Nalankilli, K., Fockens, P., Hazzan, R., Gralnek, I., Gschwantler, M., Waldmann, E., Jeschek, P., Penz, D., Heresbach, D., Moons, L., Lemmers, A., Paraskeva, K., Pohl, J., Ponchon, T., Regula, J., Repici, A., Rutter, M., Burgess, N., & Bourke, M.
- Venue
- Endoscopy
- Publisher
- Georg Thieme Verlag KG
- Published
- 2017-02-17
- Volume
- 49
- Issue
- 03
- Pages
- 270-297
- ISSN
- 0013-726X (ISSN-L)
- 1438-8812
- OpenAlex
- W2588184175
- Cited by
- 1,108
- References
- 113
- FWCI
- 38.56
- Type
- journal article
- Language
- en
- Open access
- bronze
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- The paper
- Ferlitsch, M., Moss, A., Hassan, C., Bhandari, P., Dumonceau, J.-M., Paspatis, G., Jover, R., Langner, C., Bronzwaer, M., Nalankilli, K., Fockens, P., Hazzan, R., Gralnek, I., Gschwantler, M., Waldmann, E., Jeschek, P., Penz, D., Heresbach, D., Moons, L., . . . Bourke, M. (2017). Colorectal polypectomy and endoscopic mucosal resection (EMR): European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. https://doi.org/10.1055/s-0043-102569
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
