Large polyps:Pearls for the referring and receiving endoscopist

作     者：Eric Markarian Brian M Fung Mohit Girotra James H Tabibian 

作者机构：Academy of Science and MedicineCrescenta Valley High SchoolLos AngelesCA 91214United States Division of Gastroenterology and HepatologyDepartment of Internal MedicineUniversity of Arizona College of Medicine-PhoenixPhoenixAZ 85006United States Division of GastroenterologyBanner-University Medical Center PhoenixPhoenixAZ 85006United States Section of Gastroenterology and Therapeutic EndoscopyDigestive Health InstituteSwedish Medical CenterSeattleWA 98104United States Division of GastroenterologyDepartment of MedicineOlive View-UCLA Medical CenterSylmarCA 91342United States Vatche and Tamar Manoukian Division of Digestive DiseasesDavid Geffen School of Medicine at UCLALos AngelesCA 90095United States 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2021年第13卷第12期

页      面：638-648页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Adenoma Endoscopic mucosal resection Endoscopic tattoo Colorectal cancer Polypectomy 

摘      要：Polyps are precursors to colorectal cancer,the third most common cancer in the United *** polyps,i.e.,,those with a size≥20 mm,are more likely to harbor *** polyps can be removed through various techniques,with the goal to completely resect and prevent colorectal cancer;however,the management of large polyps can be relatively complex and *** polyps are generally more difficult to remove en bloc with conventional methods,and depending on level of expertise,may consequently be resected piecemeal,leading to an increased rate of incomplete removal and thus polyp *** effectively manage large polyps,endoscopists should be able to:(1)Evaluate the polyp for characteristics which predict high difficulty of resection or incomplete removal;(2)Determine the optimal resection technique(e.g.,snare polypectomy,endoscopic mucosal resection,endoscopic submucosal dissection,etc.);and(3)Recognize when to refer to colleagues with greater *** review covers important considerations in this regard for referring and receiving endoscopists and methods to best manage large colonic polyps.