Optimizing resection of sessile serrated polyps

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Optimizing resection of sessile serrated polyps.

Removal of precancerous lesions during colonoscopy reduces colorectal cancer (CRC) incidence and mortality [1]. Recent data have highlighted that interval CRC occurs despite previous colonoscopy. Incomplete removal of polyps is one of the factors leading to interval CRCs [2]. Incomplete polypectomy of sessile serrated polyps (SSPs) is four-fold higher than that of conventional adenomas [3] and ...

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Sessile serrated adenoma/polyps with a depressed surface: a rare form of sessile serrated adenoma/polyp

Sessile serrated adenoma/polyps (SSA/Ps) usually appear flat to sessile with a smooth-appearing surface. However, macroscopic appearances of SSA/P can vary from flat-elevated to nodular and can even show a pedunculated configuration as we previously reported. The aim of the current study was to evaluate the clinicopathologic features of another under-recognized form of SSA/P which shows a depre...

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Frequency of coexistent carcinoma in sessile serrated adenoma/polyps and traditional serrated adenomas removed by endoscopic resection

BACKGROUND AND STUDY AIMS Sessile serrated adenoma/polyps (SSA/Ps) have a different potential than traditional adenomatous polyps for developing into malignant colorectal cancer. However, little is known about the coexistent cancer rate. Here, we evaluate the frequency of carcinoma in serrated polyps removed by endoscopic resection (ER). PATIENTS AND METHODS This was a retrospective single-ce...

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

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 lesion...

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Sessile serrated adenoma/polyps: Where are we at in 2016?

It is currently known that colorectal cancers (CRC) arise from 3 different pathways: the adenoma to carcinoma chromosomal instability pathway (50%-70%); the mutator "Lynch syndrome" route (3%-5%); and the serrated pathway (30%-35%). The World Health Organization has classified serrated polyps into three types of lesions: hyperplastic polyps (HP), sessile serrated adenomas/polyps (SSA/P) and tra...

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ژورنال

عنوان ژورنال: Endoscopy

سال: 2014

ISSN: 0013-726X,1438-8812

DOI: 10.1055/s-0034-1365379