Clinicopathological evaluation of the efficacy of endoscopic treatment for sessile serrated lesions comparing endoscopic mucosal resection, cold snare polypectomy, and underwater endoscopic mucosal resection.

• Tác giả: Shota Fujimoto, Kaizo Kagemoto, Takanori Kashihara, Tomoyuki Kawaguchi, Yutaka Kawano, Yoshifumi Kida, Takeshi Mitsuhashi, Yasuhiro Mitsui, Hiroshi Miyamoto, Naoki Muguruma, Yasuyuki Okada, Koichi Okamoto, Yasushi Sato, Motoko Sei, Masahiro Sogabe, Tetsuji Takayama, Hiroyuki Ueda, Mai Yagi, Takanori Yoshimoto
• Ngôn ngữ: eng
• Ký hiệu phân loại: 631.536 Transplanting
• Thông tin xuất bản: Australia : DEN open , 2025
• Bộ sưu tập: NCBI
• ID: 720749

Tóm tắt

 OBJECTIVES: Recently, various endoscopic treatments for colorectal polyps have been reported, including cold snare polypectomy (CSP) and underwater endoscopic mucosal resection (UEMR), in addition to EMR. However, a precise treatment strategy for sessile serrated lesions (SSL) has not been established. In this study, we analyzed the clinicopathological features of SSL resected by EMR, CSP, and UEMR to determine the most suitable treatment for SSL. METHODS: A total of 92 SSL resected via EMR ( RESULTS: The R0 resection rate significantly differed among the three groups (EMR, 73%
  CSP, 42%
  UEMR, 87%, CONCLUSIONS: UEMR is considered to be a suitable treatment option for SSL. CSP results were pathologically insufficient. Therefore, surveillance to evaluate local recurrence is important, and the results of further multicenter prospective studies should be referred.