Optical evaluation: the crux for effective management of colorectal neoplasia.

Therap Adv Gastroenterol

Clinical Professor of Medicine, Department of Gastroenterology and Hepatology, Westmead Hospital, University of Sydney, Westmead Clinical School, Suite 106a 151-155 Hawkesbury Road, Sydney, NSW 2145, Australia.

Published: May 2020

Advances in minimally invasive tissue resection techniques now allow for the majority of early colorectal neoplasia to be managed endoscopically. To optimize their respective risk-benefit profiles, and, therefore, appropriately select between endoscopic mucosal resection, endoscopic submucosal dissection, and surgery, the endoscopist must accurately predict the risk of submucosal invasive cancer and estimate depth of invasion. Herein, we discuss the evidence and our approach for optical evaluation of large (⩾ 20 mm) colorectal laterally spreading lesions.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235649PMC
http://dx.doi.org/10.1177/1756284820922746DOI Listing

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