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©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jul 21, 2013; 19(27): 4277-4288
Published online Jul 21, 2013. doi: 10.3748/wjg.v19.i27.4277
Published online Jul 21, 2013. doi: 10.3748/wjg.v19.i27.4277
Endoscopy and polyps-diagnostic and therapeutic advances in management
Scott R Steele, Eric K Johnson, Department of Surgery, Madigan Army Medical Center, Madigan Health System, Tacoma, WA 98431, United States
Bradley Champagne, Division of Colon and Rectal Surgery, Case Western Reserve Medical Center, Cleveland, OH 44106, United States
Brad Davis, Department of Surgery, University of Cincinnati, Cincinnati, OH 45267, United States
Sang Lee, Division of Colon and Rectal Surgery, Weill Cornell Medical College, New York, NY 10065, United States
David Rivadeneira, Department of Surgery, Huntington Hospital/North Shore-LIJ Health System, Huntington, NY 11743, United States
Howard Ross, Department of Surgery, Riverview Plaza Riverview Medical Center, Red Bank, NJ 07701, United States
Dana A Hayden, Department of Surgery, Loyola University Health System, Chicago, IL 60660, United States
Justin A Maykel, Division of Colon and Rectal Surgery, University of Massachusetts Memorial Medical Center, Worcester, MA 01609, United States
Author contributions: Steele SR contributed to conception and design, and drafting of manuscript; Steele SR and Johnson EK contributed to acquisition of data; Steele SR, Johnson EK, Champagne B, Davis B and Maykel JA contributed to analysis and interpretation of data; Johnson EK, Champagne B, Davis B, Lee S, Rivadeneira D, Ross H, Hayden DA and Maykel JA contributed to critical revision; Steele SR and Maykel JA contributed to supervision.
Correspondence to: Scott R Steele, MD, FACS, Chief, Department of Surgery, Madigan Army Medical Center, Madigan Health System, JBLM, 9040a Fitzsimmons Drive, Tacoma, WA 98431, United States. harkersteele@mac.com
Telephone: +1-253-9682200 Fax: +1-253-9685900
Received: April 27, 2013
Revised: June 6, 2013
Accepted: June 8, 2013
Published online: July 21, 2013
Processing time: 84 Days and 15.1 Hours
Revised: June 6, 2013
Accepted: June 8, 2013
Published online: July 21, 2013
Processing time: 84 Days and 15.1 Hours
Core Tip
Core tip: Changes in polyp detection including chromoendoscopy and narrow band imaging, as well as reliance on quality indicators such as the 6-min withdrawal time, aim to improve adenoma detection rates. Once identified, novel approaches for large and advanced polyps such as endoscopic submucosal dissection and endoscopic mucosal resection, combined laparoscopic-endoscopic resection along with combined endoscopic-laparoscopic resection are available to surgeons that may obviate the need for formal resection. Although technical expertise and experience is required, physicians caring for these patients should be familiar with each of these alternative procedures.