Shahini E, Libânio D, Lo Secco G, Pisani A, Arezzo A. Indications and outcomes of endoscopic resection for non-pedunculated colorectal lesions: A narrative review. World J Gastrointest Endosc 2021; 13(8): 275-295 [PMID: 34512876 DOI: 10.4253/wjge.v13.i8.275]
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04123904
Submitted on:
September 05, 2021, 01:38
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Reader Comments:
In this review, the authors described the diagnosis and treatment, especially EMR and ESD, for colorectal non-pedunculated polyps. In my opinion, the most important thing is an accurate qualitative and quantitative diagnosis of the lesion before treatment, although this may be assisted by AI in the future. In addition to this pre-treatment diagnosis, the treatment method should be chosen according to the size of the lesion and the skills of the endoscopists. From the viewpoint of accurate histopathological diagnosis and recurrence rate, en bloc resection of all lesions is desirable, but piecemeal resection may be acceptable for non-cancerous lesions. The treatment options may be different between Japan, where ESD was initially developed and is widely used in general practice, and Western countries, where ESD is not so widely used. However, the important thing is to provide the best medical care to patients in each environment, including the option of laparoscopic resection.
Reply from the Editorial Office:
Thank you very much for your comments.