We found that despite experienced endoscopists performing colonoscopy it was difficult to predict which polyps are malignant. However large pedunculated polyps seem to carry a significant malignant potential.doi:10.1136/gut.2009.209015rFellows, H
There is controversy regarding the significance of the hyperplastic polyp. The aim of this study was to determine the incidence of further polyps in patients with only hyperplastic polyps on a first colonoscopy in comparison with patients without polyps and with adenomatous polyps. METHODS: Ninety ...
Synchronous polyps were detected in 67.2 % of patients undergoing complete colonoscopy during EMR. Presence of HGD/adenocarcinoma in the large polyp, localization of any synchronous polyp in the rectosigmoid colon and occurrence of multiple synchronous polyps were associated with presence of HGD/...
Additionally, TII was not associated with higher detection rate of polyp, adenoma, sessile serrated lesion, lesion of cecum or ascending colon, which further indicated the unnecessity of TII in routine colonoscopy. The reported diagnostic yield of ileum intubation during colonoscopy was variable among ...
The differential diagnosis between hyperplastic polyp and tubular adenoma can be difficult, especially in a diminutive polyp that has been treated by hot biopsy (so-called thermal polyp). Useful features in the differential diagnosis are found in Table 23-4. When the choice between hyperpla...
Management of patients with confirmed polyp cancer is also problematical. The great majority of these have an excellent prognosis and are cured by the endoscopic procedure. Some need to proceed to formal surgical excision of the affected segment of bowel. These higher risk individuals are identified...
Terminal ileal intubation (TII) demonstrates a complete colonoscopy, but whether it should be performed in routine colonoscopies remains uncertain. We aimed to explore the diagnostic yield of TII in routine colonoscopy and investigate the association of TII and the detection of lesion.We conducted a ...
Colonic lipomas (CL) are rare benign adipose tumours usually found incidentally during colonoscopy. Endoscopic resection of symptomatic large CL remains controversial, since significant rates of perforation have been reported. In recent years, a novel te
This is a multicenter randomized clinical trial in patients with a non-pedunculated polyp larger than 20 mm in the rectum, sigmoid, or descending colon suspected to be an adenoma by means of endoscopic assessment. Primary endpoint is recurrence rate at follow-up colonoscopy at 6 months. Secondary...
Screening Colonoscopy Withdrawal Time and Proximal Serrated Polyp Detection Rate: Analysis of a Large, Single, High-Volume Center Using Natural Language Processing: ACG Fellows-In-Training Award: 2235Patel, ViralThompson, WilliamGoldstein, Jay L....