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

Authors :: Shahidi N
Vosko S
van Hattem WA
Sidhu M
Bourke MJ
Source :: Therapeutic advances in gastroenterology [Therap Adv Gastroenterol] 2020 May 18; Vol. 13, pp. 1756284820922746. Date of Electronic Publication: 2020 May 18 (Print Publication: 2020).
Publication Year :: 2020
Abstract: 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.<br />Competing Interests: Conflict of interest statement: Michael J. Bourke: Research Support: Olympus Medical, Cook Medical, Boston Scientific. The remaining authors have no conflicts of interest to disclose.<br /> (© The Author(s), 2020.)