#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Endoscopic treatment of early colorectal cancer


Authors: Přemysl Falt
Authors place of work: II. interní klinika – gastroenterologická a geriatrická, FN a LF UP Olomouc
Published in the journal: Vnitř Lék 2022; 68(6): 355-362
Category: Main Topic
doi: https://doi.org/10.36290/vnl.2022.075

Summary

Early colorectal neoplasia is a localized precancerous lesion of the large intestine associated with negligible risk of lymphatic or systemic dissemination. Early neoplasia consists of adenoma with low- and high-grade dysplasia, intramucosal carcinoma and superficially invasive cancer without other high-risk features. In the majority of cases, early neoplastic lesions are detected by colonoscopy and treated by means of endoscopy resection replacing surgical treatment. Risk of invasive cancer should be stratified during diagnostic colonoscopy using morphological classifications and then, appropriate resection technique (endoscopic polypectomy, endoscopic mucosal resection, endoscopic submucosal dissection or full-thickness resection) is used. Success of endoscopic resection is assessed by histological examination of the resected specimen and in some cases, additional surgical resection with lymphadenectomy should be performed. Colonoscopic surveillance is needed due to the risk of local recurrence and metachronous lesions.

Keywords:

colonoscopy – colorectal cancer – endoscopic submucosal dissection – endoscopic full-thickness resection – endoscopic polypectomy – endoscopic mucosal resection


Zdroje

1. Epidemiologie kolorektálního karcinomu v České republice (http://www.kolorektum.cz/ index.php?pg=pro‑odborniky- epidemiologie‑kolorektalniho‑karcinomu- epidemiologie‑kolorektalniho‑karcinomu‑v‑cr)

2. Ústav zdravotnických informací a statistiky ČR: Národní onkologický registr (NOR) (11. 5. 2018) (http://www.uzis.cz/registry‑nzis/ nor)

3. Suchánek Š, Grega T, Zavoral M. Colorectal cancer screening. Vnitr Lek 2018, 64(6):679-683.

4. Tanaka T. Colorectal carcinogenesis: Review of human and experimental animal studies. J Carcinog. 2009; 8:5.

5. Suchánek Š, Vojtěchová G, Zavoral M. Dispenzární koloskopie. In: Koloskopie. edn. Edited by Falt P, Urban O, Vítek P. Praha: Grada Publishing; 2015.

6. Vojtěchová G, Suchánek Š, Zavoral M. Preventivní koloskopie. In: Koloskopie. edn. Edited by Falt P, Urban O, Vítek P. Praha: Grada Publishing; 2015.

7. Kliment M. Koloskopie u symptomatických pacientů. In: Koloskopie. edn. Edited by Falt P, Urban O, Vítek P. Praha: Grada Publishing; 2015.

8. Ferlitsch M, Moss A, Hassan C, Bhandari P, Dumonceau JM, Paspatis G, Jover R, Langner C, Bronzwaer M, Nalankilli K et al. Colorectal polypectomy and endoscopic mucosal resection (EMR): European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2017;49(3):270-297.

9. Brenner H, Hoffmeister M, Stegmaier C, Brenner G, Altenhofen L, Haug U. Risk of progression of advanced adenomas to colorectal cancer by age and sex: estimates based on 840,149 screening colonoscopies. Gut. 2007;56(11):1585-1589.

10. Kikuchi R, Takano M, Takagi K, Fujimoto N, Nozaki R, Fujiyoshi T, Uchida Y. Management of early invasive colorectal cancer. Risk of recurrence and clinical guidelines. Dis Colon Rectum. 1995;38(12):1286-1295.

11. Dixon MF. Gastrointestinal epithelial neoplasia: Vienna revisited. Gut 2002, 51(1):130-131.

12. Zauber AG, Winawer SJ, O‘Brien MJ, Lansdorp‑Vogelaar I, van Ballegooijen M, Hankey BF, Shi W, Bond JH, Schapiro M, Panish JF et al: Colonoscopic polypectomy and long‑term prevention of colorectal‑cancer deaths. N Engl J Med. 2012;366(8):687-696.

13. van Rijn JC, Reitsma JB, Stoker J, Bossuyt PM, van Deventer SJ, Dekker E. Polyp miss rate determined by tandem colonoscopy: a systematic review. Am J Gastroenterol. 2006;101(2):343-350.

14. Bressler B, Paszat LF, Chen Z, Rothwell DM, Vinden C, Rabeneck L. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population‑based analysis. Gastroenterology. 2007;132(1):96-102.

15. Kaminski MF, Regula J, Kraszewska E, Polkowski M, Wojciechowska U, Didkowska J, Zwierko M, Rupinski M, Nowacki MP, Butruk E. Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med. 2010;362(19):1795-1803.

16. Corley DA, Jensen CD, Marks AR, Zhao WK, Lee JK, Doubeni CA, Zauber AG, de Boer J, Fireman BH, Schottinger JE et al. Adenoma detection rate and risk of colorectal cancer and death. N Engl J Med. 2014;370(14):1298-1306.

17. Vítek P, Urban O, Kopáčová M, Falt P. Alternativní zobrazení při koloskopii. In: Koloskopie. edn. Edited by Falt P, Urban O, Vítek P. Praha: Grada Publishing; 2015.

18. Cadoni S, Falt P, Rondonotti E, Radaelli F, Fojtik P, Gallittu P, Liggi M, Amato A, Paggi S, Smajstrla V et al. Water exchange for screening colonoscopy increases adenoma detection rate: a multicenter, double‑blinded, randomized controlled trial. Endoscopy 2017, 49(5):456-467.

19. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc. 2003;58(6 Suppl):S3-43.

20. Kim BC, Chang HJ, Han KS, Sohn DK, Hong CW, Park JW, Park SC, Choi HS, Oh JH. Clinicopathological differences of laterally spreading tumors of the colorectum according to gross appearance. Endoscopy. 2011;43(2):100-107.

21. Yamada M, Saito Y, Sakamoto T, Nakajima T, Kushima R, Parra‑Blanco A, Matsuda T. Endoscopic predictors of deep submucosal invasion in colorectal laterally spreading tumors. Endoscopy. 2016;48(5):456-464.

22. Kashida H, Kudo SE. Early colorectal cancer: concept, diagnosis, and management. Int J Clin Oncol. 2006;11(1):1-8.

23. Hayashi N, Tanaka S, Hewett DG, Kaltenbach TR, Sano Y, Ponchon T, Saunders BP, Rex DK, Soetikno RM. Endoscopic prediction of deep submucosal invasive carcinoma: validation of the narrow‑band imaging international colorectal endoscopic (NICE) classification. Gastrointest Endosc. 2013;78(4):625-632.

24. Sano Y, Tanaka S, Kudo SE, Saito S, Matsuda T, Wada Y, Fujii T, Ikematsu H, Uraoka T, Kobayashi N et al. Narrow‑band imaging (NBI) magnifying endoscopic classification of colorectal tumors proposed by the Japan NBI Expert Team. Dig Endosc. 2016;28(5):526-533.

25. Urban O, Kliment M, Fojtik P, Falt P, Orhalmi J, Vitek P, Holeczy P. High‑frequency ultrasound probe sonography staging for colorectal neoplasia with superficial morphology: its utility and impact on patient management. Surg Endosc. 2011;25(10):3393-3399.

26. Pimentel‑Nunes P, Dinis‑Ribeiro M, Ponchon T, Repici A, Vieth M, De Ceglie A, Amato A, Berr F, Bhandari P, Bialek A et al. Endoscopic submucosal dissection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2015;47(9):829-854.

27. Kliment M: Endoskopická polypektomie. In: Koloskopie. edn. Edited by Falt P, Urban O, Vítek P. Praha: Grada Publishing; 2015.

28. Horiuchi A, Nakayama Y, Kajiyama M, Tanaka N, Sano K, Graham DY. Removal of small colorectal polyps in anticoagulated patients: a prospective randomized comparison of cold snare and conventional polypectomy. Gastrointest Endosc 2014;79(3):417-423.

29. Urban O, Vítek P. Endoskopická slizniční resekce. In: Koloskopie. edn. Edited by Falt P, Urban O, Vítek P. Praha: Grada Publishing; 2015.

30. Uno Y, Munakata A. The non‑lifting sign of invasive colon cancer. Gastrointest Endosc 1994, 40(4):485-489.

31. Liaquat H, Rohn E, Rex DK. Prophylactic clip closure reduced the risk of delayed postpolypectomy hemorrhage: experience in 277 clipped large sessile or flat colorectal lesions and 247 control lesions. Gastrointest Endosc 2013;77(3):401-407.

32. Urban O. Endoskopická submukózní disekce. In: Koloskopie. edn. Edited by Falt P, Urban O, Vítek P. Praha: Grada Publishing; 2015.

33. Schmidt A, Beyna T, Schumacher B, Meining A, Richter‑Schrag HJ, Messmann H, Neuhaus H, Albers D, Birk M, Thimme R et al: Colonoscopic full‑thickness resection using an over‑the‑scope device: a prospective multicentre study in various indications. Gut 2018;67(7):1280-1289.

34. Falt P, Zapletalova J, Urban O. Endoscopic full‑thickness resection versus endoscopic submucosal dissection in the treatment of colonic neoplastic lesions </= 30 mm‑a single‑center experience. Surg Endosc 2022;36(3):2062-2069.

35. Falt P. Komplikace koloskopie. In: Koloskopie. edn. Edited by Falt P, Urban O, Vítek P. Praha: Grada Publishing; 2015.

36. Ichkhanian Y, Barawi M, Seoud T, Thakkar S, Kothari TH, Halabi ME, Ullah A, Edris W, Aepli P, Kowalski T et al. Endoscopic full‑thickness resection of polyps involving the appendiceal orifice: a multicenter international experience. Endoscopy 2022;54(1):16-24.

37. Urban O, Pipek B, Kajzrlikova IM, Falt P, Fojtik P, Vitek P. The efficacy of treatment of local residual neoplasia under standardized conditions. Vnitr Lek 2016;62(5):365-369.

38. Kahi CJ, Boland CR, Dominitz JA, Giardiello FM, Johnson DA, Kaltenbach T, Lieberman D, Levin TR, Robertson DJ, Rex DK. Colonoscopy surveillance after colorectal cancer resection: recommendations of the US multi‑society task force on colorectal cancer. Gastrointest Endosc 2016;83(3):489-498 e410.

39. Hassan C, Antonelli G, Dumonceau JM, Regula J, Bretthauer M, Chaussade S, Dekker E, Ferlitsch M, Gimeno‑Garcia A, Jover R et a.: Post‑polypectomy colonoscopy surveillance: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2020. Endoscopy 2020;52(8):687-700.

Štítky
Diabetology Endocrinology Internal medicine
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#