Endoscopic Diagnostics and Treatment of Flat Intestinal Lesions

Česká verzia

Authors: O. Urban; P. Fojtík; M. Kliment; D. Janík; J. Örhalmi; P. Holéczy
Authors place of work: Vítkovická Nemocnice a. s., oddělení chirurgie, primář: doc. MUDr. Pavol Holéczy, CSc. ; Vítkovická Nemocnice a. s., Centrum péče o zažívací trakt, primář: MUDr. Ondřej Urban, Ph. D.
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 6, s. 310-313.
Category: Monothematic special - Original

Summary

The aim of the article is to provide information on current options for endoscopic diagnostics and treatment of flat tumor intestinal lesions. These neoplasms are frequently and inaccurately described as sessile polyps, which have different genetic and diagnostic features, different prognosis and therapy. Although until recently, the lesions have been managed using surgery, the current approach is predominantly endoscopic.

Key words:
flat tumor intestinal lesions – colorectal carcinoma – endoscopic polypectomy – endoscopic mucosal resection – endoscopic submucosal dissection

Zdroje

1. Kozuka, S., Nogaki, M., Oteku, T., et al. Premalignancy of mucosal polyp in the large intestine.II. Estimation of the periods required for malignant transformation of mucosal polyps. Dis. Colon Rectum, 1975, 18, s. 494–489.

2. Mentzel, M. De excrentiis verracosocristasis. Acta Med. Berlin, 1721, 9, s. 78.

3. Muto, T., Kamiya, J., Sawada, T. et al. Small „flat adenoma“ of the large bowel with special reference to its clinicopathologic features. Dis. Colon Rektum, 1985, 28, s. 847–851.

4. The Paris Endoscopic Classification of Superficial Neoplastic Lesions: Esophagus, Stomach, and Colon. Gastrointest. Endosc., 2003, 6, Suppl., s. S1–S23.

5. Okuno, T., Sano, Y., Ohkura, Y., Kudo, S. Incidence of and clinicopathological characteristics of depressed type lesions:baseline findings of multicenter retrospective cohort study (abstract). Early Colorectal cancer, 2004, 8, s. 21–27.

6. Astler, V. B., Coller, F. A. The prognostic significance of direct extesions of carcinoma of the colon and rektum. Ann. Surg., 1954, 139, s. 846–851.

7. Yokoyama, J., Aijoka, Y., Watanabe, H., Asakura, H. Lymph node metastasis and micrometastasis of submucosal invasive colorectal carcinoma: an indicator of the curative potential of endoscopic treatment. Acta Medica Biologica, 2002, 5, s. 1–8.

8. Schlemper, R. J., Kato, Z., Stolte, M. Review of histological classifications of gatrointestinal epithelial neoplasia: differences of diagnosis of early carcinomas between Japanese and Western pathologists. J. Gastroentero., 2001, 36, s. 445–456.

9. Schlemper, R. J., Riddell, R. H., Kato, Y., et al. The Vienna classification of gastrointestinal neoplasia. Gut, 2000, 47, s. 251–255.

10. Dixon, M. F. Gastrointestinal epithelial neoplasia: Vienna revisited. Gut, 2002, 51, s. 130–131.

11. Urban, O., Vítek, P., Fojtík, P., Chalupa, J. Endoskopická diagnostika a léčba povrchových nepolypózních neoplázií trávicí trubice. Folia Gastroenterol Hepatol., 2004, 2(4), s. 165–173.

12. Urban O., Vítek P., Fojtík P., Kliment M. Laterally spreading tumors – experience based on 138 consecutive cases. Hepato-gastroenterology, 2008, 1, s. 350–355.