We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Quelle technique de (résection choisir devant une lésion néoplasique colorectale ? Caractérisation et prédiction du risque d'invasion profonde.
- Authors
Pioche, Mathieu; Rivory, Jérome; Legros, Romain; Jacques, Jérémie; Ponchon, Thierry
- Abstract
Colorectal neoplasia has different aspects depending on their histology and their invasion depth. Endoscopic characterization using chromoendoscopy is able to predict histology and invasion. According to macroscopic aspect, size, vascular and mucosal patterns, color, it is possible to predict if the lesion should be resected by endoscopy or by surgery with lymph nodes dissection. Characterization is not an exact science but is more precise than a biopsy sample which could diagnose adenocarcinoma but not the depth of invasion in the submucosa. This review aimed at describing the different diagnostic characteristics published in one table, to determinate histology and invasiveness. Those criteria could help to choose between surgery and endoscopic submucosal dissection. In fact, colorectal surgery is not so safe and it is probably better for the patient to privilege endoscopy whenever possible to reduce morbidity and mortality in superficial lesions
- Publication
Hépato-Gastro & Oncologie Digestive, 2017, Vol 24, Issue 6, p615
- ISSN
2115-3310
- Publication type
Article
- DOI
10.1684/hpg.2017.1479