Clinical guidance on endoscopic management of colonic polyps in Singapore.
- Author:
Tiing Leong ANG
1
;
Jit Fong LIM
2
;
Tju Siang CHUA
3
;
Kok Yang TAN
4
;
James Weiquan LI
1
;
Chern Hao CHONG
5
;
Kok Ann GWEE
2
;
Vikneswaran S/O NAMASIVAYAM
6
;
Charles Kien Fong VU
7
;
Christopher Jen Lock KHOR
6
;
Lai Mun WANG
8
;
Khay Guan YEOH
9
Author Information
- Publication Type:Journal Article
- Keywords: colonoscopy; colorectal polyps; endoscopic resection
- MeSH: Adenoma/surgery*; Colonic Neoplasms/surgery*; Colonic Polyps/surgery*; Colonoscopy/methods*; Colorectal Neoplasms/pathology*; Humans; Singapore; United States
- From:Singapore medical journal 2022;63(4):173-186
- CountrySingapore
- Language:English
- Abstract: Colonoscopy with endoscopic resection of detected colonic adenomas interrupts the adenoma-carcinoma sequence and reduces the incidence of colorectal cancer and cancer-related mortality. In the past decade, there have been significant developments in instruments and techniques for endoscopic polypectomy. Guidelines have been formulated by various professional bodies in Europe, Japan and the United States, but some of the recommendations differ between the various bodies. An expert professional workgroup under the auspices of the Academy of Medicine, Singapore, was set up to provide guidance on the endoscopic management of colonic polyps in Singapore. A total of 23 recommendations addressed the following issues: accurate description and diagnostic evaluation of detected polyps; techniques to reduce the risk of post-polypectomy bleeding and delayed perforation; the role of specific endoscopic resection techniques; the histopathological criteria for defining endoscopic cure; and the role of surveillance colonoscopy following curative resection.
