Skip to main content
SpringerLink
Log in
Book cover

Difficult Decisions in Colorectal Surgery pp 153–161Cite as

Management of Large Sessile Cecal Polyps

  • Chapter
  • First Online:

  • 1109 Accesses

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

The subject matter of this chapter are large sessile adenomas of the cecum. The audience is presumed to be general or colorectal surgeons who regularly perform colonoscopy. This chapter is intended for a Western audience. It is important to note that the literature referenced in this chapter pertains to large bowel adenomas and is not necessarily specific to cecal lesions.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Kakushima N, Fujishiro M. Endoscopic submucosal dissection for gastrointestinal neoplasm. World J Gastroenterol. 2008;14(19):2962–7.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Tanaka S, Oka S, Kaneko I, Hirata M, Mouri R, et al. Endoscopic submucosal dissection for colorectal neoplasia: possibility of standardization. Gastrointest Endosc. 2007;66(1):100–7.

    Article  PubMed  Google Scholar 

  3. Fujishiro M, Yahagi N, Kakushima N, Kodashima S, Muraki Y, et al. Outcomes of endoscopic submucosal dissection for colorectal epithelial neoplasms in 200 consecutive cases. Clin Gastroenterol Hepatol. 2007;5(6):678–83.

    Article  PubMed  Google Scholar 

  4. Yoshida N, Yagi N, Naito Y, Yoshikawa T. Safe procedure in endoscopic submucosal dissection for colorectal tumors focused on preventing complications. World J Gastroenterol. 2010;16(14):1688–95.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Inada Y, Yoshida N, Kugai M, Kamada K, Katada K et al. Prediction and treatment of difficult cases in colorectal endoscopic submucosal dissection. Gastroenterol Res Pract. 2013;2013:523084. doi: 1144/2013/523084.

  6. Saito Y, Uraoka T, Yamaguchi Y, Hotta K, Nakamoto N, et al. A prospective, multicenter study of 1111 colorectal endoscopic submucosal dissection (with video). Gastrointest Endosc. 2010;72(6):1217–25.

    Article  PubMed  Google Scholar 

  7. Hotta K, Yamaguchi Y, Saito Y, Takao T, Ono H. Current opinions for endoscopic submucosal dissection for colorectal tumors from our experiences: indications, technical aspects and complications. Dig Endosc. 2012;24 Suppl 1:110–6.

    Article  PubMed  Google Scholar 

  8. Nawata Y, Homma K, Suzuki Y. Retrospective study of technical aspects and complications of endoscopic submucosal dissection for large superficial colorectal tumors. Dig Endosc. 2014;26(4):552–5.

    Article  PubMed  Google Scholar 

  9. Arebi N, Swain D, Suzuki N, Fraser C, Price A, Saunders BP. Endoscopic mucosal resection of 161 cases of large sessile or flat colorectal polyps. Scand J Gastroenterol. 2007;42(7):859–66.

    Article  PubMed  Google Scholar 

  10. Luigiano C, Consolo P, Scaffidi MG, Strangio G, Giacobbe G, et al. Endoscopic mucosal resection for large and giant sessile and flat colorectal polyps: a single-center experience with long-term follow-up. Endoscopy. 2009;41:829–35.

    Article  CAS  PubMed  Google Scholar 

  11. Repici A, Pellicano R, Strangio G, Danese S, Fagoonee S, Malesci A. Endoscopic mucosal resection for early colorectal neoplasia: pathologic basis, procedures, and outcomes. Dis Colon Rectum. 2009;52:1502–15.

    Article  PubMed  Google Scholar 

  12. Kudo S, Tamura S, Nakajima T, Yamano H, Kusaka H, Watanabe H. Diagnosis of colorectal tumorous lesions by magnifying endoscopy. Gastrointest Endosc. 1996;44(1):8–14.

    Article  CAS  PubMed  Google Scholar 

  13. Liu HH, Kudo SE, Juch JP. Pit pattern analysis by magnifying chromoendoscopy for the diagnosis of colorectal polyps. J Formos Med Assoc. 2003;102(3):178–82.

    PubMed  Google Scholar 

  14. Tamegai Y, Saito Y, Masaki N, Hinohara C, Oshima T, et al. Endoscopic submucosal dissection: a safe technique for colorectal tumors. Endoscopy. 2007;39(5):418–22.

    Article  CAS  PubMed  Google Scholar 

  15. Wade Y, Kudo S, Kashida H, Ikehara N, Inoue H, et al. Diagnosis of colorectal lesions with the magnifying narrow-band imaging system. Gastrointest Endosc. 2009;70(3):522–31.

    Article  Google Scholar 

  16. Hirata M, Tanaka S, Oka S, Kaneko I, Yoshida S, et al. Magnifying endoscopy with narrow band imaging for diagnosis of colorectal tumors. Gastrointest Endosc. 2007;65(7):988–95.

    Article  PubMed  Google Scholar 

  17. Yan J, Trencheva K, Lee SW, Sonoda T, Shukla P, Milsom JW. Treatment for right colon polyps not removable using standard colonoscopy: combined laparoscopic-colonoscopic approach. Dis Colon Rectum. 2011;54(6):753–8.

    Article  PubMed  Google Scholar 

  18. Franklin ME, Antonio J, Abrego D, Parra-Davila E, Glass JL. Laparoscopic-Assisted colonoscopic polypectomy. Dis Colon Rectum. 2000;43(9):1246–9.

    Google Scholar 

  19. Jang JH, Kirchoff D, Holzman K, Park K, Grieco M, et al. Laparoscopic-facilitated endoscopic submucosal dissection, mucosal resection, and partial circumferential (“wedge”) colon wall resection for benign colorectal neoplasms that come to surgery. Surg Innov. 2012;20(3):234–40.

    Article  PubMed  Google Scholar 

  20. Stergiou N, Riphaus A, Lange P, Menke D, Kockerling F, et al. Endoscopic snare resection of large colonic polyps: how far can we go? Int J Colorectal Dis. 2003;18:131–5.

    Article  CAS  PubMed  Google Scholar 

  21. Saito Y, Fukuzawa M, Matsuda T, Fukunaga S, Sakamoto T, et al. Clinical outcome of endoscopic submucosal dissection versus endoscopic mucosal resection of large colorectal tumors as determined by curative resection. Surg Endosc. 2010;24:343–52.

    Article  PubMed  Google Scholar 

  22. Burgess NG, Metz AJ, Williams SJ, Singh R, Tam W, et al. Risk factors for intraprocedural and clinically significant delayed bleeding after wide-field endoscopic mucosal resection of large colonic lesions. Clin Gastroenterol Hepatol. 2014;12(4):651–61.

    Article  PubMed  Google Scholar 

  23. Jang JH, Balik E, Kirchoff D, Tromp W, et al. Oncologic colorectal resection, not advanced endoscopic polypectomy, is the best treatment for large dysplastic adenomas. J Gastrointest Surg. 2012;16(1):165–72.

    Article  PubMed  Google Scholar 

  24. McDonald JM, Moonka R, Bell Jr RH. Pathologic risk factors of occult malignancy in endoscopically unresectable colonic adenomas. Am J Surg. 1999;177(5):384–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Mount Sinai School of Medicine, Mount Sinai West Hospital, New York, NY, USA

    Brett Howe MD & Richard L. Whelan MD

Authors
  1. Brett Howe MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Richard L. Whelan MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Richard L. Whelan MD .

Editor information

Editors and Affiliations

  1. Medical Center, University of Chicago, Chicago, Illinois, USA

    Neil Hyman

  2. Medical Center, University of Chicago, Chicago, Illinois, USA

    Konstantin Umanskiy

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Howe, B., Whelan, R.L. (2017). Management of Large Sessile Cecal Polyps. In: Hyman, N., Umanskiy, K. (eds) Difficult Decisions in Colorectal Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-40223-9_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-40223-9_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40222-2

  • Online ISBN: 978-3-319-40223-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation