Academic Journal
International consensus on the management of large (≥20 mm) colorectal laterally spreading tumors: World Endoscopy Organization Delphi study
| العنوان: | International consensus on the management of large (≥20 mm) colorectal laterally spreading tumors: World Endoscopy Organization Delphi study |
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| المؤلفون: | Djinbachian R., Rex D.K., Chiu H.-M., Fukami N., Aihara H., Bastiaansen B.A.J., Bechara R., Bhandari P., Bhatt A., Bourke M.J., Byeon J.-S., Cardoso D., Chino A., Chiu P.W.Y. |
| المصدر: | Universidad de La Sabana ; Intellectum Repositorio Universidad de La Sabana |
| بيانات النشر: | Digestive Endoscopy |
| سنة النشر: | 2024 |
| المجموعة: | Repositorio Universidad de La Sabana |
| مصطلحات موضوعية: | Endoscopic Resection, Endoscopic submucosal dissection, Gastrointestinal cancer, Neoplasia |
| الوصف: | Objectives: There have been significant advances in the management of large (≥20 mm) laterally spreading tumors (LSTs) or nonpedunculated colorectal polyps; however, there is a lack of clear consensus on the management of these lesions with significant geographic variability especially between Eastern and Western paradigms. We aimed to provide an international consensus to better guide management and attempt to homogenize practices. Methods: Two experts in interventional endoscopy spearheaded an evidence-based Delphi study on behalf of the World Endoscopy Organization Colorectal Cancer Screening Committee. A steering committee comprising six members devised 51 statements, and 43 experts from 18 countries on six continents participated in a three-round voting process. The Grading of Recommendations, Assessment, Development and Evaluations tool was used to assess evidence quality and recommendation strength. Consensus was defined as ≥80% agreement (strongly agree or agree) on a 5-point Likert scale. Results: Forty-two statements reached consensus after three rounds of voting. Recommendations included: three statements on training and competency; 10 statements on preresection evaluation, including optical diagnosis, classification, and staging of LSTs; 14 statements on endoscopic resection indications and technique, including statements on en bloc and piecemeal resection decision-making; seven statements on postresection evaluation; and eight statements on postresection care. Conclusions: An international expert consensus based on the current available evidence has been developed to guide the evaluation, resection, and follow-up of LSTs. This may provide guiding principles for the global management of these lesions and standardize current practices. © 2024 The Authors. Digestive Endoscopy published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | Digestive Endoscopy; 9155635; http://hdl.handle.net/10818/62727 |
| DOI: | 10.1111/den.14826 |
| الاتاحة: | http://hdl.handle.net/10818/62727 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85197181912&doi=10.1111%2fden.14826&partnerID=40&md5=907a4a712abde729c683a3ba97704100 https://doi.org/10.1111/den.14826 |
| Rights: | Attribution-NonCommercial-NoDerivatives 4.0 International ; http://creativecommons.org/licenses/by-nc-nd/4.0/ ; openAccess |
| رقم الانضمام: | edsbas.584E1220 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1111/den.14826 |
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