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- W2593628733 abstract "Detection and complete removal of precancerous neoplastic polyps are central to effective colorectal cancer screening. The prevalence of neoplastic polyps in the screening population in the United States is likely >50%. However, most persons with neoplastic polyps are never destined to develop cancer, and do not benefit for finding and removing polyps, and may only be harmed by the procedure. Further 70–80% of polyps are diminutive (≤5 mm) and such polyps almost never contain cancer. Given the questionable benefit, the high-cost and the potential risk changing our approach to the management of diminutive polyps is currently debated. Deemphasizing diminutive polyps and shifting our efforts to detection and complete removal of larger and higher-risk polyps deserves discussion and study. This article explores three controversies, and emerging concepts related to endoscopic polyp resection. First, we discuss challenges of optical resect-and-discard strategy and possible alternatives. Second, we review recent studies that support the use of cold snare resection for ≥5 mm polyps. Thirdly, we examine current evidence for prophylactic clipping after resection of large polyps." @default.
- W2593628733 created "2017-03-16" @default.
- W2593628733 creator A5020187965 @default.
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- W2593628733 date "2017-03-01" @default.
- W2593628733 modified "2023-10-03" @default.
- W2593628733 title "Polyp Resection - Controversial Practices and Unanswered Questions" @default.
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- W2593628733 doi "https://doi.org/10.1038/ctg.2017.6" @default.
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