Endoscopic diagnosis of sessile serrated polyp: A systematic review

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
Hiroshi Kashida

Abstract

The aim of the present review was to clarify how we should detect and diagnose sessile serrated polyps (SSP) endoscopically. A systematic search was conducted of MEDLINE from January 2004 through March 2018. Nine findings: (i) proximal location; (ii) size >10 mm; (iii) irregular shape; (iv) indistinctive border; (v) cloud-like surface; (vi) mucus cap; (vii) rim of debris in white-light endoscopy; (viii) dilated vessels; and (ix) dilated crypts (pits) in image-enhanced endoscopy were considered to be candidate discriminators of SSP from hyperplastic polyps. Prospective studies in a general setting are warranted to validate the above-mentioned endoscopic features of SSP during real-time colonoscopy and to determine whether these features are useful for the differential diagnosis of SSP.

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Citations

Oct 16, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takashi MurakamiTakashi Yao
Apr 4, 2021·Cancers·Gemma Ibáñez-Sanz On Behalf Of The Msic-Sc Research Group
Apr 10, 2021·World Journal of Gastroenterology : WJG·Toshihiro NishizawaOsamu Toyoshima
Apr 20, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yasuhiko MizuguchiYutaka Saito

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BETA
imaging techniques

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