Clinical and endoscopic characteristics and management of 220 cases with serrated polyps

Lu, Quan1; Peng, Quan-zhou2; Wang, Li-sheng1; Yao, Jun1; Li, De-feng1,3

2024

10.1016/j.asjsur.2023.07.027

ASIAN JOURNAL OF SURGERY   影响因子和分区

1015-9584

0219-3108

Background: Serrated polyps are considered the precursor lesions of colorectal cancer through the serrated pathway. In the present study, we aimed to evaluate and discuss the clinical and endoscopic characteristics and management of serrated polyps. Methods: The data of 220 cases with serrated polyps between September 2018 and November 2021 in Shenzhen People's Hospital were retrospectively analyzed. Results: Of all these cases, 32 were hyperplastic polyps, 36 were traditional serrated adenomas, 126 were sessile serrated lesions, 25 were SSLs with dysplasia, and one was an unclassified serrated adenoma. Although most patients were males aged >= 50 years and most serrated polyps were located in the distal colon and rectum with a size of 6-10 mm and the shape of type 0-Is, there was no significant difference (P > 0.05). Serrated polyps of <= 5 mm in size and type 0-IIa were mostly removed by cold biopsy forceps. Cold snare polypectomy was primarily used for those of 6-10 mm in size. Endoscopic mucosal resection was used for those of 6-20 mm, and endoscopic submucosal dissection was used for those of >= 20 mm (P < 0.05). All complications occurred in SSL patients with or without dysplasia (P < 0.05). Conclusions: Clinical and endoscopic characteristics were beneficial for distinguishing and diagnosing serrated polyps. In addition, management options were crucial to prevent recurrence and progression. However, the detection rate of serrated polyps was relatively low. Therefore, prospective multicenter studies with large samples are necessary to better assess colorectal serrated polyps. (c) 2023 Asian Surgical Association and Taiwan Robotic Surgery Association. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Characteristics Management Serrated polyp Sessile serrated adenoma/polyp Sessile serrated lesion

SCI

英语

第一 ; 通讯

Surgery

Surgery

WOS:001155369200001

ELSEVIER SINGAPORE PTE LTD

Web of Science

1.Southern Univ Sci & Technol, Jinan Univ, Dept Gastroenterol,Shenzhen Peoples Hosp, Affiliated Hosp 1,Clin Med Coll 2, Shenzhen, Guangdong, Peoples R China
2.Southern Univ Sci & Technol, Jinan Univ, Shenzhen Peoples Hosp, Affiliated Hosp 1,Dept Pathol,Clin Med Coll 2, Shenzhen, Guangdong, Peoples R China
3.Southern Univ Sci & Technol, Dept Gastroenterol, Shenzhen Peoples Hosp, Clin Med Coll 2,Jinan Univ,Affiliated Hosp 1, 1017 Dongmen North Rd, Shenzhen 518020, Guangdong, Peoples R China

Lu, Quan,Peng, Quan-zhou,Wang, Li-sheng,et al. Clinical and endoscopic characteristics and management of 220 cases with serrated polyps[J]. ASIAN JOURNAL OF SURGERY,2024,47(1).

Lu, Quan,Peng, Quan-zhou,Wang, Li-sheng,Yao, Jun,&Li, De-feng.(2024).Clinical and endoscopic characteristics and management of 220 cases with serrated polyps.ASIAN JOURNAL OF SURGERY,47(1).

Lu, Quan,et al."Clinical and endoscopic characteristics and management of 220 cases with serrated polyps".ASIAN JOURNAL OF SURGERY 47.1(2024).