Endoscopic Approach for Superficial Colorectal Neoplasms

Area of Science:

• Gastroenterology
• Oncology
• Endoscopic Surgery

Background:

• Colorectal cancer (CRC) is a significant global health concern, ranking as the third most common cancer in males and second in females.
• Colonoscopy is essential for CRC detection and prevention, with early-stage endoscopic treatment improving patient prognosis.
• Superficial colorectal neoplasms require precise evaluation and management to enhance patient quality of life and cure rates.

Approach:

• This review details various endoscopic modalities, including white light endoscopy, chromoendoscopy, and magnifying endoscopy.
• It covers therapeutic endoscopy techniques for the evaluation and treatment of superficial colorectal neoplasms.
• The focus is on endoscopic approaches that preserve organ function and offer minimally invasive treatment options.

Key Points:

• Preoperative evaluation, indications, and techniques for endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are crucial.
• Postoperative surveillance strategies for superficial colorectal neoplasms are essential for optimal patient management.
• Understanding these endoscopic procedures is critical for effective clinical practice.

Conclusions:

• Endoscopic therapy is a widely used, organ-preserving, and minimally invasive treatment for superficial colorectal neoplasms.
• This review provides insights into the fundamentals and advancements in endoscopic approaches for colorectal neoplasms.
• The information presented aims to support and improve daily clinical practice in managing superficial colorectal neoplasms.