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Lesion Retrieval, Specimen Handling, and Endoscopic Marking in Colonoscopy.
Arshish Dua1, Brian Liem2, Neil Gupta3
1Division of Gastroenterology, Loyola University Medical Center, Stritch School of Medicine, 2160 South 1st Avenue, Building 54, Room 167, Maywood, IL 60153, USA.
Gastrointestinal Endoscopy Clinics of North America
|August 26, 2019
Summary
Retrieving endoscopic polypectomy specimens is crucial for accurate histopathologic analysis. Proper handling, influenced by lesion characteristics and removal methods, ensures effective diagnosis and guides patient management.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Lesion retrieval after endoscopic polypectomy is vital for histopathologic analysis.
- This analysis informs surgical management and endoscopic surveillance schedules.
- Diverse techniques and devices exist for lesion retrieval, each with pros and cons.
Purpose of the Study:
- To review techniques and considerations for lesion retrieval after endoscopic polypectomy.
- To emphasize the importance of proper lesion handling for accurate histopathologic analysis.
- To discuss factors influencing lesion management, including size, appearance, and removal technique.
Main Methods:
- Review of existing literature on endoscopic polypectomy retrieval techniques.
- Discussion of histopathologic analysis requirements.
- Exploration of endoscopic marking (tattooing) as a complementary technique.
Main Results:
- Histopathologic analysis is contingent upon appropriate lesion handling and preparation.
- Lesion handling strategies are dictated by lesion size, endoscopic appearance, and the chosen removal technique.
- Endoscopic tattooing, using various dye mediums and techniques, provides long-term colonic marking.
Conclusions:
- Effective retrieval and handling of polypectomy specimens are essential for accurate diagnosis.
- Understanding lesion characteristics and removal methods optimizes specimen management.
- Endoscopic tattooing is a valuable adjunct for guiding future interventions and surveillance.
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