[Abecedary of colonic polyps].

Area of Science:

• Gastroenterology
• Oncology
• Pathology

Background:

• Colonic polyps are prevalent, with some posing a risk of cancer.
• Endoscopic screening and management of polyps are crucial for reducing colorectal cancer incidence.
• Accurate polyp classification is essential for determining appropriate follow-up and surveillance.

Purpose of the Study:

• To summarize current understanding of colonic polyp classification and management.
• To highlight the importance of histological analysis for personalized surveillance.
• To emphasize the role of endoscopy in colorectal cancer prevention.

Main Methods:

• Review of updated polyp classification systems.
• Analysis of current endoscopic screening and management guidelines.
• Discussion of histological differentiation of polyp types, including serrated polyps.

Main Results:

• Colonic polyp classification has evolved, with serrated polyps now encompassing hyperplastic polyps, sessile serrated adenomas, and traditional serrated adenomas.
• Resection and histological analysis of all colonic polyps are recommended for tailored endoscopic surveillance.
• Certain colonic polyposis syndromes necessitate specialized center management.

Conclusions:

• Personalized endoscopic surveillance strategies, based on histological analysis, are vital for managing colonic polyps and preventing colorectal cancer.
• Understanding updated polyp classifications, particularly serrated polyps, is critical for effective patient management.
• Early detection and appropriate management of colonic polyps significantly reduce the risk of developing colorectal cancer.