Identification and Resection of Precancerous Lesions in GI Tract
PROGRAM DESCRIPTION According to the Centers for Disease Control and Prevention, colorectal cancer (CRC) is the third most common cancer in the United States. Despite an overall decrease in new ...
According to the Centers for Disease Control and Prevention, colorectal cancer (CRC) is the third most common cancer in the United States. Despite an overall decrease in new cases due to more aggressive screening, there has been a worrying increase recently in earlier-onset CRC, highlighting the need for accurate and timely identification and resection of lesions in the gastrointestinal mucosa at an early, precancerous stage. Recent research has shown that serrated polyps can no longer be regarded as intrinsically benign and, in fact, may be precursors of up to 30% of CRC cases. This overview provides insight into the latest chromoendoscopic staining and virtual chromoendoscopy techniques to heighten visualization of lesions, along with an analysis of available lesion-lifting and resection methods. These factors and an enhanced clinician-patient partnership come together to influence clinical decision-making and communication, ultimately shaping patient outcomes.
After completing the activity, the participant should be better able to:Evaluate the spectrum of chromoendoscopic staining techniques to optimally identify and assess adenomatous polyps and other precancerous lesions in the gastric mucosaInstitute effective submucosal lifting methods to ensure complete endoscopic mucosal resection of polyps in the GI tractImplement quality-improvement tools to increase adherence to oral staining products and improve overall endoscopy services
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