ReviewWorld journal of gastrointestinal endoscopy2022
Endoscopic management of difficult laterally spreading tumors in colorectum.
Review in World journal of gastrointestinal endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed.
- Management of Large Non-Pedunculated Polyps of the Colon: Practice-Oriented Answers to Clinical Questions.Journal of clinical medicine · 2026Review
- Laparoscopic and endoscopic cooperative surgery in gastrointestinal tumors: current applications, oncologic considerations, and future directions.Frontiers in oncology · 2026Review
- Classification of image-enhanced endoscopy in colon tumors.Clinical endoscopy · 2025Review
- Endoscopic mucosal resection with an over-the-scope clip for colorectal tumors (with video).DEN open · 2025Article
- Clinical Pathological Features and Carcinogenic Risk Factors of Colorectal Lateral Spreading Tumors With Skirt Features.Canadian journal of gastroenterology & hepatology · 2025Article
- Clinical audit of endoscopic sub-mucosal dissection performed for complex lateral spreading colorectal tumors from a region non-endemic for colorectal cancer.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024Article
- Laparoscopic resection of a descending colon tumor with right-sided fixation of the sigmoid colon: a case report.Surgical case reports · 2024Article
- Cap-assisted endoscopic mucosal resection as a salvage technique for challenging colorectal laterally spreading tumors.Surgical endoscopy · 2023Observational
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Due to the advent of the screening programs for colorectal cancer and the era of quality assurance colonoscopy the number the polyps that can be considered difficult, including large (> 20 mm) laterally spreading tumors (LSTs), has increased in the last decade. All LSTs should be assessed carefully, looking for suspicious areas of submucosal invasion (SMI), such as nodules or depressed areas, describing the morphology according to the Paris classification, the pit pattern, and vascular pattern. The simplest, most appropriate and safest endoscopic treatment with curative intent should be selected. For LST-granular homogeneous type, piecemeal endoscopic mucosal resection should be the first option due to its biological low risk of SMI. LST-nongranular pseudodepressed type has an increased risk of SMI, and en bloc resection should be mandatory. Underwater endoscopic mucosal resection is useful in situations where submucosal injection alters the operative field,
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.