ASGE Journal ScanColon

Should Older Adults With Adenomas Continue Surveillance Colonoscopy?

Although there are rules for when to stop colorectal cancer screening, there are no rules about when to stop surveillance colonoscopy in patients with precancerous

ASGE Journal ScanColon

Depressed Lesions Are Different at a Histologic and Molecular Level

In a study from Japan, T1 colorectal cancers and adenomas were classified as “depressed,” “flat,” or “protruded” subtypes. Depressed lesions constituted only 1.2% of all

ASGE Journal ScanColon

Early Colorectal Cancer Screening in African Americans: High Uptake and High Yield

Recommendations from GI societies to screen African Americans for colorectal cancer (CRC) starting at age 45 were based largely on age-related incidence and mortality data

ASGE Journal ScanColon

Granular Laterally Spreading Tumors With Nodule: Rectal Location and at Least 4-cm Size Warrant en Bloc Resection

Granular laterally spreading tumors (G-LST) in the colorectum are more common than nongranular lesions, less likely to have cancer, and in general, easier to remove

ASGE Journal ScanColon

Delayed Start Times Associated With Reduced Adenoma Detection

Previous studies have shown that the adenoma detection rate (ADR) is sometimes lower in colonoscopies performed in the afternoon versus the morning, though the results

ASGE Journal ScanColon

Surgery Not Needed After Complete Endoscopic Resection of Intramucosal Colorectal Cancer

Intramucosal cancer (IMC) refers to dysplasia in the lamina propria of the mucosa with or without invasion of the muscularis mucosa. Such lesions are usually

ASGE Journal ScanColon

Initial Experience With EndoRotor Tissue Resection Device

The EndoRotor nonthermal powered endoscopic debridement (PED) instrument (Interscope, Inc., Whitinsville, Mass) is a new tissue resection device that can be passed through endoscopes. There

ASGE Journal ScanColon

ESGE Expands the Postpolypectomy Cohort With No Recommended Surveillance

The European Society of Gastrointestinal Endoscopy (ESGE) has issued its first update of postpolypectomy surveillance recommendations since 2013. Key recommendations include the following: Patients with

ASGE Journal ScanColon

Adding Time for Inspection During Colonoscope Insertion Does Not Work

There remain occasional advocates of dedicated time during colonoscope insertion to look for polyps as a way of increasing detection. In this analysis of 7

ClassificationsLower GI tract

Polyp Classification: BASIC

Basic (BLI Adenoma Serrated International Classification) Classification for colorectal polyp characterization with blue light imaging

ClassificationsLower GI tract

Paris Classification: Early Colorectal Cancers

The Paris classification for superficial / early tumors should be part of a standard terminology for endoscopic assessment. This classification applies to the entire gastrointestinal

ClassificationsLower GI tract

Polyp Classification: NICE

The NICE (NBI International Colorectal Endoscopic) Classification is based on narrow-band images of colon polyps. The classification uses staining, vascular patterns, and surface patterns to

Endoscopic techniquesInstrumentsLower GI tractTeaching Videos

Endoscopic diagnosis of colon polyps using the NICE classification: initial experience with BLI and LCI

The new generation of the Fujifilm electronic endoscopy system allows virtual chromoendoscopy alongside zoom endoscopy. Blue laser imaging (BLI), like narrow-band imaging (NBI), allows further

Endoscopic techniquesLower GI tractTeaching Videos

Perforation of a bleeding polypectomy site in the colon using a Hemoclip

A patient who had undergone polypectomy of a flat polyp in the ascending colon presented again with peranal hemorrhage. The polypectomy site can be seen