British Society of Gastroenterology position statement on serrated polyps in the colon and rectum
Gut
; 66(7)Jul. 2017.
Artículo
en Inglés
| BIGG - guías GRADE
| ID: biblio-948348
Biblioteca responsable:
BR1.1
ABSTRACT
Serrated polyps have been recognised in the last decade as important premalignant lesions accounting for between 15% and 30% of colorectal cancers. There is therefore a clinical need for guidance on how to manage these lesions; however, the evidence base is limited. A working group was commission by the British Society of Gastroenterology (BSG) Endoscopy section to review the available evidence and develop a position statement to provide clinical guidance until the evidence becomes available to support a formal guideline. The scope of the position statement was wide-ranging and included evidence that serrated lesions have premalignant potential; detection and resection of serrated lesions; surveillance strategies after detection of serrated lesions; special situations-serrated polyposis syndrome (including surgery) and serrated lesions in colitis; education, audit and benchmarks and research questions. Statements on these issues were proposed where the evidence was deemed sufficient, and re-evaluated modified via a Delphi process until >80% agreement was reached. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) tool was used to assess the strength of evidence and strength of recommendation for finalised statements. Key recommendation we suggest that until further evidence on the efficacy or otherwise of surveillance are published, patients with sessile serrated lesions (SSLs) that appear associated with a higher risk of future neoplasia or colorectal cancer (SSLs ≥10â
mm or serrated lesions harbouring dysplasia including traditional serrated adenomas) should be offered a one-off colonoscopic surveillance examination at 3â
years (weak recommendation, low quality evidence, 90% agreement).
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Bases de datos temática
Base de datos:
BIGG - guías GRADE
Asunto principal:
Pólipos del Colon
/
Colitis
/
Poliposis Intestinal
Tipo de estudio:
Estudio diagnóstico
/
Guía de práctica clínica
Idioma:
Inglés
Revista:
Gut
Año:
2017
Tipo del documento:
Artículo
Institución/País de afiliación:
Aberdeen Royal Infirmary/GB
/
Cardiff University/GB
/
Cheltenham General Hospital/GB
/
Durham University/GB
/
Imperial College London/GB
/
Southampton General Hospital/GB
/
St. Mark's Hospital/GB
/
University Hospital of North Tees/GB
/
University of Oxford/GB
/
University of Oxford/US