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Patología Intestinal S 43 El p ólip o p lan o: un de saf ío - R. S áenz F. et al. y resecarlos en forma completa y segura, gracias a un correcto entrenamiento y contar con elementos técnicos adecuados, debe ser una misión primordial y obligatoria para gastroenterólogos y endoscopistas involucrados en la misión de disminuir la incidencia y mortalidad del cáncer colorrectal. Referencias 1.- Zauber AG, Winawer SJ, O’Brien MJ, Lansdorp-Vogelaar I, van Ballegooijen M, Hankey BF, et al. Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med 2012; 366: 687-96. 2.- Lambert R, Kudo SE, Vieth M, Allen JI, Fujii H, Fujii T, et al. Pragmatic classification of superficial neoplastic colorectal lesions. Gastrointest Endosc 2009; 70: 1182-99. 3.- Nicolás Pérez D, Parra-Blanco A, Gimeno-García AZ, Grosso B, Ortiz M, Rodríguez M, et al. Hallazgos demográficos y endoscópicos asociados con la detección de adenomas planos en colonoscopia. Servicio de Aparato Digestivo, Hospital Universitario de Canarias, La Laguna. Tenerife España. XXVI Jornadas de la Sociedad Canaria de Patología Digestiva (Diciembre 2015). 4.- Nicolás-Pérez D, Parra-Blanco A, Gimeno-García AZ, Ortega-Sánchez JA, Carrillo Palau M, Jiménez-Sosa A, et al. Risk factors associated with colorectal flat adenoma detection. Eur J Gastroenterol Hepatol 2013; 25: 302-8. 5.- Sáenz R, Kinney TP, Santander R, Yazigi R, Navarrete C, Gobelet J, et al. Inverted colonic diverticula: an uncommon endoscopic finding. Gastroenterol Hepatol 2008; 31: 285-8. 6.- Winawer SJ, Zauber AG, Ho MN, O’Brien MJ, Gottlieb LS, Sternberg SS, et al. Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. N Engl J Med 1993; 329: 1977-81. 7.- No authors listed. The París endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc 2003; 58: S3-43. 8.- Brown SR, Barraza W, Din S, Riley S. Chromoscopy versus conventional endoscopy for the detection of polyps in the colon and rectum. Cochrane Database Syst Rev 2016: 4: CD006439. 9.- Rodríguez-D Jesús A, Saperas E. Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening. Rev Esp Enferm Dig 2016; 108: 257-62. 10.- Rex DK, Ahnen DJ, Baron JA, Batts KP, Burke CA, Burt RW, et al. Serrated lesions of the colorectum: review and recommendations from an expert panel. Am J Gastroenterol 2012; 107: 1315-29. 11.- IJspeert JE, Tutein Nolthenius CJ, Kuipers EJ, van Leerdam ME, Nio CY, Thomeer MG, et al. CT-Colonography vs Colonoscopy for Detection of High- Risk Sessile Serrated Polyps. Am J Gastroenterol 2016; 111: 516-22. 12.- Pellisé M, Burgess NG, Tutticci N, Hourigan LF, Zanati SA, Brown GJ, et al. Endoscopic mucosal resection for large serrated lesions in comparison with adenomas: a prospective multicentre study of 2000 lesions. Gut 2016 Jan 19. Publicación electrónica en avance. 13.- Miyamoto H, Oono Y, Fu KL, Ikematsu H, Fujii S, Kojima T, et al. Morphological change of a laterally spreading rectal tumor over a short period. BMC Gastroenterol 2013; 13: 129. 14.- Klein A, Bourke MJ, Advanced polypectomy and resection techniques. Gastrointest Endosc Clin N Am 2015; 25: 303-33. 15.- Jung da H, Youn YH, Kim JH, Park H. Endoscopic submucosal dissection for colorectal lateral spreading tumors larger than 10 cm: is it feasible? Gastrointest Endosc 2015; 8: 614-20. 16.- Lambert R, Tanaka S. Laterally spreading tumors in the colon and rectum. Eur J Gastroenterol Hepatol 2012; 24: 1123-34. 17.- Laine L, Kaltenbach T, Barkun A, McQuaid KR, Subramanian V, oetikno R, SCENIC Guideline Development Panelet al. SCENIC international consensus statement on surveillance and management of dysplasia in inflammatory bowel disease. Gastroenterology 2015; 148: 639-51. 18.- Soetikno R, Sanduleanu S, Kaltenbach T. An atlas of the nonpolypoid colorectal neoplasms in inflammatory bowel disease. Gastrointest Endosc Clin N Am 2014; 24: 483-520. 19.- Woodward TA, Heckman MG, Cleveland P, De Melo S, Raimondo M, Wallace M. Predictors of complete endoscopic mucosal resection of flat and depressed gastr ointestinal neoplasia of the colon. Am J Gastroenterol 2012; 107: 650-4. 20.- Mannath J, Subramanian V, Singh R, Telakis E, Ragunath K. Polyp recurrence after endoscopic mucosal resection of sessile and flat colonic adenomas. Dig Dis Sci 2011;56: 2389-95. 21.- Liaquat H, Rohn E, Rex DK. Prophylactic clip closure reduced the risk of delayed postpolypectomy hemorrhage: experience in 277 clipped large sessile or flat colorectal lesions and 247 control lesions. Gastrointest Endosc 2013; 77: 401-7. Gastroenterol. latinoam 2016; Vol 27, S upl Nº 1: S 37-S 43


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