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Ang TL, Lim JF, Chua TS, et al. Clinical guidance on endoscopic management of colonic polyps in Singapore. Singapore Med J. 2020;doi: 10.11622/smedj.2020108.
Ang, T. L., Lim, J. F., Chua, T. S., Tan, K. Y., Li, J. W., Chong, C. H., Gwee, K. A., Namasivayam, V., Vu, C. K. F., Khor, C. J. L., Wang, L. M., & Yeoh, K. G. (2020). Clinical guidance on endoscopic management of colonic polyps in Singapore. Singapore medical journal, . https://doi.org/10.11622/smedj.2020108
Ang, Tiing Leong, et al. "Clinical guidance on endoscopic management of colonic polyps in Singapore." Singapore medical journal vol. (2020). doi: https://doi.org/10.11622/smedj.2020108
Ang TL, Lim JF, Chua TS, Tan KY, Li JW, Chong CH, Gwee KA, Namasivayam V, Vu CKF, Khor CJL, Wang LM, Yeoh KG. Clinical guidance on endoscopic management of colonic polyps in Singapore. Singapore Med J. 2020 Jul 16; doi: 10.11622/smedj.2020108. Epub 2020 Jul 16. PMID: 32668839.
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Singapore Med J. 2020 Jul 16; doi: 10.11622/smedj.2020108. Epub 2020 Jul 16.

Clinical guidance on endoscopic management of colonic polyps in Singapore.

Singapore medical journal

Tiing Leong Ang, Jit Fong Lim, Tju Siang Chua, Kok Yang Tan, James Weiquan Li, Chern Hao Chong, Kok Ann Gwee, Vikneswaran Namasivayam, Charles Kien Fong Vu, Christopher Jen Lock Khor, Lai Mun Wang, Khay Guan Yeoh

Affiliations

  1. Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore.
  2. Gleneagles Hospital, Singapore.
  3. AliveoMedical, Mount Alvernia Hospital and Mount Elizabeth Hospitals, Singapore.
  4. Department of General Surgery, Khoo Teck Puat Hospital, Singapore.
  5. Gutcare Digestive Liver Endoscopy Associates, Singapore.
  6. Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
  7. Department of Gastroenterology and Hepatology, Tan Tock Seng Hospital, Singapore.
  8. Pathology Section, Department of Laboratory Medicine, Changi General Hospital, Singapore.
  9. Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore.

PMID: 32668839 DOI: 10.11622/smedj.2020108

Abstract

Colonoscopy with endoscopic resection of detected colonic adenomas interrupts the adenoma-carcinoma sequence and reduces the incidence of colorectal cancer and cancer-related mortality. In the past decade, there have been significant developments in instruments and techniques for endoscopic polypectomy. Guidelines have been formulated by various professional bodies in Europe, Japan and the United States of America, but some of the recommendations differ between the various bodies. An expert professional workgroup under the auspices of the Academy of Medicine, Singapore, was set up to provide guidance on the endoscopic management of colonic polyps in Singapore. A total of 23 recommendations addressed the following issues: accurate description and diagnostic evaluation of detected polyps; techniques to reduce the risk of post-polypectomy bleeding and delayed perforation; the role of specific endoscopic resection techniques; the histopathological criteria for defining endoscopic cure; and the role of surveillance colonoscopy following curative resection.

Keywords: colonoscopy; colorectal polyps; endoscopic resection

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