Endoscopic diagnosis of sessile serrated polyp: A systematic review
Open Access
- 27 August 2018
- journal article
- review article
- Published by Wiley in Digestive Endoscopy
- Vol. 31 (1), 16-23
- https://doi.org/10.1111/den.13263
Abstract
The aim of the present review was to clarify how we should detect and diagnose sessile serrated polyps (SSP) endoscopically. A systematic search was conducted of MEDLINE from January 2004 through March 2018. Nine findings: (i) proximal location; (ii) size >10 mm; (iii) irregular shape; (iv) indistinctive border; (v) cloud‐like surface; (vi) mucus cap; (vii) rim of debris in white‐light endoscopy; (viii) dilated vessels; and (ix) dilated crypts (pits) in image‐enhanced endoscopy were considered to be candidate discriminators of SSP from hyperplastic polyps. Prospective studies in a general setting are warranted to validate the above‐mentioned endoscopic features of SSP during real‐time colonoscopy and to determine whether these features are useful for the differential diagnosis of SSP.Keywords
This publication has 42 references indexed in Scilit:
- Intramucosal Colon Cancer Developing in an Inverted Hyperplastic PolypGut and Liver, 2013
- A morphologic analysis of sessile serrated polyps observed during routine colonoscopy (with video)Gastrointestinal Endoscopy, 2011
- Endoscopic discrimination of sessile serrated adenomas from other serrated lesionsOncology Letters, 2011
- Prevalence and Variable Detection of Proximal Colon Serrated Polyps During Screening ColonoscopyClinical Gastroenterology and Hepatology, 2011
- A Significant Number of Sessile Serrated Adenomas Might Not Be Accurately Diagnosed in Daily PracticeGut and Liver, 2010
- Invasive cancer arising in a colonic inverted hyperplastic polypEndoscopy, 2010
- PEDUNCULATED INVERTED HYPERPLASTIC POLYP OF THE SIGMOID COLON TREATED WITH ENDOSCOPIC POLYPECTOMYDigestive Endoscopy, 2009
- A Multinational, Internet-Based Assessment of Observer Variability in the Diagnosis of Serrated Colorectal PolypsAmerican Journal of Clinical Pathology, 2007
- Serrated Polyps of the Large Intestine: A Morphologic and Molecular Review of an Evolving ConceptAmerican Journal of Clinical Pathology, 2005
- Two cases of inverted hyperplastic polyps of the colon and association with adenomaEuropean Journal of Gastroenterology & Hepatology, 2004