Comparative analysis of endoscopic and histopathological features of superficial elevated lesions resected by endoscopic mucosal resection in the distal and proximal colon Análise comparativa dos aspectos endoscópicos e histopatológicos das lesões superficialmente elevadas ressecadas por mucosectomias no cólon distal e proximal

dc.contributor.authorParada A.A.
dc.contributor.authorRibas C.A.P.M.
dc.contributor.authorVenco F.E.
dc.contributor.authorArdengh J.C.
dc.contributor.authorReis M.A.
dc.contributor.authorDegiovani M.
dc.contributor.authorVarca-Neto M.R.
dc.contributor.authorDiger N.R.
dc.contributor.authorEl Ibrahim R.
dc.contributor.authorCordova K.F.
dc.contributor.authorFagundes M.C.
dc.contributor.authorMoreira H.
dc.contributor.authorKubrusly L.F.
dc.date.accessioned2024-03-13T00:53:18Z
dc.date.available2024-03-13T00:53:18Z
dc.date.issued2016
dc.description.abstract© 2016, Colegio Brasileiro de Cirurgioes. All rights reserved.Objective: to compare endoscopic and histopathologic features of superficial, elevated lesions with one or more centimeters in diameter, diagnosed by videocolonoscopy on the distal and proximal colon, and subjected to mucosal resection. Methods: we conducted a retrospective, cross-sectional, observational study involving 8,075 videocolonoscopies. From this total, we evaluated 166 mucosectomies in 145 patients with superficial, elevated lesions with a diameter equal to or greater than 1cm. Results: the lesion prevalence was lower in G1 than in G2 (34.9% vs. 65%). The mean age, gender distribution and size (1.9cm in G1 versus 2.0cm in G2, p=0.921) were similar. There was no difference of mucosal surfaces in relation to the location (p=0.575). Considering Intraepithelial neoplasias, both the low grade, high grade (including carcinomas) and hyperplasic ones showedd no difference (p=0.527), nor did the neoplastic lesions when divided into serrated and non-serrated (p=0.124). Excluding 13 hyperplastic lesions and two carcinomas, 124 (82.1%) were non-serrated and 27 (17.9%), serrated. Conclusion: were found no significant differences between endoscopic and histopathological aspects of superficial, elevated lesions of 1cm or more in diameter in distal colon compared with the proximal, when resected by mucosectomy. Although not significant, there was a tendency of association between the location of the lesion and the presence of serrated features.
dc.description.firstpage178
dc.description.issuenumber3
dc.description.lastpage184
dc.description.volume43
dc.identifier.doi10.1590/0100-69912016003010
dc.identifier.issn1809-4546
dc.identifier.urihttps://dspace.mackenzie.br/handle/10899/35978
dc.relation.ispartofRevista do Colegio Brasileiro de Cirurgioes
dc.rightsAcesso Aberto
dc.subject.otherlanguageColon
dc.subject.otherlanguageColonoscopy
dc.subject.otherlanguageColorectal neoplasms
dc.subject.otherlanguageEndoscopy
dc.subject.otherlanguageMucous membrane
dc.titleComparative analysis of endoscopic and histopathological features of superficial elevated lesions resected by endoscopic mucosal resection in the distal and proximal colon Análise comparativa dos aspectos endoscópicos e histopatológicos das lesões superficialmente elevadas ressecadas por mucosectomias no cólon distal e proximal
dc.typeArtigo
local.scopus.citations1
local.scopus.eid2-s2.0-84983337817
local.scopus.subjectAdult
local.scopus.subjectAged
local.scopus.subjectAged, 80 and over
local.scopus.subjectColon
local.scopus.subjectColonoscopy
local.scopus.subjectCross-Sectional Studies
local.scopus.subjectEndoscopic Mucosal Resection
local.scopus.subjectFemale
local.scopus.subjectHumans
local.scopus.subjectIntestinal Mucosa
local.scopus.subjectMale
local.scopus.subjectMiddle Aged
local.scopus.subjectRetrospective Studies
local.scopus.updated2024-05-01
local.scopus.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84983337817&origin=inward
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