Journal of Digestive Cancer Research

Korean Society of Gastrointestinal Cancer Research (대한소화기암연구학회)
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Endoscopic Diagnosis, Treatment, and Follow-up of Serrated Polyps

톱니상 폴립의 내시경적 진단, 치료와 추적 관리

  • Duk Hwan Kim (Digestive Disease Center, CHA Bundang Medical Center, CHA University)
  • 김덕환 (CHA 의과학대학교 분당차병원 소화기내과)
  • Received : 2023.04.03
  • Accepted : 2023.04.08
  • Published : 2023.04.20
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Abstract

Since the 1990s, serrated polyps have been established to contribute to intermediate cancer development, and their importance has begun to be recognized. Serrated polyps are morphologically difficult to detect through endoscopy, and an effective resection method has not been established. Among serrated polyps, studies on sessile serrated lesions, with a relatively high risk of colorectal cancer transformation and detected with difficulty, are in progress. Studies to date describe the endoscopic features as mucus cap, surface debris or stool, attenuation of underlying vasculature, cloud-like surface, dark spots in crypts, and ill-defined irregular border. Additionally, it is expected that relatively large serrated polyps can be safely removed through cold snare resection. A plan for an effective management of serrated polyps through continuous research in the future is warranted.

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References

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