title: Current status and future perspectives of endoscopic diagnosis and treatment of diminutive colorectal polyps.
abstract: During colonoscopy, small and diminutive colorectal polyps are commonly encountered. It is estimated that at least one adenomatous polyp is detected in almost half of all patients undergoing screening colonoscopy. In contrast, the 'predict, resect, and discard' strategy for diminutive and small colorectal polyps is a current topic especially in Western countries. 'Is this an acceptable policy in Japan?' Herein, we report the results of a questionnaire survey with regard to the management of diminutive colorectal polyps, including the thoughts of Japanese endoscopists regarding the 'predict, resect, and discard' strategy. At the moment, we propose that this strategy should be used by skilled endoscopists only.
authors.affiliation: Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan.
authors.forename: Takahisa
authors.initials: T
authors.lastname: Matsuda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kawano
authors.forename: Takashi
authors.initials: T
authors.lastname: Hisabe
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Ikematsu
authors.forename: Nozomu
authors.initials: N
authors.lastname: Kobayashi
authors.forename: Kenichi
authors.initials: K
authors.lastname: Mizuno
authors.forename: Shiro
authors.initials: S
authors.lastname: Oka
authors.forename: Yoji
authors.initials: Y
authors.lastname: Takeuchi
authors.forename: Naoto
authors.initials: N
authors.lastname: Tamai
authors.forename: Toshio
authors.initials: T
authors.lastname: Uraoka
authors.forename: David
authors.initials: D
authors.lastname: Hewett
authors.forename: Han-Mo
authors.initials: HM
authors.lastname: Chiu
mesh_terms: D018256:Adenomatous Polyps / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D003082:Colectomy / Q000379:methods; D003111:Colonic Polyps / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D003113:Colonoscopy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D055088:Early Detection of Cancer / Q000592:standards / Q000639:trends; D004724:Endoscopy / Q000379:methods; D005260:Female; D005544:Forecasting; D006801:Humans; D007150:Immunohistochemistry; D007564:Japan; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011379:Prognosis; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome
keywords: colonoscopy; colorectal polyp; diminutive polyp; endoscopic management; resect and discard strategy