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Digestive Diseases and Sciences
Published in: Digestive Diseases and Sciences 12/2014

01-12-2014 | Editorial

Sessile Serrated Adenomas: Why Conventional Endoscopy Is Okay for Unconventional Polyps

Authors: Stephen J. Lanspa, Henry T. Lynch

Published in: Digestive Diseases and Sciences | Issue 12/2014

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Excerpt

Sessile serrated adenomas (SSA) are premalignant flat lesions localized predominantly in the proximal colon, which, until recently, had often been unrecognized by the endoscopist [1]. Pereyra et al. [2] report in this issue of Digestive Diseases and Sciences that these lesions can be successfully identified using conventional colonoscopy. …
Literature
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Vemulapalli KC, Rex DK. Failure to recognize serrated polyposis syndrome in a cohort with large sessile colorectal polyps. Gastrointest Endosc.. 2012;75:1206–1210.PubMedCrossRef
2.
Pereyra L, Gómez EJ, González R, et al. Finding sessile serrated adenomas: Is it possible to identify them during conventional colonoscopy? Dig Dis Sci. (Epub ahead of print). doi: 10.​1007/​s10620-014-3295-z.
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Jass JR, Biden KG, Cummings M, et al. Characterisation of a subtype of colorectal cancer combining features of the suppressor and mild mutator pathways. J Clin Pathol.. 1999;52:455–460.PubMedCentralPubMedCrossRef
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East JE, Saunders BP, Jass JR. Sporadic and syndromic hyperplastic polyps and serrated adenomas of the colon: classification, molecular genetics, natural history, and clinical management. Gastroenterol Clin North Am.. 2008;37:25–46.PubMedCrossRef
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Tinmouth J, Henry P, Hsieh E, et al. Sessile serrated polyps at screening colonoscopy: Have they been under diagnosed? Am J Gastroenterol (in press).
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Longacre TA, Fenoglio-Preiser CM. Mixed hyperplastic adenomatous polyps/serrated adenomas: a distinct form of colorectal neoplasia. Am J Surg Pathol.. 1990;14:524–537.PubMedCrossRef
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Lynch PM, Lynch HT, Harris RE. Hereditary proximal colonic cancer. Dis Colon Rectum.. 1977;20:661–668.PubMedCrossRef
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Rondagh EJ, Gulikers S, Gomez-Garcia EB, et al. Nonpolypoid colorectal neoplasms: a challenge in endoscopic surveillance of patients with Lynch syndrome. Endoscopy.. 2013;45:257–264.PubMedCrossRef
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Lanspa SJ, Ahnen DJ, Lynch HT. Serrated polyposis: the last (or only the latest?) frontier of familial polyposis? Am J Gastroenterol.. 2012;107:779–781.PubMedCrossRef
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Metadata
Title
Sessile Serrated Adenomas: Why Conventional Endoscopy Is Okay for Unconventional Polyps
Authors
Stephen J. Lanspa
Henry T. Lynch
Publication date
01-12-2014
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 12/2014
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-014-3357-2

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