Endoskopische Klassifikationen kolorektaler Polypen

Kernaussagen

• In der Detektion kolorektaler Adenome ist die Koloskopie der absolute Goldstandard.

• Die endoskopische Entfernung von kolorektalen Adenomen ist die mit Abstand effektivste Maßnahme in der Prävention des kolorektalen Karzinoms.

• Endoskopische Klassifikationen kolorektaler Polypen unter Anwendung virtueller Chromoendoskopietechniken (wie z. B. NBI) werden im endoskopischen Alltag zur Unterscheidung von neoplastischen und nicht neoplastischen Polypen sowie von resektablen und nicht resektablen Adenomen immer wichtiger.

• Die Anwendung der „Resect-and-Discard“-Strategie kann (noch) nicht generell empfohlen werden.

• Literatur

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