Title

Endoscopic Removal of Colorectal Lesions

Authoring Organizations

American College of Gastroenterology

American Gastroenterological Association

American Society for Gastrointestinal Endoscopy

Publication Month/Year

February 11, 2020

Last Updated Month/Year

October 3, 2024

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

To optimize complete and safe endoscopic removal techniques for colorectal lesions.

PICO Questions

  1. Define the endoscopic and pathologic characteristics of colorectal lesions that are amenable to endoscopic removal.

  2. What are the optimal techniques for endoscopic removal of colorectal lesions?

  3. What are the optimal techniques for evaluation of the colorectal polyp following endoscopic removal?

  4. Define pathologic criteria for curative endoscopic removal of the colorectal polyp, in lieu of surgery?

  5. Define optimal surveillance interval recommendations and technique following the endoscopic removal of the colorectal polyp.

  6. What is the optimal diet type and timing following the endoscopic removal of colorectal lesions?

  7. Should antibiotics be routinely used following the endoscopic removal of colorectal lesions?

  8. When should antiplatelet and anticoagulant medications be stopped and when should they be restarted in the setting of endoscopic removal of colorectal lesions?

Inclusion Criteria

Male, Female, Adult, Older adult

Health Care Settings

Ambulatory, Emergency care, Hospital, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Treatment, Management, Prevention

Diseases/Conditions (MeSH)

D000069916 - Endoscopic Mucosal Resection

Keywords

adenoma, colonoscopy, Endoscopic Removal, Colorectal lesions, endoscopic mucosal resection, endoscopic submucosal dissection, Serrated lesion

Source Citation

Kaltenbach T, Anderson JC, Burke CA, Dominitz JA, Gupta S, Lieberman D, Robertson DJ, Shaukat A, Syngal S, Rex DK. Endoscopic Removal of Colorectal Lesions-Recommendations by the US Multi-Society Task Force on Colorectal Cancer. Gastrointest Endosc. 2020 Mar;91(3):486-519. doi: 10.1016/j.gie.2020.01.029. Epub 2020 Feb 14. PMID: 32067745.