Role of Endoscopy in the Staging and Management of Colorectal Cancer
Publication Date: May 9, 2013
Last Updated: March 14, 2022
Recommendations
We recommend removal of suspected neoplastic lesions at the time of colonoscopy when not contraindicated and as technical expertise allows. (H)
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We recommend EUS in the preoperative locoregional staging of rectal cancer to guide therapy. (M)
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We recommend weighing the risk of recurrence against the individual's operative risk in all cases in which surgery is being considered as a treatment for CRC. (M)
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We recommend surgical management of all malignant polyps with unfavorable histological features if the patient is an appropriate surgical candidate. (M)
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We recommend that pedunculated polyps found to contain cancer confined to the submucosa of the polyp or stalk and with favorable histological features be managed endoscopically. (M)
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We recommend surgery for sessile or flat colonic neoplasia that demonstrates submucosal invasion if the patient is an appropriate surgical candidate. (M)
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We suggest surgical management for sessile or flat colonic neoplasia that is determined to be malignant after piecemeal endoscopic resection if the patient is an appropriate surgical candidate. (L)
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We recommend EMR only be attempted if complete resection of neoplastic lesions is anticipated. (M)
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Recommendation Grading
Overview
Title
Role of Endoscopy in the Staging and Management of Colorectal Cancer
Authoring Organization
American Society for Gastrointestinal Endoscopy
Publication Month/Year
May 9, 2013
Last Updated Month/Year
August 22, 2023
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Older adult
Health Care Settings
Ambulatory, Hospital, Outpatient
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Assessment and screening, Management
Diseases/Conditions (MeSH)
D015179 - Colorectal Neoplasms, D004724 - Endoscopy
Keywords
colorectal cancer, endoscopy, cancer staging
Source Citation
Fisher, D. A., Shergill, A. K., Early, D. S., Acosta, R. D., Chandrasekhara, V., Chathadi, K. V., … Cash, B. D. (2013). Role of endoscopy in the staging and management of colorectal cancer. Gastrointestinal Endoscopy, 78(1), 8–12. doi:10.1016/j.gie.2013.04.163