2017 BSG立场声明：结肠和直肠锯齿状息肉.pdfVIP

Downloaded from / on May 1, 2017 - Published by Gut Online First, published on April 27, 2017 as 10.1136/gutjnl-2017-314005 Guidelines British Society of Gastroenterology position statement on serrated polyps in the colon and rectum James E East,1 Wendy S Atkin,2 Adrian C Bateman,3 Susan K Clark,4 Sunil Dolwani,5 Shara N Ket,1 Simon J Leedham,6 Perminder S Phull,7 Matt D Rutter,8,9 Neil A Shepherd,10 Ian Tomlinson,11 Colin J Rees9,12 For numbered affiliations see ABSTRACT end of article. Serrated polyps have been recognised in the last decade Pathology and nomenclature of SLs Correspondence to as important premalignant lesions accounting for Dr James E East, Translational between 15% and 30% of colorectal cancers. There is Statement 2 Gastroenterology Unit, therefore a clinical need for guidance on how to manage We suggest adopting the terms hyperplastic polyp Experimental Medicine these lesions; however, the evidence base is limited. A (HP), SSL, SSL with dysplasia, traditional serrated Division, Nuffield Department working group was commission by the British Society of adenoma (TSA) or mixed polyp to describe SLs in of Clinical Medicine, University of Oxford, John Radcliffe Gastroenterology (BSG) Endoscopy section to review the the colorectum, using the WHO criteria to define Hospital, Headley Way, available evidence and develop