Top Tweets for #AllThingsColonoscopy
General approach to surgery discussion in a patient with a malignant polyp is to estimate the risk of residual cancer based on shape, method of resection (piecemeal vs. en bloc), & histologic features, & weigh against the risk of surgical resection. #AllThingsColonoscopy
If sessile or flat lesion was resected en bloc & sectioned with proper orientation, following are unfavorable histologic criteria: invasion depth >1 mm, involvement of resection margin, poor tumor differentiation, lymphovascular invasion, & tumor budding. #AllThingsColonoscopy
In a malignant pedunculated polyp, all 3 features (clear margin etc.) must be present for the histologic criteria to be considered favorable. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
In properly sectioned malignant pedunculated polyp, favorable histologic criteria include a resection margin that is clear (preferably ≥ 2mm), well or moderately differentiated cancer (not poorly differentiated), and no evidence of lymphovascular invasion. #AllThingsColonoscopy
Have you seen our daily Tweetorial with valuable #colonoscopy tips? Follow #AllThingsColonoscopy for the latest tips! #ASGE #CRC #letsfightCRC #getscreened #GIEndoscopy #gastroenterology #endoscopy @BilalMohammadMD @kmergener
In a pedunculated lesion, the criteria considered assume that the lesion has been appropriately sectioned and cut by the pathologist in a bivalved manner through the stalk. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
The histologic criteria considered are different for a pedunculated polyp compared to sessile or flat lesion. In particular, the depth of invasion is not clearly an adverse prognostic feature in a pedunculated lesion. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
See our video at https://t.co/rfKoooHuTV for an easy way to explain why colonoscopy is so important to colorectal cancer prevention. #colonoscopy #CRC #allthingscolonoscopy @SIslamMD @BilalMohammadMD @kmergener @GI_Guy @AustinChiangMD
When unfavorable histologic criteria are present in a malignant polyp, surgery should be considered if the patient is a reasonable surgical candidate, or the risks of residual cancer are considered to outweigh the surgical risk. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
Certain histologic features may be important in considering whether to proceed with surgical resection. “Unfavorable histologic criteria” means that the risk of residual cancer in the bowel wall or lymph nodes is higher. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
When an endoscopist gets an unexpected report of a malignant polyp, the next decision is whether to advise the patient to undergo adjuvant surgical (or other) treatment. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
Because endoscopic features of deep SMI have low sensitivity & there are no sensitive or specific predictors of superficial SMI, there will be some surprises where a lesion is endoscopically resected & pathologist reports cancer. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
Endoscopists should try very hard to resect all pedunculated polyps en bloc and through the stalk. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
A malignant polyp is generally considered one that has invasion into the submucosa, but not through the submucosa into the muscularis propia. These malignant lesions are classified as T1 in the TNM classification. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
The remaining type non-granular lesion (NG-LSL) is the flat elevated non granular lesion. The flat elevated NG-LSL has a very low risk of cancer, like the G-LST. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
Relative predictors of superficial submucosal invasion include non-granular morphology in lateral spreading tumor, depression in non-granular lesion & a bulky non-granular lesion. Can favor ESD over EMR if ESD is locally available. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
From GIE: Learn more about Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer.
https://t.co/5v9sRSR0wB
#ValueOfColonoscopy #AllThingsColonoscopy #Colonoscopy #CRC @BilalMohammadMD @GI_Guy
If a sessile or flat lesion is resected en bloc, it should also be pinned to a flat surface so that it can be sectioned by the pathologist perpendicular to the plane of endoscopic resection. https://t.co/KoJQjOrY5X #AllThingsColonoscopy
Granular LSLs have two important features that distinguish them from non-granular (NG-LSL). First, they have less submucosal fibrosis, which makes them easier to resect by either EMR or endoscopic submucosal dissection (ESD). https://t.co/KoJQjOrY5X #AllThingsColonoscopy
Lateral spreading lesion (LSL) is most usefully applied to adenomas (and not serrated lesions) because adenomatous LSLs can be usefully subdivided into granular vs non-granular LSLs, while the granular vs non-granular distinction does not help in SSLs. #AllThingsColonoscopy
Last Seen Hashtags on Sotwe
worship
Seen from United States
人妻
Seen from United States
thundr
Seen from United States
รับงานแหลมฉบัง
Seen from Thailand
赛义德
Seen from United States
bursa gay
Seen from Turkey
sneakerfuck
Seen from United States
gaysma
Seen from Indonesia
Teenagee momson(********)***************filter:videos
Seen from New Zealand
nolimit()*** +filter:native_video
Seen from Thailand
Trends for you
Most Popular Users
Elon Musk 
@elonmusk
241M followers
Barack Obama
@barackobama
119.2M followers
Cristiano Ronaldo
@cristiano
112.1M followers
Donald J. Trump
@realdonaldtrump
111.8M followers
Narendra Modi
@narendramodi
107.1M followers
Rihanna
@rihanna
98M followers
NASA
@nasa
92.2M followers
Justin Bieber
@justinbieber
91.3M followers
KATY PERRY
@katyperry
88.5M followers
Taylor Swift
@taylorswift13
82.4M followers
Lady Gaga
@ladygaga
73.9M followers
Virat Kohli
@imvkohli
71.2M followers
Kim Kardashian
@kimkardashian
70.2M followers
YouTube
@youtube
68.7M followers
Bill Gates
@billgates
64.4M followers
Neymar Jr
@neymarjr
64.1M followers
The Ellen Show
@theellenshow
62.4M followers
CNN
@cnn
61.8M followers
Selena Gomez
@selenagomez
61.6M followers
X
@x
60.8M followers