The possibility to predict in vivo the histology of colorectal polyps by advanced endoscopic imaging has resulted in the implementation of a more conservative management for diminutive lesions detected at colonoscopy. In detail, a predict-and-do-not-resect strategy has been proposed for diminutive lesions located in the rectosigmoid tract, whilst a predict-resect-and-discard policy has been advocated for nonrectosigmoid diminutive polyps. Recently, the American Society for Gastrointestinal Endoscopy set required thresholds to be met, before allowing the adoption of these policies in the clinical field. The ability of current endoscopic imaging in reaching these thresholds would depend on a complex interaction among the accuracy of advanced endoscopic imaging in differentiating between adenomatous and hyperplastic lesions, the prevalence of (advanced) neoplasia within diminutive lesions, and the type of surveillance intervals recommended. Aim of this review is to summarize the data supporting the application of both a predict-and-do-not-resect and a predict-resect-and-discard policies, also addressing the potential pitfalls associated with these strategies.

Citations

Citations to this article as recorded by  

• Pit Pattern Analysis of Colorectal Polyps Using Storz Professional Image Enhancement System (Spies) Endoscopy
  Emeka Ray-Offor, Fatimah Biade Abdulkareem, Nze J Jebbin
  Journal of West African College of Surgeons.2022; 12(2): 17.     CrossRef
• Diminutif ve Küçük Kolorektal Poliplerde Kanser Riskinin Değerlendirilmesi
  Nurhan DEMİR
  Artuklu International Journal of Health Sciences.2022; 2(3): 20.     CrossRef
• POLYP AND ADENOMA DETECTION RATE AND EVALUATION OF DIFFERENT POLYP RETRIEVAL METHODS IN PATIENTS UNDERGOING COLONOSCOPY IN KURDISTAN CENTER FOR GASTROENTEROLOGY AND HEPATOLOGY/SULAIMANI CITY (KCGH)
  Sarkawt Ameen, Muhsin Mohammed, Mohammed Alshaikhani, Mohammed Mohammed, Taha Al-Karbuly, Dana Gharib, Araz Latif
  JOURNAL OF SULAIMANI MEDICAL COLLEGE.2021; 11(4): 407.     CrossRef
• Efficacy and safety of cold versus hot snare polypectomy for resecting small colorectal polyps: Systematic review and meta‐analysis
  Satoshi Shinozaki, Yasutoshi Kobayashi, Yoshikazu Hayashi, Hirotsugu Sakamoto, Alan Kawarai Lefor, Hironori Yamamoto
  Digestive Endoscopy.2018; 30(5): 592.     CrossRef
• Clinical, endoscopic and pathological characteristics of colorectal polyps in elderly patients: Single-center experience
  Lei Zhou, Heng Zhang, Shengbin Sun, Manling Huang, Jing Liu, Dan Xu, Min Song, Chenming Sun, Hui Li, Dan Zheng, Yan Fan, Yusheng Liao, Ping Wang, Jie Wu
  Molecular and Clinical Oncology.2017; 7(1): 81.     CrossRef
• Results of total colonoscopy in the diagnosis of polyps. Case studies in Villavicencio, Colombia
  Mauricio Alberto Melo-Peñaloza
  Revista de la Facultad de Medicina.2017; 65(3): 433.     CrossRef
• Narrow-band Imaging International Colorectal Endoscopic Classification to predict polyp histology: REDEFINE study (with videos)
  Alessandro Repici, Camilla Ciscato, Loredana Correale, Raf Bisschops, Pradeep Bhandari, Evelien Dekker, Oliver Pech, Franco Radaelli, Cesare Hassan
  Gastrointestinal Endoscopy.2016; 84(3): 479.     CrossRef
• The Assessment of the Colo-rectal Polyps in Order to the New Diagnostic and Therapeutic Strategies
  Diac Andreea Raluca, Brusnic Olga, Gabos Gabriella, Onisor Danusia, Drasoveanu Silvia Cosmina, Boeriu Alina, Dobru Daniela Ecaterina
  Acta Medica Marisiensis.2015; 61(3): 161.     CrossRef
• Risk factors for polyp retrieval failure in colonoscopy
  Carlos Fernandes, Rolando Pinho, Iolanda Ribeiro, Joana Silva, Ana Ponte, João Carvalho
  United European Gastroenterology Journal.2015; 3(4): 387.     CrossRef
• Accuracy of visual prediction of pathology of colorectal polyps: how accurate are we?
  Prashant Sharma, John Frye, Frank Frizelle
  ANZ Journal of Surgery.2014; 84(5): 365.     CrossRef