Endoscopic management of polyposis syndromes: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Author:

van Leerdam Monique E.12,Roos Victorine H.3,van Hooft Jeanin E.3,Dekker Evelien3,Jover Rodrigo4,Kaminski Michal F.567,Latchford Andrew89,Neumann Helmut10,Pellisé Maria1112,Saurin Jean-Christophe13,Tanis Pieter J.14,Wagner Anja15,Balaguer Francesc1112,Ricciardiello Luigi16

Affiliation:

1. Department of Gastroenterology and Hepatology, Netherlands Cancer Institute, Amsterdam, The Netherlands

2. Department of Gastroenterology and Hepatology, Leiden University Medical Center and Foundation for the Detection of Hereditary Tumours, Leiden, The Netherlands

3. Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands

4. Department of Gastroenterology, Hospital General Universitario de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain

5. Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland

6. Gastroenterology, Hepatology and Clinical Oncology, Medical Centre for Postgraduate Education, Warsaw, Poland

7. Department of Health Management and Health Economics, University of Oslo, Oslo, Norway

8. Polyposis Registry, St. Mark's Hospital, Harrow, United Kingdom

9. Department of Surgery and Cancer, Imperial College London, London, United Kingdom

10. Department of Medicine I, University Medical Center Mainz, Mainz, Germany

11. Gastroenterology Department, Hospital Clínic de Barcelona, Barcelona, Spain

12. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain

13. Gastroenterology and Endoscopy Unit, Hospices Civils de Lyon, Hôpital E. Herriot, Lyon, France

14. Department of Surgery, Amsterdam University Medical Centers, University of Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands

15. Department of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands

16. Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy

Abstract

Main RecommendationsESGE recommends that individuals with hereditary gastrointestinal polyposis syndromes should be surveilled in dedicated units that provide monitoring of compliance and endoscopic performance measures. Strong recommendation, moderate quality of evidence, level of agreement 90 %.ESGE recommends performing esophagogastroduodenoscopy, small-bowel examination, and/or colonoscopy earlier than the planned surveillance procedure if a patient is symptomatic. Strong recommendation, low quality of evidence, level of agreement 100 %.

Publisher

Georg Thieme Verlag KG

Subject

Gastroenterology

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