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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jul 25, 2015; 7(9): 881-888
Published online Jul 25, 2015. doi: 10.4253/wjge.v7.i9.881
Published online Jul 25, 2015. doi: 10.4253/wjge.v7.i9.881
For “difficult” benign colorectal lesions referred to surgical resection a second opinion by an experienced endoscopist is mandatory: A single centre experience
Carmelo Luigiano, Giuseppe Iabichino, Stefania Miraglia, Antonino Judica, Clara Virgilio, Unit of Gastroenterology and Digestive Endoscopy, ARNAS Garibaldi, 95122 Catania, Italy
Nico Pagano, Leonardo Henry Eusebi, Unit of Gastroenterology, S. Orsola-Malpighi University Hospital, 40138 Bologna, Italy
Angela Alibrandi, Department of Statistics, University of Messina, 98122 Messina, Italy
Author contributions: Luigiano C and Iabichino G designed research and wrote the text; Luigiano C performed the endoscopic resection; Iabichino G, Miraglia S and Judica A managed the medical record and extracted all the results from the endoscopy and surgical database for analysis; Pagano N and Eusebi LH were involved in editing the manuscript and literature research; Alibrandi A performed data analysis; Virgilio C reviewed the paper for important intellectual content.
Institutional review board statement: The study was a retrospective study and as such did not require review and approval by the Institutional Review board.
Informed consent statement: The study was a retrospective study using routinely collected hospital data, and as such did not require a specific informed consent.
Conflict-of-interest statement: Neither this submitted paper nor any similar paper, in whole or in part, has been or will be submitted to any other primary scientific journal. All authors have reviewed this manuscript and have agreed with the contents. There are no financial arrangements or commercial associations (e.g., equity ownership or interest, consultancy, patent and licensing agreement, or institutional and corporate associations) which might be a conflict of interest in relation to the manuscript submitted.
Data sharing statement: No additional data available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Carmelo Luigiano, MD, Unit of Gastroenterology and Digestive Endoscopy, ARNAS Garibaldi, Via Palermo 636, 95122 Catania, Italy. carmeluigiano@libero.it
Telephone: +39-9-57595408 Fax: +39-9-57595828
Received: April 5, 2015
Peer-review started: April 8, 2015
First decision: May 14, 2015
Revised: June 4, 2015
Accepted: June 30, 2015
Article in press: July 2, 2015
Published online: July 25, 2015
Peer-review started: April 8, 2015
First decision: May 14, 2015
Revised: June 4, 2015
Accepted: June 30, 2015
Article in press: July 2, 2015
Published online: July 25, 2015
Core Tip
Core tip: A “difficult” colorectal lesion (DCRL) is defined as any lesion that due to its size, shape and location or due to fibrosis as a consequence of previous attempts of endoscopic resection (ER), makes it difficult to remove. Patients with DCRLs are often referred to surgeons for surgical colorectal resection. In our institution, for all patients referred for colorectal surgical resection for DCRLs, the surgeons request an endoscopic re-evaluation and if possible an ER of the lesions. The purpose of this study was to review our results with this approach.