Source: Clujul Medical. Dec, Vol.
Colonoscopy is for a very long time accepted as the most efficacy method for colorectal diagnosis and prevention. Neoplasic colonic lesions are polipoid type and non-polypoid type. Japanese classification of superficial colonic lesions 0 type is unanimity accepted.
Abstract Conventional colonoscopy is regarded as the gold standard procedure for the diagnosis of colorectal neoplasms despite its several limitations including invasiveness, discomfort and potential complications. Colon capsule endoscopy CCE could be an attractive alternative method to the invasive colonoscopy for the diagnosis of colorectal cancer and polyps.
Colonic polyps are easy to recognize. Endoscopic resection of polyps is necessary for correct diagnosis and treatment. Non-polypoid tumors are, sometimes difficult to recognize.
Laterally spreading tumors typically extend laterally and circumferentially rather than vertically along the colonic wall and the frequency of invasive carcinoma is lower than for polypoid lesions of similar size. Depressed type has a high colorectal cancer diagnosis of malignancy even at small size. Magnification chromoendoscopy, narrow-band imaging and confocal endoscopy can improve the detection of colonic lesions and differentiating between malign and benign.
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