British Society of Gastroenterology position statement on serrated polyps in the colon and rectum.

Abstract:

:Serrated polyps have been recognised in the last decade as important premalignant lesions accounting for between 15% and 30% of colorectal cancers. There is therefore a clinical need for guidance on how to manage these lesions; however, the evidence base is limited. A working group was commission by the British Society of Gastroenterology (BSG) Endoscopy section to review the available evidence and develop a position statement to provide clinical guidance until the evidence becomes available to support a formal guideline. The scope of the position statement was wide-ranging and included: evidence that serrated lesions have premalignant potential; detection and resection of serrated lesions; surveillance strategies after detection of serrated lesions; special situations-serrated polyposis syndrome (including surgery) and serrated lesions in colitis; education, audit and benchmarks and research questions. Statements on these issues were proposed where the evidence was deemed sufficient, and re-evaluated modified via a Delphi process until >80% agreement was reached. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) tool was used to assess the strength of evidence and strength of recommendation for finalised statements. Key recommendation: we suggest that until further evidence on the efficacy or otherwise of surveillance are published, patients with sessile serrated lesions (SSLs) that appear associated with a higher risk of future neoplasia or colorectal cancer (SSLs ≥10 mm or serrated lesions harbouring dysplasia including traditional serrated adenomas) should be offered a one-off colonoscopic surveillance examination at 3 years (weak recommendation, low quality evidence, 90% agreement).

journal_name

Gut

journal_title

Gut

authors

East JE,Atkin WS,Bateman AC,Clark SK,Dolwani S,Ket SN,Leedham SJ,Phull PS,Rutter MD,Shepherd NA,Tomlinson I,Rees CJ

doi

10.1136/gutjnl-2017-314005

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

1181-1196

issue

7

eissn

0017-5749

issn

1468-3288

pii

gutjnl-2017-314005

journal_volume

66

pub_type

杂志文章,实务指引,评审

相关文献

GUT文献大全
  • Spirochaetosis of the human rectum associated with an intraepithelial mast cell and IgE plasma cell response.

    abstract::In two patients presenting with mild intestinal symptoms, rectal spirochaetosis was the only morphological abnormality diagnosed by light microscopy. A re-evaluation of the morphological changes using electron microscopy and immunohistochemistry showed certain unusual features: the microorganisms were observed within ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.5.588

    authors: Gebbers JO,Ferguson DJ,Mason C,Kelly P,Jewell DP

    更新日期:1987-05-01 00:00:00

  • Randomised clinical trial comparing sequential and concomitant therapies for Helicobacter pylori eradication in routine clinical practice.

    abstract:OBJECTIVES:No trial has compared non-bismuth quadruple 'sequential' and 'concomitant' regimens in settings with increasing clarithromycin rates. The study aims to compare the effectiveness and safety of these therapies for Helicobacter pylori treatment. DESIGN:Prospective randomised clinical trial in 11 Spanish hospit...

    journal_title:Gut

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/gutjnl-2013-304820

    authors: McNicholl AG,Marin AC,Molina-Infante J,Castro M,Barrio J,Ducons J,Calvet X,de la Coba C,Montoro M,Bory F,Perez-Aisa A,Forné M,Gisbert JP,Participant Centres.

    更新日期:2014-02-01 00:00:00

  • Pelvic floor neuropathy: a comparative study of diabetes mellitus and idiopathic faecal incontinence.

    abstract::Twenty one patients with diabetic peripheral neuropathy, 18 with idiopathic faecal incontinence and 11 normal controls were studied with techniques of mucosal electrosensitivity, rectal distension for the quantitative assessment of anorectal sensation, and manometric and electromyographic tests for the assessment of a...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.6.756

    authors: Rogers J,Levy DM,Henry MM,Misiewicz JJ

    更新日期:1988-06-01 00:00:00

  • Trials and tribulations with artificial liver support.

    abstract::This paper reviews the experience gained over the past few years in two techniques of liver support, charcoal haemoperfusion and polyacrylonitrile membrane haemodialysis. Problems with charcoal haemoperfusion have centred around platelet aggregation and hypertension, and new carbon preparations with a variety of diffe...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.19.6.578

    authors: Williams R

    更新日期:1978-06-01 00:00:00

  • T-bet upregulation and subsequent interleukin 12 stimulation are essential for induction of Th1 mediated immunopathology in Crohn's disease.

    abstract:BACKGROUND AND AIMS:Many lines of evidence suggest that T helper cell type 1 (Th1) immune responses predominate in Crohn's disease (CD). Recently, a novel transcription factor T-box expressed in T cells (T-bet) has been reported as the master regulator of Th1 development. This study was designed to investigate the role...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.024190

    authors: Matsuoka K,Inoue N,Sato T,Okamoto S,Hisamatsu T,Kishi Y,Sakuraba A,Hitotsumatsu O,Ogata H,Koganei K,Fukushima T,Kanai T,Watanabe M,Ishii H,Hibi T

    更新日期:2004-09-01 00:00:00

  • Adult rhabdomyosarcoma of the gall bladder: case report and review of published works.

    abstract::A 90 year old woman with alveolar rhabdomyosarcoma of the gall bladder is described. The patient died with tumour metastasis four months after diagnosis despite complete excision of the tumour. The histological, immunohistochemical, and ultrastructural features of the tumour are summarised and published works are revi...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.35.6.854

    authors: al-Jaberi TM,al-Masri N,Tbukhi A

    更新日期:1994-06-01 00:00:00

  • Jaundice due to carbimazole.

    abstract::On three occasions, a 63 year old housewife with hyperthyroidism developed a reaction which included fever, pruritus, malaise, and, on one occasion, jaundice one to 17 days after taking carbimazole. Challenge with carbimazole was followed within 12 hours by abdominal pain, pruritus, and increased serum transaminase le...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.16.11.913

    authors: Lunzer M,Huang SN,Ginsburg J,Ahmed M,Sherlock S

    更新日期:1975-11-01 00:00:00

  • Increased leukotriene B4 release from ileal pouch mucosa in ulcerative colitis compared with familial adenomatous polyposis.

    abstract::Pouchitis may complicate the construction of an ileal pouch after colectomy for ulcerative colitis (UC) but not familial adenomatous polyposis (FAP). To examine whether differences in eicosanoid metabolism might explain why pouchitis is largely confined to UC patients, this study compared arachidonic acid stimulated r...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.10.1429

    authors: Gertner DJ,Rampton DS,Madden MV,Talbot IC,Nicholls RJ,Lennard-Jones JE

    更新日期:1994-10-01 00:00:00

  • Action of gastrin on the lower oesophageal sphincter in man.

    abstract::Both hog gastrin and synthetic gastrin stimulate the cardiac sphincter to increase tone and augment the resistance to reflux. Endogenous gastrin has a similar effect, and gastrin also stimulates the secretion of acid which has also been found to increase the resistance of the sphincter, but the effect of gastrin appea...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.10.9.730

    authors: Giles GR,Mason MC,Humphries C,Clark CG

    更新日期:1969-09-01 00:00:00

  • Effect of predigested fat on intestinal stimulation of plasma cholecystokinin and gall bladder motility in coeliac disease.

    abstract::Cholecystokinin (CCK) release and gall bladder emptying in response to a fatty meal are completely abolished in coeliac disease. To determine the effect of lipid digestion on CCK release and gall bladder motility, six patients with untreated coeliac disease and a flat jejunal mucosa were studied on two separate days. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.36.1.17

    authors: Hopman WP,Rosenbusch G,Hectors MP,Jansen JB

    更新日期:1995-01-01 00:00:00

  • Claudin-4-targeted optical imaging detects pancreatic cancer and its precursor lesions.

    abstract:OBJECTIVES:Novel imaging methods based on specific molecular targets to detect both established neoplasms and their precursor lesions are highly desirable in cancer medicine. Previously, we identified claudin-4, an integral constituent of tight junctions, as highly expressed in various gastrointestinal tumours includin...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2012-302577

    authors: Neesse A,Hahnenkamp A,Griesmann H,Buchholz M,Hahn SA,Maghnouj A,Fendrich V,Ring J,Sipos B,Tuveson DA,Bremer C,Gress TM,Michl P

    更新日期:2013-07-01 00:00:00

  • Effect of the nitric oxide donor, glyceryl trinitrate, on human gall bladder motility.

    abstract:BACKGROUND:Nitric oxide is a major neurotransmitter in non-adrenergic, non-cholinergic (NANC) pathways. NANC inhibitory innervation has been shown in human gall bladder muscle in vitro; the role of nitric oxide in human gall bladder emptying however is undefined. AIMS:To study the effect of glyceryl trinitrate, a nitr...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.42.3.410

    authors: Greaves R,Miller J,O'Donnell L,McLean A,Farthing MJ

    更新日期:1998-03-01 00:00:00

  • Changes in oesophageal wall biomechanics after portal vein banding and variceal sclerotherapy measured by a new technique. An experimental study in rabbits.

    abstract::The biomechanical properties of the oesophageal wall were investigated in a rabbit model using a four electrode impedance technique. A specially designed probe with the electrodes inside a low pressure expandable insulating latex balloon was introduced in the oesophagus. Stepwise inflation and deflation was done for a...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.12.1699

    authors: Gregersen H,Jensen LS,Djurhuus JC

    更新日期:1988-12-01 00:00:00

  • Comparison of the composition of faecal fluid in Crohn's disease and ulcerative colitis.

    abstract::We determined the ionic composition of faecal fluid from 13 patients with Crohn's disease limited to the colon, 10 with diffuse ulcerative colitis, and eight with ulcerative proctitis. The Crohn's and colitis groups had similar proportions of colon surface involved radiographically and similar 24 hour faecal weights. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.23.4.326

    authors: Schilli R,Breuer RI,Klein F,Dunn K,Gnaedinger A,Bernstein J,Paige M,Kaufman M

    更新日期:1982-04-01 00:00:00

  • Plasminogen activator in bile during extracorporeal perfusion of pig liver.

    abstract::Plasminogen activator activity was studied in bile and perfusate during extracorporeal pig liver perfusion. Plasminogen activator activity in bile was up to 58 times greater than in perfusate. A high level of plasminogen activator activity in bile was also found after the addition of urokinase to the perfusate. These ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.13.1.54

    authors: Jedrychowski A,Parbhoo SP,Hillenbrand P

    更新日期:1972-01-01 00:00:00

  • Genetic variants in CDC42 and NXPH1 as susceptibility factors for constipation and diarrhoea predominant irritable bowel syndrome.

    abstract:OBJECTIVE:The complex genetic aetiology underlying irritable bowel syndrome (IBS) needs to be assessed in large-scale genetic studies. Two independent IBS cohorts were genotyped to assess whether genetic variability in immune, neuronal and barrier integrity genes is associated with IBS. DESIGN:384 single nucleotide po...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2013-304570

    authors: Wouters MM,Lambrechts D,Knapp M,Cleynen I,Whorwell P,Agréus L,Dlugosz A,Schmidt PT,Halfvarson J,Simrén M,Ohlsson B,Karling P,Van Wanrooy S,Mondelaers S,Vermeire S,Lindberg G,Spiller R,Dukes G,D'Amato M,Boeckxstaens

    更新日期:2014-07-01 00:00:00

  • Insulin-like growth factor I receptor blockade enhances chemotherapy and radiation responses and inhibits tumour growth in human gastric cancer xenografts.

    abstract:BACKGROUND AND AIMS:Insulin-like growth factor (IGF) I receptor (IGF-Ir) signalling is required for carcinogenicity and proliferation of many tumours but this pathway has not been studied in detail in gastric cancer. We have previously shown successful therapy for colorectal, pancreatic, and lung cancer using recombina...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.048926

    authors: Min Y,Adachi Y,Yamamoto H,Imsumran A,Arimura Y,Endo T,Hinoda Y,Lee CT,Nadaf S,Carbone DP,Imai K

    更新日期:2005-05-01 00:00:00

  • Management of achalasia of the cardia by forced pneumatic dilatation.

    abstract::Eighteen patients with achalasia of the cardia diagnosed by radiography, endoscopy, and manometry were subjected to forced pneumatic dilatation under fluoroscopic control. The procedure was uneventful in all but one patient who developed a pneumomediastinum which resolved on conservative management. A satisfactory res...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.23.6.541

    authors: Lishman AH,Dellipiani AW

    更新日期:1982-06-01 00:00:00

  • Glucagon-like peptide-1: a potent regulator of food intake in humans.

    abstract:BACKGROUND/AIMS:Studies in animals suggest a physiological role for glucagon-like peptide-1-(7-36)-amide (GLP-1) in regulating satiety. The role of GLP-1 in regulating food intake in man has, however, not been investigated. Subjects-Sixteen healthy male subjects were examined in a double blind placebo controlled fashio...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.44.1.81

    authors: Gutzwiller JP,Göke B,Drewe J,Hildebrand P,Ketterer S,Handschin D,Winterhalder R,Conen D,Beglinger C

    更新日期:1999-01-01 00:00:00

  • Pepsin in saliva for the diagnosis of gastro-oesophageal reflux disease.

    abstract:OBJECTIVE:Current diagnostic methods for gastro-oesophageal reflux disease (GORD) have moderate sensitivity/specificity and can be invasive and expensive. Pepsin detection in saliva has been proposed as an 'office-based' method for GORD diagnosis. The aims of this study were to establish normal values of salivary pepsi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2014-307049

    authors: Hayat JO,Gabieta-Somnez S,Yazaki E,Kang JY,Woodcock A,Dettmar P,Mabary J,Knowles CH,Sifrim D

    更新日期:2015-03-01 00:00:00

  • Influence of nutritional status on immune functions in patients with Crohn's disease.

    abstract::Nutritional status and immune function were correlated with clinical features in 56 patients with Crohn's disease. These were divided arbitrarily into either undernourished or well nourished groups according to whether their midarm circumference was below or above 90% of ideal standard. Results were also compared with...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.25.5.465

    authors: Harries AD,Danis VA,Heatley RV

    更新日期:1984-05-01 00:00:00

  • USF1 defect drives p53 degradation during Helicobacter pylori infection and accelerates gastric carcinogenesis.

    abstract:OBJECTIVE:Helicobacter pylori (Hp) is a major risk factor for gastric cancer (GC). Hp promotes DNA damage and proteasomal degradation of p53, the guardian of genome stability. Hp reduces the expression of the transcription factor USF1 shown to stabilise p53 in response to genotoxic stress. We investigated whether Hp-me...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2019-318640

    authors: Costa L,Corre S,Michel V,Le Luel K,Fernandes J,Ziveri J,Jouvion G,Danckaert A,Mouchet N,Da Silva Barreira D,Torres J,Camorlinga M,D'Elios MM,Fiette L,De Reuse H,Galibert MD,Touati E

    更新日期:2020-09-01 00:00:00

  • Ulcerative proctitis is a frequent location of paediatric-onset UC and not a minor disease: a population-based study.

    abstract:OBJECTIVE:Natural history of paediatric-onset ulcerative proctitis (UP) is poorly described. Our aim was to describe the phenotype and disease course of incident UP in a population-based study of paediatric-onset UC. PATIENTS AND METHODS:All patients with UC diagnosed <17 years from 1988 to 2004, and followed during >...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2016-311970

    authors: Hochart A,Gower-Rousseau C,Sarter H,Fumery M,Ley D,Spyckerelle C,Peyrin-Biroulet L,Laberenne JE,Vasseur F,Savoye G,Turck D,Epimad Group.

    更新日期:2017-11-01 00:00:00

  • Increased cell membrane arachidonic acid in experimental colorectal tumours.

    abstract::Tumour cell membrane fatty acid composition was investigated using an animal model of colorectal carcinogenesis. Eighty six male Wistar rats were fed experimental diets containing either 5% saturated fat or 20% saturated fat. Colorectal tumours were induced by intraperitoneal injection of azoxymethane, and control rat...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.4.413

    authors: Nicholson ML,Neoptolemos JP,Clayton HA,Talbot IC,Bell PR

    更新日期:1991-04-01 00:00:00

  • Clinical and laboratory study of postvagotomy diarrhoea.

    abstract::Thirty-two patients with diarrhoea, on average four years following truncal vagotomy and drainage, were studied. A comparison was made with 24 patients without postvagotomy diarrhoea. The incidence of bacterial colonization of the upper small intestine was no different in the two groups, though patients with a gastroe...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.15.8.644

    authors: Browning GG,Buchan KA,Mackay C

    更新日期:1974-08-01 00:00:00

  • Increased in vitro release of soluble interleukin 2 receptor by colonic lamina propria mononuclear cells in inflammatory bowel disease.

    abstract::Increased concentrations of the soluble form of the interleukin 2 receptor have been observed in the sera of Crohn's disease and ulcerative colitis patients. In this study we have observed the spontaneous release of soluble interleukin 2 receptor by unstimulated, isolated normal and inflammatory bowel disease colonic ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.2.236

    authors: Schreiber S,Raedler A,Conn AR,Rombeau JL,MacDermott RP

    更新日期:1992-02-01 00:00:00

  • Quantitation of faecal Fusobacterium improves faecal immunochemical test in detecting advanced colorectal neoplasia.

    abstract:OBJECTIVE:There is a need for an improved biomarker for colorectal cancer (CRC) and advanced adenoma. We evaluated faecal microbial markers for clinical use in detecting CRC and advanced adenoma. DESIGN:We measured relative abundance of Fusobacterium nucleatum (Fn), Peptostreptococcus anaerobius (Pa) and Parvimonas mi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2016-312766

    authors: Wong SH,Kwong TNY,Chow TC,Luk AKC,Dai RZW,Nakatsu G,Lam TYT,Zhang L,Wu JCY,Chan FKL,Ng SSM,Wong MCS,Ng SC,Wu WKK,Yu J,Sung JJY

    更新日期:2017-08-01 00:00:00

  • Cryptogenic multifocal ulcerating stenosing enteritis associated with homozygous deletion mutations in cytosolic phospholipase A2-α.

    abstract:OBJECTIVE:Cryptogenic multifocal ulcerating stenosing enteritis (CMUSE) is an extremely rare, but devastating, disease of unknown aetiology. We investigated the genetic basis of this autosomal recessive condition in a pair of affected siblings who have 40-year histories of catastrophic gastrointestinal and extraintesti...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2012-303581

    authors: Brooke MA,Longhurst HJ,Plagnol V,Kirkby NS,Mitchell JA,Rüschendorf F,Warner TD,Kelsell DP,MacDonald TT

    更新日期:2014-01-01 00:00:00

  • Epigenetic inactivation of BCL6B, a novel functional tumour suppressor for gastric cancer, is associated with poor survival.

    abstract:OBJECTIVE:Using genome-wide promoter methylation assay, B cell CLL/lymphoma 6 member B (BCL6B) was found to be preferentially methylated in cancer. A study was undertaken to examine the epigenetic regulation, biological function and clinical significance of BCL6B in gastric cancer (GC). METHODS:BCL6B promoter methylat...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-300411

    authors: Xu L,Li X,Chu ES,Zhao G,Go MY,Tao Q,Jin H,Zeng Z,Sung JJ,Yu J

    更新日期:2012-07-01 00:00:00

  • Phase II evaluation of anti-MAdCAM antibody PF-00547659 in the treatment of Crohn's disease: report of the OPERA study.

    abstract:OBJECTIVE:This phase II, randomised, double-blind, placebo-controlled clinical trial was designed to evaluate the efficacy and safety of PF-00547659, a fully human monoclonal antibody that binds to human mucosal addressin cell adhesion molecule (MAdCAM) to selectively reduce lymphocyte homing to the intestinal tract, i...

    journal_title:Gut

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/gutjnl-2016-313457

    authors: Sandborn WJ,Lee SD,Tarabar D,Louis E,Klopocka M,Klaus J,Reinisch W,Hébuterne X,Park DI,Schreiber S,Nayak S,Ahmad A,Banerjee A,Brown LS,Cataldi F,Gorelick KJ,Cheng JB,Hassan-Zahraee M,Clare R,D'Haens GR

    更新日期:2018-10-01 00:00:00