Role of Endoscopy in the Staging and Management of Colorectal Cancer

Publication Date: May 9, 2013
Last Updated: March 14, 2022

Recommendations

We recommend removal of suspected neoplastic lesions at the time of colonoscopy when not contraindicated and as technical expertise allows. (H)
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We recommend EUS in the preoperative locoregional staging of rectal cancer to guide therapy. (M)
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We recommend weighing the risk of recurrence against the individual's operative risk in all cases in which surgery is being considered as a treatment for CRC. (M)
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We recommend surgical management of all malignant polyps with unfavorable histological features if the patient is an appropriate surgical candidate. (M)
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We recommend that pedunculated polyps found to contain cancer confined to the submucosa of the polyp or stalk and with favorable histological features be managed endoscopically. (M)
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We recommend surgery for sessile or flat colonic neoplasia that demonstrates submucosal invasion if the patient is an appropriate surgical candidate. (M)
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We suggest surgical management for sessile or flat colonic neoplasia that is determined to be malignant after piecemeal endoscopic resection if the patient is an appropriate surgical candidate. (L)
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We recommend EMR only be attempted if complete resection of neoplastic lesions is anticipated. (M)
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Recommendation Grading

Overview

Title

Role of Endoscopy in the Staging and Management of Colorectal Cancer

Authoring Organization

Publication Month/Year

May 9, 2013

Last Updated Month/Year

August 22, 2023

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Inclusion Criteria

Female, Male, Adolescent, Adult, Child, Older adult

Health Care Settings

Ambulatory, Hospital, Outpatient

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Assessment and screening, Management

Diseases/Conditions (MeSH)

D015179 - Colorectal Neoplasms, D004724 - Endoscopy

Keywords

colorectal cancer, endoscopy, cancer staging

Source Citation

Fisher, D. A., Shergill, A. K., Early, D. S., Acosta, R. D., Chandrasekhara, V., Chathadi, K. V., … Cash, B. D. (2013). Role of endoscopy in the staging and management of colorectal cancer. Gastrointestinal Endoscopy, 78(1), 8–12. doi:10.1016/j.gie.2013.04.163