Endoscopic Step Up: A Colon-Sparing Alternative to Colectomy to Improve Outcomes and Reduce Costs for Patients With Advanced Neoplastic Polyps.
Cohan J, Donahue C, Pantel H, Ricciardi R, Kleiman D, Read T, Marcello P. Endoscopic Step Up: A Colon-Sparing Alternative to Colectomy to Improve Outcomes and Reduce Costs for Patients With Advanced Neoplastic Polyps. Diseases Of The Colon & Rectum 2020, 63: 842-849. PMID: 32118624, DOI: 10.1097/dcr.0000000000001645.Peer-Reviewed Original ResearchMeSH KeywordsAgedCase-Control StudiesColectomyColonic PolypsColonoscopyCombined Modality TherapyData ManagementEndoscopic Mucosal ResectionFemaleFollow-Up StudiesHealth Care CostsHumansLaparoscopyLength of StayMaleMiddle AgedNeoplasm Recurrence, LocalNon-Randomized Controlled Trials as TopicOrgan PreservationOutcome Assessment, Health CareQuality of LifeRetrospective StudiesTertiary Care CentersConceptsEndoscopic stepPolyp recurrenceColon polypsEndoscopic-laparoscopic surgeryUnresectable colon polypsLower hospital costsTertiary referral centerRecurrence-free survivalEndoscopic mucosal resectionLength of stayEndoscopic submucosal dissectionLong-term qualityColectomy groupProspective databaseReferral centerAdverse eventsConsecutive patientsDefinitive treatmentLaparoscopic colectomyMucosal resectionPrimary outcomeEndoscopic polypectomyLess morbidityRetrospective reviewSurgeon's discretion