Gastrointestinal endoscopy plays a critical role in the detection, diagnosis, and management of premalignant and malignant conditions. Because of the diversity of polypoid and nonpolypoid abnormalities that may be encountered throughout the gastrointestinal tract, the modern endoscopist must be keenly aware of the differential diagnosis of these lesions, the appropriateness of biopsy or resection, and the subsequent management based on pathology or staging information. A variety of tissue sampling and resection techniques have been developed for this purpose, including forceps biopsy, snare polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection. Depending on the lesion encountered, these techniques may be both diagnostic and therapeutic. Here we review the endoscopic management of premalignant polyps and early malignancy that may be encountered at different locations in the gastrointestinal tract.
This review contains 17 figures, 5 tables and 47 references
Key words: ablation, adenocarcinoma, adenoma, Barrett esophagus, biopsy, endoscopic mucosal resection, endoscopic submucosal dissection, forceps, polypectomy, snare