UEG Week Recordings UEG Week Posters Online courses Guidelines Mistakes in... Podcasts Webinars
new
Gut Guide online
Visit ueg.eu Create myUEG account Log In
Visit ueg.eu Create myUEG account Log In

Filters:

UEG Mistakes In Articles
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Log In Create a free account

Not sure what you can access? Learn more about account types.

Mistakes in the management of gastric polyps and how to avoid them

David G. Graham, William Waddingham

Summary

AI Generated

Gastric polyps, found incidentally in up to 6% of upper endoscopies, present management challenges for clinicians who often lack confidence in their identification, characterization, biopsy decisions, and long-term management strategies.

  • More than 90% of gastric polyps are asymptomatic and found incidentally at upper endoscopy, with a prevalence of up to 6%.
  • Fundic gland polyps are most frequently seen in the Western world due to their association with proton pump inhibitor usage.
  • In regions where Helicobacter pylori infection is prevalent, hyperplastic polyps and adenomas are more common and carry higher malignant potential.
  • Endoscopists often lack confidence in endoscopic characterization, biopsy decision-making, sampling strategies, and longer-term management of gastric polyps.
  • The British Society of Gastroenterology and European Society of Gastrointestinal Endoscopy provide guidelines with flowcharts for the management of gastric polyps.
Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Goddard AF, Badreldin R, Pritchard DM, et al. The management of gastric polyps. Gut 2010; 59: 1270–1276. [Link]
2.
Carmack SW, Genta RM, Schuler CM, et al. The current spectrum of gastric polyps: A 1-year national study of over 120,000 patients. Am J Gastroenterol 2009; 104: 1524–1532. [Link]
3.
el-Zimaity HM, Jackson FW and Graham DY. Fundic gland polyps developing during omeprazole therapy. Am J Gastroenterol 1997; 92: 1858–1860. [Link]
4.
Morais DJ, Yamanaka A, Zeitune JMR, et al. Gastric polyps: A retrospective analysis of 26,000 digestive endoscopies. Arq Gastroenterol 2007; 44: 14–17. [Link]
5.
Banks M, et al. British Society of Gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma. Gut 2019; 68: 1545–1575. [Link]
6.
Bisschops R, et al. Performance measures for upper gastrointestinal endoscopy: A European Society of Gastrointestinal Endoscopy quality improvement initiative. United Eur Gastroenterol J 2016; 4: 629–656. [Link]
7.
Park JM, et al. Longer observation time increases proportion of neoplasms detected by esophagogastroduodenoscopy. Gastroenterology 2017; 153: 460–469.e1. [Link]
8.
Participants in the Paris Workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc 2003; 58 (6 Suppl): S3–S43.
9.
Endoscopic Classification Review Group. Update on the Paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy 2005; 37: 570–578.
10.
Colling C, Asztalos I, Buchner AM, et al. Mo2037 Narrow-band imaging classification system for gastric polyps may reduce the need for biopsies. Gastrointest Endosc 2017; 85: AB531. [Link]
11.
Shaib YH, Rugge M, Graham DY, et al. Management of gastric polyps: An endoscopy-based approach. Clin Gastroenterol Hepatol 2013; 11: 1374–1384. [Link]
12.
Muehldorfer SM, Stolte M, Martus P, et al. Diagnostic accuracy of forceps biopsy versus polypectomy for gastric polyps: A prospective multicentre study. Gut 2002; 50: 465–470. [Link]
13.
Lloyd IE, et al. A clinicopathologic evaluation of incidental fundic gland polyps with dysplasia: implications for clinical management. Am J Gastroenterol 2017; 112: 1094–1102. [Link]
14.
Zea-Iriarte WL, et al. Carcinoma in gastric hyperplastic polyps. A phenotypic study. Dig Dis Sci 1996; 41; 377–386. [Link]
15.
Parikh M, Kelley B, Rendon G, et al. Intermittent gastric outlet obstruction caused by a prolapsing antral gastric polyp. World J Gastrointest Oncol 2010; 2: 242. [Link]
16.
Rugge M, et al. Gastric epithelial dysplasia in the natural history of gastric cancer: A multicenter prospective follow-up study. Gastroenterology 1994; 107: 1288–1296. [Link]
17.
Sung, JK. Diagnosis and management of gastric dysplasia. Korean J Intern Med 2016; 31: 201–209. [Link]
18.
Wang L, Huang W, Du J, et al. Diagnostic yield of the light blue crest sign in gastric intestinal metaplasia: A meta-analysis. PLoS One 2014; 9: e92874. [Link]
19.
Kono S, et al. Can endoscopic atrophy predict histological atrophy? Historical study in United Kingdom and Japan. World J Gastroenterol 2015; 21: 13113–13123. [Link]
20.
Van Leerdam ME, et al. Endoscopic management of polyposis syndromes: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2019; 51: 877–895. [Link]

Abstract

Gastric polyps are usually asymptomatic, with more than 90% found incidentally and a prevalence of up to 6% at upper endoscopy. Fundic gland polyps (FGPs) are the gastric polyps most frequently seen in the Western world, largely due to their long-established association with proton pump inhibitor (PPI) usage. In countries where Helicobacter pylori infection is prevalent an endoscopist is more likely to encounter hyperplastic polyps and adenomas, which are known to be associated with a higher malignant potential. Gastric polyps are often regarded as the ‘poor relation’ to their colonic counterparts and as such clinicians often feel unsure how to identify, assess and appropriately manage these lesions. Endoscopists often lack confidence in the endoscopic characterisation of gastric polyps, feel unsure when to biopsy polyps and, if they are biopsying polyps, how many they should sample, and finally they are not always certain what the longer-term management is. The British Society of Gastroenterology (BSG) guidelines provide a useful flowchart and overview of the management of gastric polyps, and the discussion here is based on those guidelines, guidelines from the European Society of Gastrointestinal Endoscopy (ESGE) and 12 years of clinical experience.


Topics

Digestive Oncology Endoscopy Stomach & H. Pylori

Citation

Waddingham W and Graham DG. Mistakes in the management of gastric polyps and how to avoid them. UEG Education 2021; 21: 14–17.

Published

2021

More Like This:

Coeliac disease with David Sanders

Coeliac disease with David Sanders

Pradeep Mundre Pradeep Mundre, David S. Sanders

Mistakes in colorectal cancer and how to avoid them

Mistakes in colorectal cancer and how to avoid them

Antoni Castells Antoni Castells, Francesc Balaguer

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

Veronique Van der Voort Veronique Van der Voort, Pieter Sinonquel, Manuele Furnari, Raf Bisschops

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Apostolis Papaefthymiou Apostolis Papaefthymiou, Cormac Magee, Rehan Jamil Haidry

Mistakes in endoscopic resection and how to avoid them

Mistakes in endoscopic resection and how to avoid them

Alessandro Repici Alessandro Repici, Francesco Auriemma

Mistakes in hepatitis C and how to avoid them

Mistakes in hepatitis C and how to avoid them

Gonçalo Alexandrino Gonçalo Alexandrino, Ana Catarina Garcia

UEG Podcast Episode
UEG Podcast
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Log In Create a free account

Not sure what you can access? Learn more about account types.

Coeliac disease with David Sanders

David S. Sanders, Pradeep Mundre

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Topics

Small Intestine & Nutrition

Published

2026

More Like This:

Coeliac disease with David Sanders

Coeliac disease with David Sanders

Pradeep Mundre Pradeep Mundre, David S. Sanders

Mistakes in colorectal cancer and how to avoid them

Mistakes in colorectal cancer and how to avoid them

Antoni Castells Antoni Castells, Francesc Balaguer

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

Veronique Van der Voort Veronique Van der Voort, Pieter Sinonquel, Manuele Furnari, Raf Bisschops

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Apostolis Papaefthymiou Apostolis Papaefthymiou, Cormac Magee, Rehan Jamil Haidry

Mistakes in endoscopic resection and how to avoid them

Mistakes in endoscopic resection and how to avoid them

Alessandro Repici Alessandro Repici, Francesco Auriemma

Mistakes in hepatitis C and how to avoid them

Mistakes in hepatitis C and how to avoid them

Gonçalo Alexandrino Gonçalo Alexandrino, Ana Catarina Garcia

UEG Mistakes In Articles
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Log In Create a free account

Not sure what you can access? Learn more about account types.

Mistakes in colorectal cancer and how to avoid them

Antoni Castells, Francesc Balaguer

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Goddard AF, Badreldin R, Pritchard DM, et al. The management of gastric polyps. Gut 2010; 59: 1270–1276. [Link]
2.
Carmack SW, Genta RM, Schuler CM, et al. The current spectrum of gastric polyps: A 1-year national study of over 120,000 patients. Am J Gastroenterol 2009; 104: 1524–1532. [Link]
3.
el-Zimaity HM, Jackson FW and Graham DY. Fundic gland polyps developing during omeprazole therapy. Am J Gastroenterol 1997; 92: 1858–1860. [Link]
4.
Morais DJ, Yamanaka A, Zeitune JMR, et al. Gastric polyps: A retrospective analysis of 26,000 digestive endoscopies. Arq Gastroenterol 2007; 44: 14–17. [Link]
5.
Banks M, et al. British Society of Gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma. Gut 2019; 68: 1545–1575. [Link]
6.
Bisschops R, et al. Performance measures for upper gastrointestinal endoscopy: A European Society of Gastrointestinal Endoscopy quality improvement initiative. United Eur Gastroenterol J 2016; 4: 629–656. [Link]
7.
Park JM, et al. Longer observation time increases proportion of neoplasms detected by esophagogastroduodenoscopy. Gastroenterology 2017; 153: 460–469.e1. [Link]
8.
Participants in the Paris Workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc 2003; 58 (6 Suppl): S3–S43.
9.
Endoscopic Classification Review Group. Update on the Paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy 2005; 37: 570–578.
10.
Colling C, Asztalos I, Buchner AM, et al. Mo2037 Narrow-band imaging classification system for gastric polyps may reduce the need for biopsies. Gastrointest Endosc 2017; 85: AB531. [Link]
11.
Shaib YH, Rugge M, Graham DY, et al. Management of gastric polyps: An endoscopy-based approach. Clin Gastroenterol Hepatol 2013; 11: 1374–1384. [Link]
12.
Muehldorfer SM, Stolte M, Martus P, et al. Diagnostic accuracy of forceps biopsy versus polypectomy for gastric polyps: A prospective multicentre study. Gut 2002; 50: 465–470. [Link]
13.
Lloyd IE, et al. A clinicopathologic evaluation of incidental fundic gland polyps with dysplasia: implications for clinical management. Am J Gastroenterol 2017; 112: 1094–1102. [Link]
14.
Zea-Iriarte WL, et al. Carcinoma in gastric hyperplastic polyps. A phenotypic study. Dig Dis Sci 1996; 41; 377–386. [Link]
15.
Parikh M, Kelley B, Rendon G, et al. Intermittent gastric outlet obstruction caused by a prolapsing antral gastric polyp. World J Gastrointest Oncol 2010; 2: 242. [Link]
16.
Rugge M, et al. Gastric epithelial dysplasia in the natural history of gastric cancer: A multicenter prospective follow-up study. Gastroenterology 1994; 107: 1288–1296. [Link]
17.
Sung, JK. Diagnosis and management of gastric dysplasia. Korean J Intern Med 2016; 31: 201–209. [Link]
18.
Wang L, Huang W, Du J, et al. Diagnostic yield of the light blue crest sign in gastric intestinal metaplasia: A meta-analysis. PLoS One 2014; 9: e92874. [Link]
19.
Kono S, et al. Can endoscopic atrophy predict histological atrophy? Historical study in United Kingdom and Japan. World J Gastroenterol 2015; 21: 13113–13123. [Link]
20.
Van Leerdam ME, et al. Endoscopic management of polyposis syndromes: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2019; 51: 877–895. [Link]

Abstract

Colorectal cancer (CRC) is a common and deadly disease. Advances in understanding the disease have improved diagnosis, prevention, and treatment. Genetic factors play a role in some cases of CRC, and identifying hereditary disorders has helped reduce morbidity and mortality. Serrated polyps are also precursors of CRC, and colonoscopy is crucial for screening and prevention. However, colonoscopy is not perfect, and some lesions may be missed. Here we discuss common mistakes in CRC diagnosis, prevention, and treatment, and how to avoid them.

Topics

Digestive Oncology

Citation

 Balaguer F and Castells A. Mistakes in colorectal cancer and how to avoid them. UEG Education 2016: 16: 7–10.

Published

2025

More Like This:

Coeliac disease with David Sanders

Coeliac disease with David Sanders

Pradeep Mundre Pradeep Mundre, David S. Sanders

Mistakes in colorectal cancer and how to avoid them

Mistakes in colorectal cancer and how to avoid them

Antoni Castells Antoni Castells, Francesc Balaguer

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

Veronique Van der Voort Veronique Van der Voort, Pieter Sinonquel, Manuele Furnari, Raf Bisschops

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Apostolis Papaefthymiou Apostolis Papaefthymiou, Cormac Magee, Rehan Jamil Haidry

Mistakes in endoscopic resection and how to avoid them

Mistakes in endoscopic resection and how to avoid them

Alessandro Repici Alessandro Repici, Francesco Auriemma

Mistakes in hepatitis C and how to avoid them

Mistakes in hepatitis C and how to avoid them

Gonçalo Alexandrino Gonçalo Alexandrino, Ana Catarina Garcia

UEG Podcast Episode
UEG Podcast
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Log In Create a free account

Not sure what you can access? Learn more about account types.

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

Raf Bisschops, Manuele Furnari, Pieter Sinonquel, Veronique Van der Voort

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Topics

Endoscopy

Published

2026

More Like This:

Coeliac disease with David Sanders

Coeliac disease with David Sanders

Pradeep Mundre Pradeep Mundre, David S. Sanders

Mistakes in colorectal cancer and how to avoid them

Mistakes in colorectal cancer and how to avoid them

Antoni Castells Antoni Castells, Francesc Balaguer

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

Veronique Van der Voort Veronique Van der Voort, Pieter Sinonquel, Manuele Furnari, Raf Bisschops

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Apostolis Papaefthymiou Apostolis Papaefthymiou, Cormac Magee, Rehan Jamil Haidry

Mistakes in endoscopic resection and how to avoid them

Mistakes in endoscopic resection and how to avoid them

Alessandro Repici Alessandro Repici, Francesco Auriemma

Mistakes in hepatitis C and how to avoid them

Mistakes in hepatitis C and how to avoid them

Gonçalo Alexandrino Gonçalo Alexandrino, Ana Catarina Garcia

UEG Mistakes In Articles
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Log In Create a free account

Not sure what you can access? Learn more about account types.

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Apostolis Papaefthymiou, Cormac Magee, Rehan Jamil Haidry

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Goddard AF, Badreldin R, Pritchard DM, et al. The management of gastric polyps. Gut 2010; 59: 1270–1276. [Link]
2.
Carmack SW, Genta RM, Schuler CM, et al. The current spectrum of gastric polyps: A 1-year national study of over 120,000 patients. Am J Gastroenterol 2009; 104: 1524–1532. [Link]
3.
el-Zimaity HM, Jackson FW and Graham DY. Fundic gland polyps developing during omeprazole therapy. Am J Gastroenterol 1997; 92: 1858–1860. [Link]
4.
Morais DJ, Yamanaka A, Zeitune JMR, et al. Gastric polyps: A retrospective analysis of 26,000 digestive endoscopies. Arq Gastroenterol 2007; 44: 14–17. [Link]
5.
Banks M, et al. British Society of Gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma. Gut 2019; 68: 1545–1575. [Link]
6.
Bisschops R, et al. Performance measures for upper gastrointestinal endoscopy: A European Society of Gastrointestinal Endoscopy quality improvement initiative. United Eur Gastroenterol J 2016; 4: 629–656. [Link]
7.
Park JM, et al. Longer observation time increases proportion of neoplasms detected by esophagogastroduodenoscopy. Gastroenterology 2017; 153: 460–469.e1. [Link]
8.
Participants in the Paris Workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc 2003; 58 (6 Suppl): S3–S43.
9.
Endoscopic Classification Review Group. Update on the Paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy 2005; 37: 570–578.
10.
Colling C, Asztalos I, Buchner AM, et al. Mo2037 Narrow-band imaging classification system for gastric polyps may reduce the need for biopsies. Gastrointest Endosc 2017; 85: AB531. [Link]
11.
Shaib YH, Rugge M, Graham DY, et al. Management of gastric polyps: An endoscopy-based approach. Clin Gastroenterol Hepatol 2013; 11: 1374–1384. [Link]
12.
Muehldorfer SM, Stolte M, Martus P, et al. Diagnostic accuracy of forceps biopsy versus polypectomy for gastric polyps: A prospective multicentre study. Gut 2002; 50: 465–470. [Link]
13.
Lloyd IE, et al. A clinicopathologic evaluation of incidental fundic gland polyps with dysplasia: implications for clinical management. Am J Gastroenterol 2017; 112: 1094–1102. [Link]
14.
Zea-Iriarte WL, et al. Carcinoma in gastric hyperplastic polyps. A phenotypic study. Dig Dis Sci 1996; 41; 377–386. [Link]
15.
Parikh M, Kelley B, Rendon G, et al. Intermittent gastric outlet obstruction caused by a prolapsing antral gastric polyp. World J Gastrointest Oncol 2010; 2: 242. [Link]
16.
Rugge M, et al. Gastric epithelial dysplasia in the natural history of gastric cancer: A multicenter prospective follow-up study. Gastroenterology 1994; 107: 1288–1296. [Link]
17.
Sung, JK. Diagnosis and management of gastric dysplasia. Korean J Intern Med 2016; 31: 201–209. [Link]
18.
Wang L, Huang W, Du J, et al. Diagnostic yield of the light blue crest sign in gastric intestinal metaplasia: A meta-analysis. PLoS One 2014; 9: e92874. [Link]
19.
Kono S, et al. Can endoscopic atrophy predict histological atrophy? Historical study in United Kingdom and Japan. World J Gastroenterol 2015; 21: 13113–13123. [Link]
20.
Van Leerdam ME, et al. Endoscopic management of polyposis syndromes: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2019; 51: 877–895. [Link]

Abstract

Barrett’s oesophagus is the precursor to oesophageal adenocarcinoma, which carries a poor prognosis, and it is likely that all endoscopists and gastroenterologists will encounter Barrett’s oesophagus in their clinical practice. Careful assessment and management of patients who have Barrett’s oesophagus with endoscopic surveillance and endoscopic endotherapy aim to reduce the risk of progression to invasive adenocarcinoma. Advances in endoscopic diagnosis and therapy should, therefore, help to reduce the risk of progression. As with all premalignant conditions and surveillance programmes, careful multidisciplinary management of the patient is important to reduce the risk of causing them to become unduly concerned. Here, we present some mistakes that in our experience are commonly made in the endoscopic diagnosis and management of Barrett’s oesophagus and give advice on how to avoid them. 

Topics

Endoscopy Oesophagus

Citation

Haidry RJ and Magee C. Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them. UEG Education 2018; 2018: 12–14.

Published

2024

More Like This:

Coeliac disease with David Sanders

Coeliac disease with David Sanders

Pradeep Mundre Pradeep Mundre, David S. Sanders

Mistakes in colorectal cancer and how to avoid them

Mistakes in colorectal cancer and how to avoid them

Antoni Castells Antoni Castells, Francesc Balaguer

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

Veronique Van der Voort Veronique Van der Voort, Pieter Sinonquel, Manuele Furnari, Raf Bisschops

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Apostolis Papaefthymiou Apostolis Papaefthymiou, Cormac Magee, Rehan Jamil Haidry

Mistakes in endoscopic resection and how to avoid them

Mistakes in endoscopic resection and how to avoid them

Alessandro Repici Alessandro Repici, Francesco Auriemma

Mistakes in hepatitis C and how to avoid them

Mistakes in hepatitis C and how to avoid them

Gonçalo Alexandrino Gonçalo Alexandrino, Ana Catarina Garcia

UEG Mistakes In Articles
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Log In Create a free account

Not sure what you can access? Learn more about account types.

Mistakes in endoscopic resection and how to avoid them

Alessandro Repici, Francesco Auriemma

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Goddard AF, Badreldin R, Pritchard DM, et al. The management of gastric polyps. Gut 2010; 59: 1270–1276. [Link]
2.
Carmack SW, Genta RM, Schuler CM, et al. The current spectrum of gastric polyps: A 1-year national study of over 120,000 patients. Am J Gastroenterol 2009; 104: 1524–1532. [Link]
3.
el-Zimaity HM, Jackson FW and Graham DY. Fundic gland polyps developing during omeprazole therapy. Am J Gastroenterol 1997; 92: 1858–1860. [Link]
4.
Morais DJ, Yamanaka A, Zeitune JMR, et al. Gastric polyps: A retrospective analysis of 26,000 digestive endoscopies. Arq Gastroenterol 2007; 44: 14–17. [Link]
5.
Banks M, et al. British Society of Gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma. Gut 2019; 68: 1545–1575. [Link]
6.
Bisschops R, et al. Performance measures for upper gastrointestinal endoscopy: A European Society of Gastrointestinal Endoscopy quality improvement initiative. United Eur Gastroenterol J 2016; 4: 629–656. [Link]
7.
Park JM, et al. Longer observation time increases proportion of neoplasms detected by esophagogastroduodenoscopy. Gastroenterology 2017; 153: 460–469.e1. [Link]
8.
Participants in the Paris Workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc 2003; 58 (6 Suppl): S3–S43.
9.
Endoscopic Classification Review Group. Update on the Paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy 2005; 37: 570–578.
10.
Colling C, Asztalos I, Buchner AM, et al. Mo2037 Narrow-band imaging classification system for gastric polyps may reduce the need for biopsies. Gastrointest Endosc 2017; 85: AB531. [Link]
11.
Shaib YH, Rugge M, Graham DY, et al. Management of gastric polyps: An endoscopy-based approach. Clin Gastroenterol Hepatol 2013; 11: 1374–1384. [Link]
12.
Muehldorfer SM, Stolte M, Martus P, et al. Diagnostic accuracy of forceps biopsy versus polypectomy for gastric polyps: A prospective multicentre study. Gut 2002; 50: 465–470. [Link]
13.
Lloyd IE, et al. A clinicopathologic evaluation of incidental fundic gland polyps with dysplasia: implications for clinical management. Am J Gastroenterol 2017; 112: 1094–1102. [Link]
14.
Zea-Iriarte WL, et al. Carcinoma in gastric hyperplastic polyps. A phenotypic study. Dig Dis Sci 1996; 41; 377–386. [Link]
15.
Parikh M, Kelley B, Rendon G, et al. Intermittent gastric outlet obstruction caused by a prolapsing antral gastric polyp. World J Gastrointest Oncol 2010; 2: 242. [Link]
16.
Rugge M, et al. Gastric epithelial dysplasia in the natural history of gastric cancer: A multicenter prospective follow-up study. Gastroenterology 1994; 107: 1288–1296. [Link]
17.
Sung, JK. Diagnosis and management of gastric dysplasia. Korean J Intern Med 2016; 31: 201–209. [Link]
18.
Wang L, Huang W, Du J, et al. Diagnostic yield of the light blue crest sign in gastric intestinal metaplasia: A meta-analysis. PLoS One 2014; 9: e92874. [Link]
19.
Kono S, et al. Can endoscopic atrophy predict histological atrophy? Historical study in United Kingdom and Japan. World J Gastroenterol 2015; 21: 13113–13123. [Link]
20.
Van Leerdam ME, et al. Endoscopic management of polyposis syndromes: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2019; 51: 877–895. [Link]

Abstract

Endoscopic resection is a widespread, advanced endoscopic technique that can be used to remove superficial lesions in the gastrointestinal tract. Lesions present in all parts of the gastrointestinal tract, such as the oesophagus, stomach, duodenum, small intestine and, above all, colon, can be removed by endoscopic resection. Lesion detection and characterization, the use of appropriate resection devices and methods, and the management of malignant polyps are all important parts of a multistep process that requires training, experience, expertise and a multidisciplinary approach.  The diagnostic and therapeutic mistakes discussed here are based on our endoscopic experience. We present the most important mistakes that are often seen in endoscopic resection in our practice and have major consequences for the patient. We propose, from our experience, a simple approach to avoid these mistakes.

Topics

Endoscopy

Citation

Auriemma F and Repici A. Mistakes in endoscopic resection and how to avoid them. UEG Education 2017; 17: 27–29

Published

2017

More Like This:

Coeliac disease with David Sanders

Coeliac disease with David Sanders

Pradeep Mundre Pradeep Mundre, David S. Sanders

Mistakes in colorectal cancer and how to avoid them

Mistakes in colorectal cancer and how to avoid them

Antoni Castells Antoni Castells, Francesc Balaguer

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

Veronique Van der Voort Veronique Van der Voort, Pieter Sinonquel, Manuele Furnari, Raf Bisschops

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Apostolis Papaefthymiou Apostolis Papaefthymiou, Cormac Magee, Rehan Jamil Haidry

Mistakes in endoscopic resection and how to avoid them

Mistakes in endoscopic resection and how to avoid them

Alessandro Repici Alessandro Repici, Francesco Auriemma

Mistakes in hepatitis C and how to avoid them

Mistakes in hepatitis C and how to avoid them

Gonçalo Alexandrino Gonçalo Alexandrino, Ana Catarina Garcia

UEG Mistakes In Articles
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Log In Create a free account

Not sure what you can access? Learn more about account types.

Mistakes in hepatitis C and how to avoid them

Ana Catarina Garcia, Gonçalo Alexandrino

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Goddard AF, Badreldin R, Pritchard DM, et al. The management of gastric polyps. Gut 2010; 59: 1270–1276. [Link]
2.
Carmack SW, Genta RM, Schuler CM, et al. The current spectrum of gastric polyps: A 1-year national study of over 120,000 patients. Am J Gastroenterol 2009; 104: 1524–1532. [Link]
3.
el-Zimaity HM, Jackson FW and Graham DY. Fundic gland polyps developing during omeprazole therapy. Am J Gastroenterol 1997; 92: 1858–1860. [Link]
4.
Morais DJ, Yamanaka A, Zeitune JMR, et al. Gastric polyps: A retrospective analysis of 26,000 digestive endoscopies. Arq Gastroenterol 2007; 44: 14–17. [Link]
5.
Banks M, et al. British Society of Gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma. Gut 2019; 68: 1545–1575. [Link]
6.
Bisschops R, et al. Performance measures for upper gastrointestinal endoscopy: A European Society of Gastrointestinal Endoscopy quality improvement initiative. United Eur Gastroenterol J 2016; 4: 629–656. [Link]
7.
Park JM, et al. Longer observation time increases proportion of neoplasms detected by esophagogastroduodenoscopy. Gastroenterology 2017; 153: 460–469.e1. [Link]
8.
Participants in the Paris Workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc 2003; 58 (6 Suppl): S3–S43.
9.
Endoscopic Classification Review Group. Update on the Paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy 2005; 37: 570–578.
10.
Colling C, Asztalos I, Buchner AM, et al. Mo2037 Narrow-band imaging classification system for gastric polyps may reduce the need for biopsies. Gastrointest Endosc 2017; 85: AB531. [Link]
11.
Shaib YH, Rugge M, Graham DY, et al. Management of gastric polyps: An endoscopy-based approach. Clin Gastroenterol Hepatol 2013; 11: 1374–1384. [Link]
12.
Muehldorfer SM, Stolte M, Martus P, et al. Diagnostic accuracy of forceps biopsy versus polypectomy for gastric polyps: A prospective multicentre study. Gut 2002; 50: 465–470. [Link]
13.
Lloyd IE, et al. A clinicopathologic evaluation of incidental fundic gland polyps with dysplasia: implications for clinical management. Am J Gastroenterol 2017; 112: 1094–1102. [Link]
14.
Zea-Iriarte WL, et al. Carcinoma in gastric hyperplastic polyps. A phenotypic study. Dig Dis Sci 1996; 41; 377–386. [Link]
15.
Parikh M, Kelley B, Rendon G, et al. Intermittent gastric outlet obstruction caused by a prolapsing antral gastric polyp. World J Gastrointest Oncol 2010; 2: 242. [Link]
16.
Rugge M, et al. Gastric epithelial dysplasia in the natural history of gastric cancer: A multicenter prospective follow-up study. Gastroenterology 1994; 107: 1288–1296. [Link]
17.
Sung, JK. Diagnosis and management of gastric dysplasia. Korean J Intern Med 2016; 31: 201–209. [Link]
18.
Wang L, Huang W, Du J, et al. Diagnostic yield of the light blue crest sign in gastric intestinal metaplasia: A meta-analysis. PLoS One 2014; 9: e92874. [Link]
19.
Kono S, et al. Can endoscopic atrophy predict histological atrophy? Historical study in United Kingdom and Japan. World J Gastroenterol 2015; 21: 13113–13123. [Link]
20.
Van Leerdam ME, et al. Endoscopic management of polyposis syndromes: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2019; 51: 877–895. [Link]

Abstract

Hepatitis C virus (HCV) infection remains an important global health concern. It is estimated that there are approximately 50 million people infected with HCV globally, with around 1 million new infections each year and about 242,000 deaths annually attributed to HCV-related complications. Most acute HCV infections (55–85%) become chronic due to the virus’s effective evasion strategies, with spontaneous clearance being rare once chronicity is established. This condition often progresses silently, with many individuals unaware of their infection until advanced liver damage has occurred. If left untreated, HCV can lead to severe complications, including liver cirrhosis and hepatocellular carcinoma (HCC). HCV transmission occurs mainly through percutaneous exposure to infected blood. HCV can also spread from mother to infant (vertical transmission) and, less frequently, via sexual contact.1,2 In recent years, the introduction of oral direct-acting antivirals (DAAs), with remarkable safety and effectiveness profiles, has led to a sustained virological response (SVR) in virtually all (>97%) HCV-infected patients, regardless of HCV genotype or disease stage. However, significant barriers remain, such as issues with diagnosis, access to treatment and awareness of the disease.

Here, we discuss some of the misconceptions in HCV management and provide a practical management approach grounded in evidence and clinical experience.

Topics

Hepatobiliary

Citation

Garcia A.C and Alexandrino G. Mistakes in hepatits C and how to avoid them. UEG Education 2025; 25: 14-17.

Published

2025

More Like This:

Coeliac disease with David Sanders

Coeliac disease with David Sanders

Pradeep Mundre Pradeep Mundre, David S. Sanders

Mistakes in colorectal cancer and how to avoid them

Mistakes in colorectal cancer and how to avoid them

Antoni Castells Antoni Castells, Francesc Balaguer

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

UEG Online Courses x UEG Podcast: Impact of polyp detection in colonoscopy

Veronique Van der Voort Veronique Van der Voort, Pieter Sinonquel, Manuele Furnari, Raf Bisschops

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Apostolis Papaefthymiou Apostolis Papaefthymiou, Cormac Magee, Rehan Jamil Haidry

Mistakes in endoscopic resection and how to avoid them

Mistakes in endoscopic resection and how to avoid them

Alessandro Repici Alessandro Repici, Francesco Auriemma

Mistakes in hepatitis C and how to avoid them

Mistakes in hepatitis C and how to avoid them

Gonçalo Alexandrino Gonçalo Alexandrino, Ana Catarina Garcia

The global reference point for the digestive health community

Platform Publisher

United European Gastroenterology

Wickenburggasse 1 1080 Vienna, Austria

Contact us

support@ueg.eu

ueg.eu

T: +43 1 997 1639

Legal

Terms & Conditions

Imprint

Privacy Policy

Explore

My Bookmarks

My recommendations

My fields of interest

© 2026 United European Gastroenterology

Change fields of interest

These fields are selected based on the interests in your myUEG profile.
Click the item to unselect it. You can select multiple items.