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CC BY-NC-ND 4.0 · Endosc Int Open 2021; 09(11): 1843-1844
DOI: 10.1055/a-1591-0593
Letter to the editor

Patient outcomes: The only size that eventually matters in dealing with colonic neoplasia

Thomas Bjørsum-Meyer
1   Department of Surgery, Odense University Hospital, Denmark
2   Department of Clinical Research, University of Southern Denmark, Denmark
,
Anastasious Koulaouzidis
3   Department of Social Medicine & Public Health, Pomeranian Medical University, Szczecin, Poland
,
Gunnar Baatrup
1   Department of Surgery, Odense University Hospital, Denmark
2   Department of Clinical Research, University of Southern Denmark, Denmark
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Letter to:

Overutilization of surgery for the resection of benign colorectal lesions: the hidden reasons for inappropriate referral!Endosc Int Open 2021; 09(05): E713-E715
DOI: 10.1055/a-1373-5176

We read with great interest the editorial by Pioche et al. on overutilizing surgery to resect benign colorectal lesions [1]. We strongly agree that referral to either surgery or endoscopic intervention is a multifactorial/dimensional process that has to be well-orchestrated and executed for optimal outcomes. In fact, the chosen methods often reflect tradition and availability rather than the optimal balance between best outcome, patient convenience, and side effects. We hope that multidisciplinary educational tutors and on-the-spot endoscopic meetings will become available soon, with the advent of artificial intelligence and tools for real-time consultations such as the EndoConf [2]. To confirm or stage benign/malignant is a complex matte. The question one should ask is, "What is the prognostic advantage of those who have a ‘complete resection' after endoscopic submucosal dissection (ESD) compared to those who have a primary surgical resection?" To our knowledge, the answer is none [3]. To date, there is limited European expertise in the resection of early malignant lesions with ESD. Conversely, a right hemicolectomy is neither a complex nor a major operation and the complication rate after right hemicolectomy is not high [4].



Publication History

Article published online:
12 November 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

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