Endoscopic Assessment of Local Resectability of Colorectal Malignancies

Abstract

<b><i>Background:</i></b> The endoscopic assessment of colorectal malignancies primarily aims at deciding on the local resectability. Local resectability is defined by the risk of lymphonodal metastasis. <b><i>Summary:</i></b> The gross morphology as well as the surface and vessel patterns provide valuable information prior to endoscopic resection. Various classifications have been standardized to assist endoscopists during endoscopic assessment. <b><i>Key Message:</i></b> The macroscopic assessment of colorectal malignancies should include the Paris and laterally spreading tumor (LST) classification as well as chromoendoscopic assessments such as Kudo’s pit pattern and the Japanese NBI Expert Team classifications to describe the vessel and surface patterns.