This media is currently not available.
Various types of familiar sessile serrated lesions without dysplasia
Poster Abstract

Aim. to identify and study endoscopic various diagnostic criterias of sessile serrated lesions (SSLs) without displasia.Materials. We included 158 patients 44 (27.8%) men and 114 (72.2%) women aged 17 to 81 (mean age 52.1±3.4), in whom 215 SSLs were detected. All lesions were endoscopically removed and pathological examination.Results. The SSLs were located in the right colon - 177/215 (82.3%), in the left colon - 38/215 (17.7%). The size was 2-25 mm, the majority (165/215 (76.7%)) were 6-15 mm; the color of the SSLs was white - 107/215 (49.7%) or similar to the surrounding mucosa - 104/215 (48.4%), rarely red - 4/215 (1.9%). The surface was most often smooth - 103/215 (47.8%), less often cloud-like 58/215 (27.0%); the borders of the SSLs were distributed equally - serrated 202/215 (93.9%); more often there were irregular shaped SSLs - 139/215 (64.8%), to a lesser extent oval (61/215 (28.3%) and round shape 15/215 (6.9%); a «mucinous cap» on the surface was in 190/215 (88.4%), which was washed off well in 134/215 (62.3%), and in 25/215 (11.6%) cases it was absent. According to the Paris classification SSLs were the type 0-IIa - 192/215 (89.3%), less common were type 0-Is 20/215 (9.5%), type 0-Is+IIc 3/215 (1.2%), type 0-IIb 1/215 (0.4%), type 0-IIa+IIc 3/215 (1.2%); according to the NICE and JNET classifications in all cases SSLs were type 1 - 215/215 (100%). According to the Kudo classification was type II - 158/215 (73.6%), with specific sign according to Kimura type II-O - 48/215 (22.0%), in rare cases according to Kimura type IIL 9/215 (4.4%) were presented; capillary pattern in all 215/215 (100%) cases is not dilated, regular, type 1 according to Y. Sano.Conclusion. Sessile serrated lesions (SSLs) without displasia can be varied, not only with the usual and well-known features. The use of an extended set of endoscopic criterias contribute accurate verification of SSL during colonoscopy.