Title: Endoscopic classification of superficial neoplastic intestinal lesions

Biography:

Antonio Iannetti has completed degree in Medicine and Surgery and specialties in Gastroenterology and Internal Medicine at the University of Rome, Italy. He is interested in endoscopic sclerosis of esophageal varices and retrogrades cholangiopancreatography-endoscopically. University Professor - Chair of Gastroenterology - University of Rome. Head of the Digestive Endoscopy Service of the University Hospital Umberto I in Rome. Professor of "Endoscopy" and "Digestive System Diseases" at the Faculty of Medicine, University of Rome - "La Sapienza

Abstract

Digestive endoscopy is a recent branch of medicine, which joins gastroenterology. In Europe, it has never become a separate discipline. Endoscopy was initially associated with surgery, especially in Italy, but subsequently, as per European provisions, this branch is now an integral part of gastroenterology. Gastroenterology teachers meet at least twice a year, at conferences organized by UNIGASTRO, which is the association of university professors of gastroenterology in Italy. Above all, at the level of specialization schools, we set ourselves the problem of dividing the discipline of gastroenterology into two subtypes: Hepatological gastroenterology and endoscopic gastroenterology. This has never happened, for reasons of political opportunity, neither in Italy nor in Europe. However, it is clear that the specialist in gastroenterology must make a choice. Digestive endoscopy increasingly takes on an autonomous role, considering all the diagnostic and therapeutic procedures that can be performed. A quick reference was made to diagnostic and interventional echo-endoscopy with ultrasound-guided biopsies, needle aspiration and pancreatic cyst drainage. Then, there are endoscopic fundoplication interventions for reflux disease, such as the GERDX and the MUSE methods and the Per-Oral Endoscopic Myotomy (POEM), for the treatment of achalasia. Digestive endoscopy has made and is making huge strides in the autonomous diagnosis of superficial neoplastic lesions, known as intestinal polyps. This aspect is very important, in order to be able to decide, on the spot, from the operator, if and how to intervene on the lesion, in which one comes across. Being able to have validated classifications, on the basis of which it is possible to know what type of neoplastic lesion we are facing and how much it invades the surrounding tissues, gives us the possibility of deciding whether to resect it immediately or not and how to resect it. In this important choice, the endoscopic instruments at our disposal and their advanced features, such as magnification, electronic staining and laser confocal endomicroscopy have a fundamental role