Post written by Hiroko Nakahira, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Underwater endoscopic mucosal resection (EMR) was performed for a large duodenal adenoma in a patient with familial adenomatous polyposis, and the mucosal defect after underwater EMR was closed with line-assisted complete closure technique. Endoscopic mucosal resection for …
Tag: adenoma
The role of oral simethicone on the adenoma detection rate and other quality indicators of screening colonoscopy
Post written by Antonio Mendoza Ladd, MD, from the Division of Gastroenterology, Texas Tech University Health Sciences Center, El Paso, Texas, USA. The primary aim of this study was determining if adding simethicone (SIM) to 4 L polyethylenglycol (PEG) preparation improved our ADR. Secondary aims included its effect on procedure times, Bubble and Boston Bowel …
Comparing adenoma and polyp miss rates for total underwater colonoscopy versus standard CO2
Post written by Joseph C. Anderson, MD, MHCDS, from the Department of Veterans Affairs Medical Center, White River Junction, Vermont, and the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA. The purpose of this study was to compare water to standard CO2 as a medium to inspect the colonic mucosa for polyp detection. …
Increasing adenoma detection rates in the right side of the colon
Post written by Madhav Desai, MD, MPH, from the Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, Kansas, USA. Colonoscopy prevents colon cancer and, therefore, has become a widely used screening modality. Right-sided lesions are often missed during standard colonoscopy and could account for interval colon cancer. As gastroenterologists and endoscopists, our keen …
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Adenoma recurrence after piecemeal colonic EMR is predictable
Post written by David J. Tate, MA (Cantab), MBBS, MRCP, from Westmead Hospital, Department of Gastroenterology and Hepatology, and Westmead Campus, University of Sydney Medical School, Sydney, Australia. Recurrence is the main limitation of wide-field endoscopic mucosal resection (EMR) for large laterally spreading colonic lesions (LSL). We aimed to derive a set of clinically useful …
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Nonneoplastic polypectomy during screening colonoscopy
Mary A. Atia, MD, from the Department of Medicine, Division of Gastroenterology, Mayo Clinic Arizona in Scottsdale, Arizona, USA discusses this Original Article, "Nonneoplastic polypectomy during screening colonoscopy: the impact on polyp detection rate, adenoma detection rate, and overall cost." The frequency of non-neoplastic polypectomy (NNP) is tissue constituting normal colonic mucosa or lymphoid aggregates. …
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ADR varies during colonoscopy training
Sascha C. van Doorn, MD, from the Department of Gastroenterology and Hepatology at the Academic Medical Centre at the University of Amsterdam in Amsterdam, the Netherlands discusses this Original Article "Adenoma detection rate varies greatly during colonoscopy training." During endoscopy training of gastroenterology fellows (GI-fellows), the most important competency for colonoscopy is safe cecal intubation. …
Successful EMR of large adenoma
Ryan Law, DO from the Department of Gastroenterology and Hepatology at Northwestern University Feinberg School of Medicine in Chicago, Illinois, USA shares this case from the VideoGIE section "Prevention of delayed perforation after resection of a massive lateral wall duodenal polyp by using an anchored, fully-covered self-expandable metal stent." This video demonstrates successful endoscopic mucosal …
Endoscopic treatment of duodenal adenomas in FAP
Driffa Moussata, MD, PhD from Lyon Sud Hospital in Lyon, France presents his Original Article "Endoscopic treatment of severe duodenal polyposis as an alternative to surgery for patients with familial adenomatous polyposis." After colectomy, the duodenum, and the periampullary region in particular, is a major site of adenoma development occurring in up to 100% of …
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Sessile serrated adenomas/polyps with cytologic dysplasia
Authors Dr. Nicholas Burgess and Dr. Michael Bourke from Westmead Hospital and the University of Sydney in Sydney, NSW, Australia discuss their Thinking Outside the Box article "Sessile serrated adenomas/polyps with cytologic dysplasia: a triple threat for interval cancer" from the August issue. Sessile serrated adenoma/polyps (SSA/P) are now recognized to play an important role …
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