Post written by Ernesto Robalino Gonzaga, MD, from Gastroenterology and Hepatology, AdventHealth Medical Group, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our study evaluated the clinical outcomes of endoscopic submucosal dissection (ESD) for residual neoplasia after incomplete endoscopic resection of large nonpedunculated colorectal polyps. Specifically, we compared outcomes of ESD performed as salvage …
Tag: colorectal polyps
Establishment of standards for the referral of large nonpedunculated colorectal polyps: an international expert consensus using a modified Delphi process
Post written by Samir C. Grover, MD, MEd, FRCPC, FASGE, from Scarborough Health Network and the University of Toronto, Toronto, Ontario, Canada. This study aimed to establish consensus-based standards for the referral of large nonpedunculated colorectal polyps (LNPCPs) for endoscopic resection. Given the complexity and risks associated with resecting LNPCPs, especially those exceeding 20 mm, comprehensive and …
Incremental benefit of dye-based chromoendoscopy to predict the risk of submucosal invasive cancer in large nonpedunculated colorectal polyps
Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study was conducted to evaluate the incremental benefit of dye-based chromoendoscopy (DBC) to predict the risk of submucosal invasive cancer (SMIC) for large nonpedunculated colorectal polyps (LNPCPs) among independent observers. Real-time optical evaluation of the lesion’s surface …
Endoscopic submucosal tunneling dissection: use of a novel bipolar radiofrequency and microwave-powered device for colorectal ESD
Post written by Thomas R. McCarty, MD, and Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. In this video presentation, we describe a case of successful en bloc resection of a 60-mm laterally spreading tumor granular type (LST-G) rectal lesion using …
Width and depth of resection for small colorectal polyps
Post written by Sho Suzuki, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. We conducted this prospective, randomized, exploratory study to investigate the resection width and depth achieved by cold snare polypectomy (CSP) for small colorectal polyps compared to those achieved by hot snare …
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Volume of surgery for benign colorectal polyps in the last 11 years
Post written by Maxime E.S. Bronzwaer, MD, from the Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Over the past decade endoscopic resection techniques, such as piecemeal endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD), have progressed significantly to treat large and complex non-pedunculated colorectal polyps. Endoscopic resection …
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History of Diminutive and Small Colorectal Polyps
Post written by Jasper L.A. Vleugels from the Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. This study explored the natural history of diminutive polyps that were left without resection and were followed up. At a certain point, I was in the endoscopy room, and the patient undergoing colonoscopy asked why these diminutive polyps …
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Detectability of colorectal polyps by using BLI
Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, in Kyoto, Japan discusses this Original Article "Improvement in the visibility of colorectal polyps by using blue laser imaging (with video)." We proved the improvement of polyp visibility by blue laser imaging (BLI) …
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Computer-aided diagnosis by using endocytoscopy
Yuichi Mori, MD, PhD from the Digestive Disease Center at Showa University Northern Yokohama Hospital in Yokohama, Japan discusses this Original Article "Novel computer-aided diagnostic system for colorectal lesions by using endocytoscopy (with videos)." We developed the brand-new automated diagnostic system for colorectal polyps by using endocytoscopy which can visualize in vivo nuclei and gland lumens. …
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Cold snare polypectomy in anticoagulated patients
Akira Horiuchi, MD from Showa Inan General Hospital in Komagane, Japan writes about his Original Article "Removal of small colorectal polyps in anticoagulated patients: a prospective randomized comparison of cold snare and conventional polypectomy" from the March issue. No delayed bleeding occurred after cold snare polypectomy whereas endoscopic hemostasis for immediate and delayed bleeding was required …
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