Post written by Karl Kwok, MD, FASGE, and Andrew Giap, MD, FASGE, from the Southern California Permanente Medical Group, and Brian Lim, MD, FASGE, from United Medical Doctors, Irvine, and the University of California, Riverside, School of Medicine, Riverside, California, USA. Interventional endoscopists have known the advantages of EMR for many years. However, published EMR data in a large, community-based multispecialty …
Tag: EMR
Cap-suction pseudopolyp formation during underwater mucosal resection for intra-appendiceal lesions
Post written by Laura Gutiérrez-Rios, MD, Raquel Muñoz-González, MD, and Hugo Uchima, MD, PhD, from the Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. This video case series demonstrates the feasibility of cap-suction pseudopolyp formation during underwater EMR for en bloc resection of intra-appendiceal lesions. Two patients without prior appendectomy were successfully treated using a colonoscope fitted with …
Usefulness of gel immersion endoscopy for endoscopic resection in stomachs with residue
Post written by Hiroki Hayashi, MD, from the Division of Gastroenterology, Department of Medicine, Jichi Medical University, Shimotsuke, Japan. EMR and endoscopic submucosal dissection are widely used for treating intramucosal gastric neoplasms. However, securing a clear visual field in a stomach with residue is challenging. In this article, we present 2 cases in which tumors …
Endoscopic submucosal dissection in the management of bleeding duodenal tumors refractory to conventional therapy
Post written by Daryl Ramai, MD, MPH, MSc, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA. A 94-year-old woman presented with melena and a significant drop in hemoglobin. Imaging with computed tomography revealed an intramural gastric antral mass extending into the proximal duodenum, and endoscopy demonstrated a large, bleeding pedunculated …
Cold- versus hot-snare endoscopic mucosal resection of colorectal polyps: meta-analysis of randomized controlled trials
Post written by Aamir Saeed, MD, from Vanderbilt University Medical Center, Nashville, Tennessee, USA. We aimed to conduct a meta-analysis of randomized controlled trials (RCTs) to compare cold EMR versus hot EMR for colorectal polyps. Interest in cold EMR for colorectal polyps has been growing, and cold EMR has gained popularity owing to its lower risk of …
Hybrid endoscopic resection combining underwater endoscopic mucosal resection and over-the-scope clip–assisted snare polypectomy for a recurrent colonic tumor with a hidden diverticulum
Post written by Takahiro Muramatsu, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, and the Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Tokyo, and Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. An 80-year-old man underwent piecemeal EMR for a lesion that extended …
Ampullectomy of an unusual dysplastic lesion after deroofing of a type III choledochocele
Post written by Elena De Cristofaro, MD, PhD, from the Gastroenterology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy, and Mathieu Pioche, MD, PhD, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We report a rare case of a type III choledochocele with a polypoid lesion suspicious for dysplasia. …
Safety and efficacy of underwater EMR for 10- to 20-mm colorectal serrated lesions (SEA CLEAR study)
Post written by Kenichiro Imai, MD, FJGES, from Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, and Yohei Yabuuchi, MD, from the Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan. Given the limitations of conventional EMR and the high recurrence rate associated with incomplete resection, our study focused on the safety and efficacy of underwater EMR (UEMR). …
Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guide
Post written by Natalie Wilson, MD, from the Department of Internal Medicine, University of Minnesota, Minneapolis, Minneapolis, USA, and Mohammad Bilal, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. Our video Review Article illustrates the use of percutaneous needle decompression to manage pneumoperitoneum during advanced endoscopic procedures. This video features …
Efficacy of cold piecemeal EMR of medium to large adenomas compared with sessile serrated lesions
Post written by Jeevithan Sabanathan, MBBS, from Griffith University, Brisbane, Queensland, Australia, and Logan Hospital, Brisbane, and Thomas J. Williams, MBBS, from the University of Queensland, Brisbane, and Logan Hospital. Cold piecemeal EMR (C-EMR) has continued to gain popularity because of its simplicity and exceptional safety profile. The near-zero risk of perforation and clinically significant postpolypectomy bleeding …
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