Efficacy and histologic accuracy of underwater versus conventional endoscopic mucosal resection for large (>20 mm) colorectal polyps

Post written by Saurabh Chandan, MD, from the Gastroenterology and Hepatology, CHI Creighton University Medical Center, Omaha, Nebraska, USA. Underwater endoscopic mucosal resection (U-EMR) is a simple and easy-to-learn technique for resection of colorectal lesions. It eliminates the need of using submucosal injection to “lift” the lesion prior to resection. The main aim of our …

Continue reading Efficacy and histologic accuracy of underwater versus conventional endoscopic mucosal resection for large (>20 mm) colorectal polyps

GIE September Podcast

Dr. Doug Adler, GIE Senior Associate Editor, chats with Dr Saurabh Chandan about his article "Efficacy and histologic accuracy of underwater versus conventional endoscopic mucosal resection for large (>20 mm) colorectal polyps: a comparative review and meta-analysis" from the September issue. Our guest for the September 2021 GIE Podcast is Dr Saurabh Chandan, Assistant Professor, …

Continue reading GIE September Podcast

Outcomes of thermal ablation of the defect margin after duodenal endoscopic mucosal resection

Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, and Westmead Clinical School, The University of Sydney, Sydney, Australia. Endoscopic mucosal resection (EMR) for large (>10-mm), sporadic, non-ampullary duodenal laterally spreading lesions (LSLs) is established as an effective treatment. However, one of the major limitations of EMR is the issue …

Continue reading Outcomes of thermal ablation of the defect margin after duodenal endoscopic mucosal resection

Band ligation-assisted endoscopic mucosal resection of an intradiverticular polyp

Post written by Mohammed Barawi, MD, from the Division of Gastroenterology and Interventional Endoscopy, Ascension St John Hospital, Detroit, Michigan. In this video, we present the case of a healthy 50-year-old man who was seen for routine colonoscopy and was found to have a 7-mm polyp within the base of a diverticulum. The colonoscopy was …

Continue reading Band ligation-assisted endoscopic mucosal resection of an intradiverticular polyp

Evaluating learning curves and competence in colorectal EMR among advanced endoscopy fellows

Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. The aim of this multicenter prospective pilot study was to evaluate colorectal endoscopic mucosal resection (EMR) training among advanced endoscopy fellows using a novel assessment tool. Despite the broad application of colorectal EMR, markers of training …

Continue reading Evaluating learning curves and competence in colorectal EMR among advanced endoscopy fellows

Editor’s Choice: Core curriculum for endoscopic mucosal resection

GIE Senior Associate Editor, Dr. John R. Saltzman, MD, FASGE, highlights this article from the February issue “Core curriculum for endoscopic mucosal resection” by the ASGE Training Committee. This article provides a framework for teaching the skills needed to perform endoscopic mucosal resection (EMR). It provides an outstanding overview of the technical, nontechnical, and cognitive …

Continue reading Editor’s Choice: Core curriculum for endoscopic mucosal resection

A case of duodenal polyp at superior duodenal angle successfully treated by cap-assisted endoscopic mucosal resection

Post written by Ippei Tanaka, MD, from the Department of Gastroenterology, Sendai Kousei Hospital, Miyagi, Japan. A 72-year-old woman had a duodenal polyp at the superior duodenal angle (SDA). We performed cap-assisted endoscopic mucosal resection (EMRC) and successfully removed the lesion. Endoscopic observation and resection of duodenal polyps at SDA are extremely difficult because of …

Continue reading A case of duodenal polyp at superior duodenal angle successfully treated by cap-assisted endoscopic mucosal resection

Efficacy and safety of cold-snare endoscopic mucosal resection for colorectal adenomas 10 to 14 mm in size

Post written by Yohei Yabuuchi, MD, and Kenichiro Imai, MD, from the Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan. Recently, cold-snare endoscopic mucosal resection (EMR), which combines submucosal injection and cold-snare polypectomy, has been adapted in a piecemeal fashion as a safe and effective procedure for colorectal polyps of 10 mm or more. However, …

Continue reading Efficacy and safety of cold-snare endoscopic mucosal resection for colorectal adenomas 10 to 14 mm in size

Endoscopic ampullectomy of a large neuroendocrine tumor using underwater EMR technique

Post written by Anand R. Kumar, MPH, MD, from the Division of Gastroenterology, Thomas Jefferson University, Philadelphia, Pennsylvania. A young man presented with an incidental 35-mm ampullary neuroendocrine tumor detected on upper endoscopy. We chose to do an underwater ampullectomy and obtained negative margins. Endoscopic ampullectomy is an advanced procedure with variable techniques. The underwater …

Continue reading Endoscopic ampullectomy of a large neuroendocrine tumor using underwater EMR technique

Impact of en bloc resection on long-term outcomes after EMR

Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, and Westmead Clinical School, The University of Sydney, Sydney, New South Wales, Australia. The focus of this study was to assess long-term outcomes of sized-matched laterally spreading colorectal lesions (LSL) resected en bloc (e-EMR) as compared to piece-meal resection (p-EMR). …

Continue reading Impact of en bloc resection on long-term outcomes after EMR