Tip-in EMR as an alternative to endoscopic submucosal dissection for 20- to 30-mm nonpedunculated colorectal neoplasms

Post written by Kazunori Takada, MD, and Kinichi Hotta, MD, from the Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan. Compared with conventional EMR, endoscopic submucosal dissection (ESD) provides a higher en-bloc resection rate and a lower local recurrence rate for large lesions. However, ESD is technically demanding and associated with a higher risk of adverse …

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Endoscopic hemostatic spray for uncontrolled bleeding after complicated endoscopic mucosal resection or endoscopic submucosal dissection

Post written by Kayla M. Hartz, DO, from the Department of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania. These are 2 cases in which hemostatic spray was used as a bail-out method for hemostasis when other standard methods failed. These cases show the value in using a hemostatic spray as …

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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 …

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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, …

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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 …

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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 …

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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 …

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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 …

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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 …

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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, …

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