Post written by Yasutoshi Shiratori, MD, MPH, PhD, from the Department of Gastroenterology, Division of Gastroenterology, Maimonides Medical Center, Brooklyn, New York, USA. Endoscopic full-thickness resection (EFTR) using a full-thickness resection device (FTRD; Ovesco Endoscopy AG, Tübingen, Germany) has become a valuable technique for managing nonlifting colonic lesions, such as residual polyps after EMR, with reported high …
Tag: EMR
Comparison of EMR versus endoscopic submucosal dissection for Barrett’s neoplasia and esophageal adenocarcinoma: a systematic review and meta-analysis
Post written by Yusuke Fujiyoshi, MD, from the Department of Medicine, Division of Gastroenterology, University of Ottawa, Ottawa, Ontario, Canada. EMR and endoscopic submucosal dissection (ESD) are both accepted resection strategies for Barrett’s esophagus—related neoplasia and esophageal adenocarcinoma (EAC). This study aimed to systematically review and synthesize the evidence comparing EMR versus ESD in treating …
Cap-assisted snare capture technique for resection of fibrotic large polyps
Post written by Muhammad Nadeem Yousaf, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, University of Missouri–Columbia, Columbia, Missouri, USA, and Ahmed Saeed, MD, from the the Department of Medicine, Division of Gastroenterology and Hepatology, University of Missouri–Columbia, and HCA Midwest Health, Kansas City, Kansas, USA. EMR of nonlifting or fibrotic polyps may pose challenges, especially …
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Incomplete mucosal layer excision during EMR: a potential source of recurrent adenoma (with video)
Post written by David J. Tate, MBBS, MRCP, PhD, from the Department of Gastroenterology and Hepatology, University Hospital of Ghent, Ghent, Belgium, and the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study primarily focuses on identifying incomplete mucosal layer excision during EMR and understanding its role as a potential risk factor for recurrence of adenoma. …
Addition of dilute epinephrine to commercially available submucosal lifting agents for cold snare EMR
Post written by William Hirsch, MD, from the Division of Internal Medicine, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA, and Mohammad Bilal, MD, from the Division of Gastroenterology & Hepatology, Minneapolis VA Medical Center, University of Minnesota. Our video case details the process of adding dilute epinephrine to commercially available submucosa lifting agents. After …
Gel-immersion EMR for hemorrhagic gastric hyperplastic polyp
Post written by Naoki Akizue, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan. Viscoclear (Otsuka Pharmaceutical Factory, Tokushima, Japan) is a new gel without electrolytes that consists of xanthan gum, locust bean gum, concentrated glycerin, and purified water. The gel used for gel-immersion EMR is highly viscous and easily …
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Outcomes of cold snare EMR of nonampullary duodenal adenomas ≥1 cm: a multicenter study
Post written by Natalie J. Wilson, MD, from the Department of Internal Medicine, University of Minnesota, and Mohammad Bilal, MD, from Advanced Endoscopy, Division of Gastroenterology and Hepatology, Minneapolis Veteran Affairs Medical Center, and University of Minnesota, Minneapolis, Minnesota, USA. This study focuses on evaluating the efficacy and safety of cold snare EMR (cs-EMR) for nonampullary …
Implementation of endoscopic submucosal dissection in Europe: survey after 10 ESD Expert Training Workshops, 2009 to 2018
Post written by Frieder Berr, MD, PhD, from the Department of Medicine I and Institute of Pathophysiology, Paracelsus Medical University, Salzburg, Austria. Annual hands-on endoscopic submucosal dissection (ESD) courses (3.3 days; Paracelsus Medical University, Salzburg, Austria, 2009-2018) were conducted by leading Japanese experts to prime a senior endoscopist from 135 tertiary referral centers across Europe (plus …
Analyzing methods for reducing recurrence rates after EMR of large nonpedunculated colorectal polyps: an indirect pairwise comparison
Post written by Dhruvil Radadiya, MD, from the University of Kansas Medical Center, Kansas City, Kansas, USA. The focus of our study was to compare EMR with snare tip soft coagulation (STSC), EMR with argon plasma coagulation (APC), and underwater EMR (U-EMR) techniques routinely used for resection of large nonpedunculated polyps indirectly with each other with …
Resection of large terminal ileum polyp: usefulness of underwater EMR
Post written by Satoki Shichijo, MD, PhD, from Osaka International Cancer Institute, Osaka, Japan. We performed underwater EMR for a 20-mm Paris Ip polyp at the terminal ileum. The lumen of the terminal ileum was infused with normal saline through the waterjet of the colonoscope. This made the polyp float and permitted thorough inspection despite the …
Continue reading Resection of large terminal ileum polyp: usefulness of underwater EMR
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