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). …
Tag: EMR
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 …
Unexpected clipping failure of a full-thickness resection device during endoscopic full-thickness resection
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 …
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 …
Continue reading Cap-assisted snare capture technique for resection of fibrotic large polyps
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 …
Continue reading Gel-immersion EMR for hemorrhagic gastric hyperplastic polyp
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 …
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