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 …
Tag: EMR
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 …
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Endoscopic resection techniques for duodenal and ampullary adenomas
Post written by Grace E. Kim, MD, from the Section of Gastroenterology, Hepatology, and Nutrition, and Uzma D. Siddiqui, MD, from the Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, Illinois, USA. This instructional video reviews the management of duodenal polyps, including sporadic duodenal and ampullary adenomas. Although these are typically benign lesions, they …
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Editor’s Choice: Underwater versus conventional EMR of large nonpedunculated colorectal lesions: a multicenter randomized controlled trial
GIE Associate Editor Thiruvengadam Muniraj, MD, highlights this article from the May issue: “Underwater versus conventional EMR of large nonpedunculated colorectal lesions: a multicenter randomized controlled trial” by Joaquín Rodríguez Sánchez, MD, PhD, et al. This study is valuable because it explores alternate options for endoscopic submucosal dissection (ESD). This is one of the very few randomized …
Successful planned piecemeal endoscopic resection using gel immersion and an over-the-scope clip for a lesion extensively extended into the colonic diverticulum
Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 78-year-old man was referred to our institute for treatment of a flat elevated (20-mm diameter) lesion observed around and within the diverticulum near the ileocecal valve of the ascending colon. The lesion border was marked via an …
Underwater versus conventional EMR for nonpedunculated colorectal lesions: a randomized clinical trial
Post written by Luciano Lenz, PhD, from the Instituto do Cancer do Estado de São Paulo, and Fleury Medicina e Saude, São Paulo, São Paulo, Brazil. The focus of our study was to compare recurrence after underwater endoscopic mucosal resection (UEMR) and after conventional endoscopic mucosal resection (CEMR) for naïve nonpedunculated lesions. This study is important …
Underwater EMR for the diagnosis of diffuse infiltrative gastric cancer
Post written by Yushi Kawakami, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. It was suspected that a 75-year-old woman had advanced infiltrative gastric cancer. However, endoscopic forceps biopsy specimens did not reveal adenocarcinoma. She was referred to our institute for further examination and treatment. To obtain sufficient submucosal specimens, underwater …
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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 …
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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