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 …
Tag: EMR
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 …
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 …
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, …
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 …
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). …
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Underwater EMR of a colonic adenoma surrounded by diverticula
Post written by Satoki Shichijo, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. A 15-mm diameter laterally spreading tumor surrounded by multiple diverticula was pointed out at the ascending colon. The lesion was considered to be an indication for endoscopic resection. However, conventional endoscopic mucosal resection (EMR) of the …
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Editor’s Choice: Trends in EMR for nonmalignant colorectal polyps in the United States
GIE Associate Editor, Dr. Lyndon Hernandez, MD, MPH, highlights this article from the January issue “Trends in EMR for nonmalignant colorectal polyps in the United States” by Jessica X. Yu, MD, MS, et al. Using a large health insurance claims database, the authors observed an increase in the performance of EMR for colorectal lesions. However, …
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