Post written by Laith H. Jamil, MD, from the Cedars Sinai Medical Center, Los Angeles, California. The focus of the study was to assess the efficacy and safety of using a transparent hard straight plastic cap with an outer diameter of 13.9 or 14.9 mm and a crescent-shaped snare for endoscopic removal of sporadic non-ampullary …
Continue reading Safety and efficacy of cap-assisted EMR for sporadic nonampullary duodenal adenomas
Post written by Toshio Kuwai, MD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center in Hiroshima, Japan. Endoscopic submucosal dissection (ESD), although routinely performed, can prove to be challenging in areas where endoscopic mucosal resection (EMR) has already been performed because of scarring and fibrosis. A 79-year-old woman …
Continue reading ESD with a scissors-type knife for post-EMR recurrence tumor
Post written by David J. Tate, MA (Cantab), MBBS, MRCP, from Westmead Hospital, Department of Gastroenterology and Hepatology, and Westmead Campus, University of Sydney Medical School, Sydney, Australia. Recurrence is the main limitation of wide-field endoscopic mucosal resection (EMR) for large laterally spreading colonic lesions (LSL). We aimed to derive a set of clinically useful …
Continue reading Adenoma recurrence after piecemeal colonic EMR is predictable
Post written by Lobke Desomer, MD, from Westmead Hospital, Department of Gastroenterology and Hepatology, Sydney, NSW, Australia. Endoscopic mucosal resection (EMR) is an increasingly used, safe, and effective technique for the removal of large laterally spreading colorectal lesions ≥20 mm. At present, EMR is seen as a 2-stage procedure with the first surveillance colonoscopy at …
Continue reading A standardized imaging protocol is accurate in detecting recurrence after EMR
Post written by Madhav Desai, MD, MPH, and Prateek Sharma, MD, from the University of Kansas Medical Center. Barrett’s esophagus increases your risk for dysplastic changes that can turn into cancer. This subject has drawn our attention in last 2 decades with its rising prevalence, and now, we are in an era in which we …
Continue reading Efficacy and safety outcomes of multimodal endoscopic eradication therapy
Post written by Sauid Ishaq, FRCP from the Gastroenterology Department, Dudley Group Hospitals, Birmingham City University in Birmingham, United Kingdom and St George's University in Grenada, West Indies. In this video we demonstrate a novel technique of underwater endoscopic mucosal resection (UEMR) without submucosal lift of a low rectal recurrent polyp (90 mm) reaching the dentate line. …
Continue reading Rectal polyp reaching the dentate line: underwater EMR without submucosal lift
Post written by Farzan Bahin, MBBS (Hons), MPhil, FRACP, from the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study evaluates the concept of reducing the rate of recurrence by extending the EMR to include a large normal mucosal margin beyond the visible extent of the lesion. Residual or recurrent adenoma (RRA) is …
Continue reading Extended EMR does not reduce recurrence compared with standard EMR
Post written by Hsiyuan Chien,¹ MD, and Kenichiro Imai,² MD ¹Division of Gastroenterology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan ²Division of Endoscopy, Shizuoka Cancer Center, Shizuoka Japan In this video case, colonoscopy in a 42-year-old-female showed a lateral spreading tumor granular homogeneous type, 30mm in diameter at the ascending …
Post written by Amir Klein, MD, from the Endoscopy Unit, Westmead Hospital, in Westmead, New South Wales, Australia This study investigates the short and long term outcomes of endoscopic mucosal resection (EMR) of large duodenal adenomas. Large sporadic duodenal adenomas are uncommon, but harbor a malignant potential, which requires consideration of definitive treatment. EMR may …
Continue reading EMR of large and giant lateral spreading lesions of the duodenum
Associate Editor Amit Rastogi, MD, FASGE, highlights this article from the October issue "Endoscopic mucosal resection of large and giant lateral spreading lesions of the duodenum: success, adverse events, and long-term outcomes" by Amir Klein, MD, Dhruv Nayyar, MD, Farzan F. Bahin, MBBS (Hons), FRACP, MPhi, et al. This study describes the short and long …
Continue reading Editor’s Choice: EMR of lateral spreading lesions of the duodenum
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