Tag: EMR

Volume of surgery for benign colorectal polyps in the last 11 years

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Post written by Maxime E.S. Bronzwaer, MD, from the Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Over the past decade endoscopic resection techniques, such as piecemeal endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD), have progressed significantly to treat large and complex non-pedunculated colorectal polyps. Endoscopic resection …

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A hybrid endoscopic technique to close tracheoesophageal fistula

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Post written by Maoyin Pang, MD, PhD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA. A 56-year-old male with a history of laryngeal malignancy status post laryngectomy and permanent tracheostomy and tracheoesophageal voice prosthesis placed 12 years ago was referred to our clinic for recurrent aspiration of both liquid and solid …

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EMR of large periampullary neuroendocrine tumor

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Post written by Ahmed Akhter, MD, Eric M. Nelsen, MD, and Deepak V. Gopal, MD, FRCP(C), FASGE, from the Division of Gastroenterology and Hepatology, University of Wisconsin, Madison, Wisconsin. In our video, an elderly male with several comorbidities including chronic kidney disease and type-2 diabetes mellitus presented with a 2 day history of melena. He …

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Safety and efficacy of cap-assisted EMR for sporadic nonampullary duodenal adenomas

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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 …

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ESD with a scissors-type knife for post-EMR recurrence tumor

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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 …

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Adenoma recurrence after piecemeal colonic EMR is predictable

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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 …

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A standardized imaging protocol is accurate in detecting recurrence after EMR

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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 …

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Efficacy and safety outcomes of multimodal endoscopic eradication therapy

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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 …

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Rectal polyp reaching the dentate line: underwater EMR without submucosal lift

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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. …

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Extended EMR does not reduce recurrence compared with standard EMR

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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 …

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