Post written by Dennis Yang, MD, from the Center of Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Traditionally, during endoscopic submucosal dissection, lesion margins are meticulously examined and defined by placing coagulation marks lateral to the borders of the target lesion. The intended purpose of this step is to avoid inadvertent incomplete resection at the outer …
Tag: endoscopic mucosal resection
Endoscopic full-thickness resection of colorectal lesions: a systematic review and meta-analysis
Post written by Russell D. Dolan, MD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. As techniques have advanced to improve endoscopic removal of large lesions within the colon and rectum to serve as alternatives to surgery, endoscopic mucosal resection (EMR) and endoscopic submucosal dissection …
Rectal polyp reaching the dentate line: underwater EMR without submucosal lift
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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Tip-in EMR for R0 resection
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 …
EMR of large and giant lateral spreading lesions of the duodenum
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 …
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Editor’s Choice: EMR of 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 …
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The influence of clips on scars after EMR
Maria Pellisé, MD, PhD, from the Department of Gastroenterology and Hepatology, at the University of Sydney in New South Wales, Australia shares this Original Article, "The influence of clips on scars after EMR: clip artifact." In this study, we aimed to describe the influence of clips on the EMR scar. Endoscopic clips are increasingly used …
Precutting EMR for cecal tumors
Kenichiro Imai, MD, from the Division of Endoscopy, Shizuoka Cancer Center, in Shizuoka, Japan presents this video case, "Pre-cutting endoscopic mucosal resection for cecal tumors extending to the appendiceal orifice." We demonstrate a pre-cutting EMR technique for a cecal tumor extending to the appendiceal orifice (CTAO). A 65-year-old-woman was referred to our hospital because of …
Polidocanol injection decreases bleeding rate after colon polypectomy
Antonio Facciorusso, MD, from the Gastroenterology Unit, Department of Medical Sciences, at the University of Foggia in Foggia, Italy discusses this Original Article, "Polidocanol injection decreases the bleeding rate after colon polypectomy: a propensity score analysis." Endoscopic mucosal resection (EMR) is frequently used for polyps over 20 mm in diameter. The technique involves the injection …
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EMR and submucosal dissection for colon neoplasms
Mikihiro Fujiya, MD, PhD and Kazuyuki Tanaka, MD from the Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University in Asahikawa, Japan present this Original Article "Efficacy and adverse events of EMR and endoscopic submucosal dissection for the treatment of colon neoplasms: a meta-analysis of studies comparing EMR and endoscopic submucosal dissection." We herein performed a …
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