Cold EMR is increasingly popular because of its low risk of complications. However, there do seem to be more recurrences after cold EMR. <\/p>\n\n\n\n
In a report from a single center, 310 nonpedunculated lesions \u226520 mm in size were excised by cold EMR, with follow-up. The overall adenoma recurrence rate was 34.8%. Patients with recurrences were more likely to be older, have had endoscopic clips placed at the index procedure (about 5% had undergone clipping because of the need to restart anticoagulation), and be Asian or African American. With regard to specific polyp predictors, size was an important predictor. The mean size in recurrent lesions was 33.5 mm versus 27.2 mm for those without recurrence. Recurrence was 27% for lesions 20 to 30 mm in size, 48% for lesions 31 to 40 mm in size, 64% for those 41 to 50 mm, and 77% for those >50 mm. Recurrence was also associated with tubulovillous histology (53%) versus tubular (30%) and sessile serrated lesions (13%). Recurrence rates were also high at 61% in the group with high-grade dysplasia.<\/p>\n","protected":false},"excerpt":{"rendered":"
Cold EMR is increasingly popular because of its low risk of complications. However, there do seem to be more recurrences after cold EMR. In a report from a single center, 310 nonpedunculated lesions \u226520 mm in size were excised by cold EMR, with follow-up. The overall adenoma recurrence rate was 34.8%. Patients with recurrences were … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[1845,2058],"class_list":["post-10530","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-cold-emr","tag-colon-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/10530","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=10530"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=10530"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=10530"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}