Including epinephrine in the submucosal injectate for endoscopic mucosal resection (EMR) varies among endoscopists \u2013 some endoscopists prefer epinephrine, whereas others do not. Of those who utilize epinephrine, concentrations used range from 1 in 10,000 to 1 in 500,000, according to published literature.<\/p>\n\n\n\n
In a randomized controlled trial of 20 patients with large (mean size >40 mm) laterally spreading colorectal lesions, the inclusion of epinephrine at 1 to 200,000 dilution was associated with a higher pain score on a 100-mm visual analog scale at 30 minutes (47 vs 14; P<\/em>=.022) and 60 minutes (44 vs 13; P<\/em>=.035). In addition, the duration of stay in the recovery room was longer in the epinephrine group (68 vs 53 minutes; P<\/em>=.034).<\/p>\n","protected":false},"excerpt":{"rendered":" Including epinephrine in the submucosal injectate for endoscopic mucosal resection (EMR) varies among endoscopists \u2013 some endoscopists prefer epinephrine, whereas others do not. Of those who utilize epinephrine, concentrations used range from 1 in 10,000 to 1 in 500,000, according to published literature. In a randomized controlled trial of 20 patients with large (mean size … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2058,268,1832,3125],"class_list":["post-11543","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-colon-2","tag-emr","tag-endoscopic-mucosal-resection-2","tag-epinephrine"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/11543","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=11543"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=11543"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=11543"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}