Cap-assisted EMR (EMR-C) involves submucosal injection followed by resection using a stiff Olympus cap (MH-597, Olympus Optical Co, Ltd, Tokyo, Japan) with an outer diameter of 17 mm and length of 15 mm and a snare prepositioned in a groove at the end of the cap. <\/p>\n\n\n\n
In a randomized trial from 4 centers in Italy, 138 patients underwent EMR-C and 102 received standard EMR (EMR-S). The median lesion size was 30 mm in the EMR-C group versus 35 mm in the EMR-S group. The median procedure time was shorter for EMR-C at 20 minutes versus 30 minutes for EMR-S. Despite this, the number of resected pieces was greater for EMR-C (n=9) than EMR-S (n=4), and the median number of polypectomy snares used to perform EMR was 5 with EMR-C and 1 with EMR-S. EMR-C required less injection fluid at 15 ml versus 35 ml with EMR-S. Argon plasma coagulation (APC) was used to destroy small remnants of polyp in 2.9% of EMR-C cases versus 22.5% of EMR-S cases. There were 2 perforations in the EMR-C group and 1 in the EMR-S group.<\/p>\n\n\n\n
For unclear reasons, granular laterally spreading tumors were more common with EMR-S (70.6%) than EMR-C (47.6%). The rates of residual lesions at follow-up were 5.8% in the EMR-C group and 31.4% in the EMR-S group (P<\/em><.001).<\/p>\n","protected":false},"excerpt":{"rendered":" Cap-assisted EMR (EMR-C) involves submucosal injection followed by resection using a stiff Olympus cap (MH-597, Olympus Optical Co, Ltd, Tokyo, Japan) with an outer diameter of 17 mm and length of 15 mm and a snare prepositioned in a groove at the end of the cap. In a randomized trial from 4 centers in Italy, … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2908,2058,3370,215],"class_list":["post-12394","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-cap-assisted-emr","tag-colon-2","tag-emr-c","tag-olympus"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/12394","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=12394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=12394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=12394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}