{"id":6937,"date":"2019-11-25T07:59:56","date_gmt":"2019-11-25T06:59:56","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=6937"},"modified":"2019-11-25T08:00:23","modified_gmt":"2019-11-25T07:00:23","slug":"another-study-supports-underwater-versus-conventional-endoscopic-mucosal-resection-for-lesions-%e2%89%a510-mm","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/another-study-supports-underwater-versus-conventional-endoscopic-mucosal-resection-for-lesions-%e2%89%a510-mm\/","title":{"rendered":"Another Study Supports Underwater Versus Conventional Endoscopic Mucosal Resection for Lesions \u226510 mm"},"content":{"rendered":"\n<p><em><strong>Douglas K. Rex, MD, FASGE reviewing Yen AW, et al. Gastrointest Endosc 2019 Oct 16.<\/strong><\/em><\/p>\n\n\n\n<p>\u00a0<\/p>\n\n\n\n<p>Recent randomized controlled trials found that underwater endoscopic mucosal resection (UEMR) results in more&nbsp;<em>en bloc&nbsp;<\/em>resections and faster resection for flat and sessile colorectal lesions \u226520 mm in size.<\/p>\n\n\n\n<p>The current trial randomized patients with lesions 6 to 9 mm in size to underwater cold snaring or standard cold snaring and patients with lesions \u226510 mm in size to conventional EMR (CEMR) with submucosal injection versus UEMR.&nbsp;<\/p>\n\n\n\n<p>There were no substantial differences between conventional and underwater cold snaring for 6- to 9-mm lesions, but UEMR had advantages compared to CEMR in lesions \u226510 mm, including faster resection (2.9 minutes vs 5.6 minutes) and fewer snare resections of lesions \u226520 mm (2.3 vs 3.0). There were no significant differences in residual polyp rates, complications, or as judged by four-quadrant biopsy samples of the margin,&nbsp;<em>en bloc&nbsp;<\/em>resection rates. Residual polyp and complications were very low in both groups.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-pullquote\" style=\"border-color:#bd6fb7\"><blockquote><p> COMMENT<br>These results support other recent controlled trials that have found that UEMR has similar efficacy and complication rates compared to CEMR but that UEMR is accomplished with fewer snare resections or more\u00a0<em>en bloc\u00a0<\/em>resections and is faster to perform than CEMR.<\/p><\/blockquote><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made. <\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide\" style=\"grid-template-columns:27% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"188\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/d-rex.jpg\" alt=\"\" class=\"wp-image-5921\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-large-font-size\">Douglas K. Rex, MD, FASGE <\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">CITATION(S) <\/h2>\n\n\n\n<p>Yen AW, Leung JW, Wilson MD, Leung FW. Underwater versus conventional endoscopic resection of nondiminutive nonpedunculated colorectal lesions: a prospective randomized controlled trial (with video).\u00a0<em>Gastrointest Endosc<\/em>\u00a02019 Oct 16. (Epub ahead of print) (<a rel=\"noreferrer noopener\" href=\"https:\/\/doi.org\/10.1016\/j.gie.2019.09.039\" target=\"_blank\">https:\/\/doi.org\/10.1016\/j.gie.2019.09.039<\/a>) <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recent randomized controlled trials found that underwater endoscopic mucosal resection (UEMR) results in more en bloc resections and faster resection for flat and sessile colorectal lesions \u226520 mm in size.<\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[1830,1829,1828,1827],"class_list":["post-6937","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-cemr","tag-en-bloc-resections","tag-uemr","tag-underwater-endoscopic-mucosal-resection"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/6937","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=6937"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=6937"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=6937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}