Endoscopic Mucosal Resection

ASGE Journal ScanKolon

Are Anesthesia Specialists Necessary for Complex Colorectal Endoscopic Mucosal Resections?

Are Anesthesia Specialists Necessary for Complex Colorectal Endoscopic Mucosal Resections?

Sedation practice for endoscopy varies widely in the United States. One model is to use anesthesia specialists to administer propofol for complex endoscopic procedures, such

ASGE Journal ScanKolon

Colon Polyps Extending Across an Anastomosis Can Be Effectively Removed by Endoscopic Mucosal Resection

Colon Polyps Extending Across an Anastomosis Can Be Effectively Removed by Endoscopic Mucosal Resection

Among 2629 large nonpedunculated colorectal polyps in 2350 patients, 10 were classified as anastomotic and had a median lesion size of 35 mm. All lesions

ASGE Journal ScanKolon

Post-EMR Adenoma Recurrences Are Effectively Treated Endoscopically

Post-EMR Adenoma Recurrences Are Effectively Treated Endoscopically

About 15% of large (≥20 mm) nonpedunculated colorectal polyps (LNPCPs) removed by piecemeal endoscopic mucosal resection (EMR) have evidence of recurrence at the first endoscopic

ASGE Journal ScanKolon

European Society of Gastrointestinal Endoscopy Issues Comprehensive Curriculum for Endoscopic Mucosal Resection in the Colon

European Society of Gastrointestinal Endoscopy Issues Comprehensive Curriculum for Endoscopic Mucosal Resection in the Colon

Those performing endoscopic mucosal resection (EMR) in the colorectum should be aware of this remarkably comprehensive document from the European Society of Gastrointestinal Endoscopy that

ASGE Journal ScanKolon

Uncontrolled Description of X-Tack Efficacy for Colonic EMR Defects

Uncontrolled Description of X-Tack Efficacy for Colonic EMR Defects

X-Tack (Apollo Endosurgery, Austin, Texas) is a through-the-scope suturing device that can be an alternative to through-the-scope clips. No controlled trial of X-Tack versus clips

ASGE Journal ScanKolon

Male Gender and Hot Avulsion Are Associated With Recurrence After Colorectal Endoscopic Mucosal Resection

Male Gender and Hot Avulsion Are Associated With Recurrence After Colorectal Endoscopic Mucosal Resection

Endoscopic mucosal resection (EMR) is the cornerstone of the treatment of large (≥20 mm) nonpedunculated colorectal lesions. This study from a Canadian expert center examined

ASGE Journal ScanKolon

Study Shows Margin Treatment Was Good but Not Perfect for Colorectal Laterally Spreading Lesions 40 mm or Larger

Study Shows Margin Treatment Was Good but Not Perfect for Colorectal Laterally Spreading Lesions 40 mm or Larger

Thermal treatment of the margin after piecemeal endoscopic mucosal resection (EMR) of laterally spreading lesions (LSLs) ≥20 mm is now considered standard of care because

ASGE Journal ScanKolon

Impact of Preresection Biopsy on Subsequent Endoscopic Mucosal Resection

Impact of Preresection Biopsy on Subsequent Endoscopic Mucosal Resection

We often hear that physician-identified large nonpedunculated colorectal polyps (LNPCPs) that warrant referral to an advanced endoscopist for endoscopic mucosal resection (EMR) or endoscopic submucosal

ASGE Journal ScanKolon

Tip-in EMR Compared With ESD for 20- to 30-mm Nonpedunculated Colorectal Neoplasms

Tip-in EMR Compared With ESD for 20- to 30-mm Nonpedunculated Colorectal Neoplasms

Tip-in endoscopic mucosal resection (EMR) involves submucosal injection, followed by an incision on the proximal side of the injection mound using a snare tip with

ASGE Journal ScanKolon

Hybrid Argon Plasma Coagulation Endorsed to Reduce Recurrence Rate After Colorectal EMR

Hybrid Argon Plasma Coagulation Endorsed to Reduce Recurrence Rate After Colorectal EMR

Thermal coagulation of the normal-appearing margin using snare tip soft coagulation (STSC) treatment after endoscopic mucosal resection (EMR) has been shown to reduce recurrence rates

ASGE Journal ScanKolon

Pilot Study Finds Submucosal Thickness Is Greater With Colorectal EMR Than ESD

Pilot Study Finds Submucosal Thickness Is Greater With Colorectal EMR Than ESD

Discussions of colorectal endoscopic mucosal resection (EMR) versus endoscopic submucosal dissection (ESD) usually focus on en bloc resection and recurrence rates. Little is known about

ASGE Journal ScanKolon

T1 Colorectal Cancer With Free Resection Margins Between 0.1 and 1 mm: High-Grade Tumor Budding Makes the Difference in Recurrence Risk

T1 Colorectal Cancer With Free Resection Margins Between 0.1 and 1 mm: High-Grade Tumor Budding Makes the Difference in Recurrence Risk

A free resection margin, often interpreted as >1 mm between cancer and the resection line, is an independent predictor of low risk for recurrent cancer

ASGE Journal ScanKolon

Clip Closure Did Not Reduce Delayed Hemorrhage After Resection of Large Sessile Serrated Lesions Using Electrocautery, Even From the Proximal Colon

Clip Closure Did Not Reduce Delayed Hemorrhage After Resection of Large Sessile Serrated Lesions Using Electrocautery, Even From the Proximal Colon

Recent large randomized controlled trials have demonstrated that clip closure reduces the risk of delayed hemorrhage after endoscopic mucosal resection (EMR) using electrocautery if the

ASGE Journal ScanKolon

Epinephrine Caused Increased Postprocedural Pain When Used for Colorectal EMR

Epinephrine Caused Increased Postprocedural Pain When Used for Colorectal EMR

Including epinephrine in the submucosal injectate for endoscopic mucosal resection (EMR) varies among endoscopists – some endoscopists prefer epinephrine, whereas others do not. Of those

ASGE Journal ScanKolon

Should We Mark the Margins Before EMR?

Should We Mark the Margins Before EMR?

One approach sometimes used in endoscopic mucosal resection (EMR) to improve complete resection is to use cautery to mark the normal tissue at the margins

ASGE Journal ScanKolon

Laterally Spreading Lesions With Focus of T1 Cancer Treated by Hybrid EMR and EFTR

Laterally Spreading Lesions With Focus of T1 Cancer Treated by Hybrid EMR and EFTR

Patients with laterally spreading lesions and endoscopic evidence of T1 cancer (usually of morphologic change combined with NBI International Colorectal Endoscopic classification 3 or Kudo

ASGE Journal ScanMagen und Dünndarm

Can We Decrease Lesion Recurrence After Duodenal Endoscopic Mucosal Resection?

Can We Decrease Lesion Recurrence After Duodenal Endoscopic Mucosal Resection?

Laterally spreading lesions (LSLs) of the duodenum are increasingly being diagnosed and treated endoscopically. Although endoscopic resection of the thin and vascular duodenal wall is

ASGE Journal ScanKolon

When Is Clip Closure of EMR Defects Cost-Effective?

When Is Clip Closure of EMR Defects Cost-Effective?

Randomized controlled trials demonstrate that prophylactic clip closure of endoscopic mucosal resection (EMR) defects of large (≥20 mm) nonpedunculated colorectal lesions effectively prevents delayed hemorrhage.

ASGE Journal ScanKolon

Postcolorectal Endoscopic Mucosal Resection Follow-up Is Essential

Postcolorectal Endoscopic Mucosal Resection Follow-up Is Essential

There is a well-known risk of adenoma recurrence after piecemeal endoscopic mucosal resection (EMR).  In a single-center study of 2411 nonpedunculated lesions ≥20 mm in

ASGE Journal ScanKolon

Endoscopic Mucosal Resection: First-Line Treatment for Laterally Spreading Lesions at Anorectal Junction

Endoscopic Mucosal Resection: First-Line Treatment for Laterally Spreading Lesions at Anorectal Junction

Douglas K. Rex, MD, FASGE reviewing Shahidi N, et al. Gut 2019 Nov 12. Laterally spreading lesions at the anorectal junction can be treated by