Introduction The role of piecemeal endoscopic mucosal resection (p-EMR) for sessile/flat colonic polyps previously destined for surgery is expanding. However, surgery remains appropriate in some cases. The objectives of this study were to determine the primary reasons in this decision-making, and ...
EPMR, which is used to increase safety, is a technique for removing large sessile polyps. During EPMR, the polyp can be broken down into multiple pieces. However, this makes it difficult to evaluate the resection margin pathologically.
AIM: To evaluate the safety and outcomes of endoscopic piecemeal mucosal resection (EPMR) for large sessile colorectal polyps.METHODS: The patients enrolled in this study were 47 patients with 50 large sessile polyps (diameter, 2 cm or greater) who underwent EPMR using a submucosal saline inject...
In this chapter you will find a brief review of the pros and cons between piecemeal EMR versus ESD for large colorectal lesions (>20 mm). We analyze the learning curve, length of procedure, types of resection (piecemeal, en bloc, and curative resection),
IntroductionPiecemeal endoscopic mucosal resection (pEMR) is a minimally invasive endoscopic technique for the resection of sessile/flat colorectal polyps (larger than 2 cm). It has been suggested that patients should have a check procedure at 3 or 6 months to ensure complete initial excision of ...
Endoscopic piecemeal mucosal resectionLarge sessile polypsAIM: To evaluate the safety and outcomes of endoscopic piecemeal mucosal resection (EPMR) for large sessile colorectal polyps.METHODS: The patients enrolled in this study were 47 patients with 50 large sessile polyps (diameter, 2 cm or greater...
Lesions ulceration within the polyp (p=0.048), central fibrosis (p<0.05), higher SMSA score (p=0.025), incomplete resection (p<0.05), as well as exams with deficient bowel preparation (p=0.028), were all associated with recurrence. Multivariate logistic regression analysis identified incomplete...
We evaluated the efficacy of a thermal energy source, the argon plasma coagulator, to destroy visible residual adenoma after piecemeal resection of sessile polyps. Methods: Seventy-seven piecemeal polypectomies with or without the use of argon plasma coagulator were analyzed retrospectively. All ...
Endoscopic piecemeal mucosal resectionLarge sessile polypsAIM: To evaluate the safety and outcomes of endoscopic piecemeal mucosal resection (EPMR) for large sessile colorectal polyps. METHODS: The patients enrolled in this study were 47 patients with 50 large sessile polyps (diameter, 2 cm or ...
Sa1542 Large (<4cm) and Giant (≥4cm) Colorectal Polyps: a Cut-Off Polyp Size for Piecemeal Endoscopic Resection - Gastrointestinal Endoscopydoi:10.1016/j.gie.2015.03.315Tsiamoulos, Zacharias P.Elliott, Timothy R.Suzuki, NorikoPeake, Simon...