Underwater endoscopic mucosal resection of large colorectal lesions

被引:64
|
作者
Uedo, Noriya [1 ]
Nemeth, Artur [1 ]
Johansson, Gabriele Wurm [1 ]
Toth, Ervin [1 ]
Thorlacius, Henrik [1 ]
机构
[1] Lund Univ, Skane Univ Hosp, Dept Clin Sci, S-20502 Malmo, Sweden
关键词
LARGE SESSILE; POLYPS;
D O I
10.1055/s-0034-1390749
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
In this prospective study, 11 consecutive patients with neoplastic colorectal lesions (median size 20 mm, range 15-25 mm) underwent endoscopic polyp removal by underwater endoscopic mucosal resection (EMR). Six lesions were removed en bloc and five lesions were removed by piecemeal resection. Pathological examination revealed seven R0 resections, and in four cases the pathology could not be determined. Two cases of procedure-related bleeding occurred but these were easily managed using hemostatic forceps and clip application. No perforations or delayed bleedings were observed. Underwater EMR is a relatively simple, safe, and useful method for the removal of large colorectal lesions.
引用
收藏
页码:172 / 174
页数:3
相关论文
共 50 条
  • [41] Endoscopic treatment of large colorectal tumors: comparison of endoscopic mucosal resection, endoscopic mucosal resection–precutting, and endoscopic submucosal dissection
    Eun-Jung Lee
    Jae Bum Lee
    Suk Hee Lee
    Eui Gon Youk
    [J]. Surgical Endoscopy, 2012, 26 : 2220 - 2230
  • [42] Cost Analysis of Endoscopic Mucosal Resection vs Surgery for Large Laterally Spreading Colorectal Lesions
    Jayanna, Mahesh
    Burgess, Nicholas G.
    Singh, Rajvinder
    Hourigan, Luke F.
    Brown, Gregor J.
    Zanati, Simon A.
    Moss, Alan
    Lim, James
    Sonson, Rebecca
    Williams, Stephen J.
    Bourke, Michael J.
    [J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2016, 14 (02) : 271 - +
  • [43] Circumferential submucosal incision prior to endoscopic mucosal resection versus conventional endoscopic mucosal resection for colorectal lesions with endoscopic features of sessile serrated lesions
    Chang Kyo Oh
    Bo-In Lee
    Sung Hak Lee
    Seung-Jun Kim
    Han Hee Lee
    Chul-Hyun Lim
    Jin Su Kim
    Yu Kyung Cho
    Jae Myung Park
    Young-Seok Cho
    In Seok Lee
    Myung-Gyu Choi
    [J]. Surgical Endoscopy, 2022, 36 : 2087 - 2095
  • [44] Circumferential submucosal incision prior to endoscopic mucosal resection versus conventional endoscopic mucosal resection for colorectal lesions with endoscopic features of sessile serrated lesions
    Oh, Chang Kyo
    Lee, Bo-In
    Lee, Sung Hak
    Kim, Seung-Jun
    Lee, Han Hee
    Lim, Chul-Hyun
    Kim, Jin Su
    Cho, Yu Kyung
    Park, Jae Myung
    Cho, Young-Seok
    Lee, In Seok
    Choi, Myung-Gyu
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2022, 36 (03): : 2087 - 2095
  • [45] Underwater endoscopic mucosal resection: The third way for en bloc resection of colonic lesions?
    Amato, Arnaldo
    Radaelli, Franco
    Spinzi, Giancarlo
    [J]. UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, 2016, 4 (04) : 595 - 598
  • [46] Endoscopic submucosal dissection or piecemeal endoscopic mucosal resection for large superficial colorectal lesions: A cost effectiveness study
    Stephane, Scheer
    Timothee, Wallenhorst
    Jeremie, Albouys
    Raphael, Olivier
    Martin, Dahan
    Emmanuelle, Pauliat
    Elodie, Leclerc
    Quentin, Denost
    Nikki, Christou
    Sonia, Brischoux
    Hugo, Lepetit
    Guillaume, Gschwind
    Romain, Legros
    Mathieu, Pioche
    Sophie, Geyl
    Jeremie, Jacques
    [J]. CLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY, 2022, 46 (06)
  • [47] Endoscopic mucosal resection and endoscopic submucosal dissection for colorectal lesions: A systematic review
    De Ceglie, Antonella
    Hassan, Cesare
    Mangiavillano, Benedetto
    Matsuda, Takahisa
    Saito, Yutaka
    Ridola, Lorenzo
    Bhandari, Pradeep
    Boeri, Federica
    Conio, Massimo
    [J]. CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY, 2016, 104 : 138 - 155
  • [48] UNDERWATER ENDOSCOPIC MUCOSAL RESECTION: THE THIRD WAY FOR EN BLOC RESECTION OF COLONIC LESIONS?
    Amato, A.
    Radaelli, F.
    Paggi, S.
    Rondonotti, E.
    Spinzi, G.
    [J]. DIGESTIVE AND LIVER DISEASE, 2016, 48 : E74 - E74
  • [49] Novel resection technique for large flat colorectal tumors: Clip-line-assisted underwater endoscopic mucosal resection
    Ohmura, Emi Kwon
    Nomura, Tatsuma
    Suzuki, Hiroto
    Ito, Keiichi
    [J]. ENDOSCOPY, 2023, 55 : E585 - E586
  • [50] Underwater endoscopic mucosal resection for recurrences after previous piecemeal resection of colorectal polyps
    Kim, Hyun Gun
    Thosani, Nirav
    Banerjee, Subhas
    Chen, Ann
    Friedland, Shai
    [J]. GASTROINTESTINAL ENDOSCOPY, 2014, 80 (06) : 1094 - 1102