Hybrid endoscopic mucosal resection and full-thickness resection: a new approach for resection of large non-lifting colorectal adenomas (with video) View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-03-09

AUTHORS

Benjamin Meier, Karel Caca, Arthur Schmidt

ABSTRACT

BackgroundClip-assisted endoscopic full-thickness resection (EFTR) with an over-the-scope device has been recently described to be feasible and effective for the resection of non-lifting adenomas in the lower gastrointestinal tract. However, tumor size is the major limitation of that technique. We describe a hybrid technique using endoscopic mucosal resection (EMR) in ten patients with large non-lifting colorectal adenomas to reduce tumor size and facilitate clip-assisted EFTR.MethodsData of ten consecutive patients (median age 72.5 years, SD 8.86) who underwent combined EMR and EFTR in the colon were analyzed retrospectively. The main outcome measures were technical success, histological confirmation of full-thickness resection, and adverse events.ResultsAll lesions (median size 35.5 mm, SD 5.99) could be resected successfully. No immediate or delayed adverse events were observed. Histology confirmed full-thickness resection in all cases. Three-month follow-up showed no residual or recurrent adenomas.ConclusionsHybrid EMR–EFTR in the colon seems to be an effective approach for large non-lifting lesions with positive lateral lifting signs. Prospective studies are needed to further evaluate efficacy, safety, rate of recurrence, and long-term outcome of this technique. More... »

PAGES

4268-4274

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-017-5461-9

DOI

http://dx.doi.org/10.1007/s00464-017-5461-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084022213

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28281119


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