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01-01-2016 | Large Intestine (B Cash, Section Editor)

Update on Difficult Polypectomy Techniques

Authors: Saowanee Ngamruengphong, Heiko Pohl, Yamile Haito-Chavez, Mouen A. Khashab

Published in: Current Gastroenterology Reports | Issue 1/2016

Abstract

Endoscopists often encounter colon polyps that are technically difficult to resect. These lesions traditionally were managed surgically, with significant potential morbidity and mortality. Recent advances in endoscopic techniques and instruments have allowed endoscopists to safely and effectively remove colorectal lesions with high technical and clinical success and potentially avoid invasive surgery. Endoscopic mucosal resection (EMR) has gained acceptance as the first-line therapy for large colorectal lesions. Endoscopic submucosal dissection (ESD) has been reported to be associated with higher rate of en bloc resection and less risk of short-time recurrence, but with an increased risk of adverse events. Therefore, the role of colorectal ESD should be restricted to lesions with high-risk morphologic features of submucosal invasion. In this article, we review the recent literature on the endoscopic management of difficult colorectal neoplasms.

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Title: Update on Difficult Polypectomy Techniques
Authors: Saowanee Ngamruengphong
Heiko Pohl
Yamile Haito-Chavez
Mouen A. Khashab
Publication date: 01-01-2016
Publisher: Springer US
Published in: Current Gastroenterology Reports / Issue 1/2016
Print ISSN: 1522-8037
Electronic ISSN: 1534-312X
DOI: https://doi.org/10.1007/s11894-015-0476-7

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