Devices and techniques for endoscopic treatment of residual and fibrotic colorectal polyps (with videos).

Colonic Polyps / pathology Colonoscopy Colorectal Neoplasms / pathology Endoscopic Mucosal Resection Humans Intestinal Mucosa / pathology Neoplasm, Residual / pathology Practice Guidelines as Topic

Journal

Gastrointestinal endoscopy
ISSN: 1097-6779
Titre abrégé: Gastrointest Endosc
Pays: United States
ID NLM: 0010505

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 06 03 2020
accepted: 08 03 2020
pubmed: 10 7 2020
medline: 17 3 2021
entrez: 10 7 2020
Statut: ppublish

Résumé

Residual neoplasia after macroscopically complete EMR of large colon polyps has been reported in 10% to 32% of resections. Often, residual polyps at the site of prior polypectomy are fibrotic and nonlifting, making additional resection challenging. This document reviews devices and methods for the endoscopic treatment of fibrotic and/or residual polyps. In addition, techniques reported to reduce the incidence of residual neoplasia after endoscopic resection are discussed. Descriptions of technologies and available outcomes data are summarized for argon plasma coagulation ablation, snare-tip coagulation, avulsion techniques, grasp-and-snare technique, EndoRotor endoscopic resection system, endoscopic full-thickness resection device, and salvage endoscopic submucosal dissection. Several technologies and techniques discussed in this document may aid in the prevention and/or resection of fibrotic and nonlifting polyps.

Sections du résumé

BACKGROUND AND AIMS OBJECTIVE
Residual neoplasia after macroscopically complete EMR of large colon polyps has been reported in 10% to 32% of resections. Often, residual polyps at the site of prior polypectomy are fibrotic and nonlifting, making additional resection challenging.
METHODS METHODS
This document reviews devices and methods for the endoscopic treatment of fibrotic and/or residual polyps. In addition, techniques reported to reduce the incidence of residual neoplasia after endoscopic resection are discussed.
RESULTS RESULTS
Descriptions of technologies and available outcomes data are summarized for argon plasma coagulation ablation, snare-tip coagulation, avulsion techniques, grasp-and-snare technique, EndoRotor endoscopic resection system, endoscopic full-thickness resection device, and salvage endoscopic submucosal dissection.
CONCLUSIONS CONCLUSIONS
Several technologies and techniques discussed in this document may aid in the prevention and/or resection of fibrotic and nonlifting polyps.

Identifiants

DOI: 10.1016/j.gie.2020.03.018 PMID: 32641215
pubmed: 32641215
pii: S0016-5107(20)30244-3
doi: 10.1016/j.gie.2020.03.018
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

474-482

Informations de copyright

Copyright © 2020 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

Auteurs

Arvind J Trindade (AJ)

Division of Gastroenterology, Mount Sinai Hospital, New York, New York, USA.

Nikhil A Kumta (NA)

Department of Gastroenterology, Zucker School of Medicine at Hofstra/Northwell, Long Island Jewish Medical Center, New Hyde Park, New York, USA.

Manoop S Bhutani (MS)

Department of Gastroenterology, Hepatology and Nutrition, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Vinay Chandrasekhara (V)

Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.

Pichamol Jirapinyo (P)

Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Kumar Krishnan (K)

Division of Gastroenterology, Department of Internal Medicine, Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts, USA.

Joshua Melson (J)

Division of Digestive Diseases, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.

Rahul Pannala (R)

Department of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA.

Mansour A Parsi (MA)

Section for Gastroenterology and Hepatology, Tulane University Health Sciences Center, New Orleans, Louisiana, USA.

Allison R Schulman (AR)

Department of Gastroenterology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.

Guru Trikudanathan (G)

Department of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA.

Rabindra R Watson (RR)

Department of Gastroenterology, Interventional Endoscopy Services, California Pacific Medical Center, San Francisco, California, USA.

John T Maple (JT)

Division of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.

David R Lichtenstein (DR)

Division of Gastroenterology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA.

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Classifications MeSH

questionsmedicales.fr › États, signes et symptômes pathologiques › États anatomopathologiques › Polypes › Polypes intestinaux › Polypes coliques › Devices and techniques for endoscopic...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Endoscopie › Endoscopie digestive › Endoscopie gastrointestinale › Coloscopie › Devices and techniques for endoscopic...
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies gastro-intestinales › Maladies intestinales › Maladies du rectum › Tumeurs colorectales › Devices and techniques for endoscopic...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Endoscopie › Endoscopie digestive › Endoscopie gastrointestinale › Mucosectomie endoscopique › Devices and techniques for endoscopic...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Devices and techniques for endoscopic...
questionsmedicales.fr › Tissus › Membranes › Muqueuse › Muqueuse intestinale › Devices and techniques for endoscopic...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Processus néoplasiques › Maladie résiduelle › Devices and techniques for endoscopic...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Recommandations comme sujet › Guides de bonnes pratiques cliniques comme sujet › Devices and techniques for endoscopic...