Update on Difficult Polypectomy Techniques

Saowanee Ngamruengphong, Heiko Pohl, Yamile Haito-Chavez, Mouen Khashab

Research output: Contribution to journalReview article

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.

Original languageEnglish (US)
Pages (from-to)3
Number of pages1
JournalCurrent Gastroenterology Reports
Volume18
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Polyps
Colorectal Neoplasms
Colon
Morbidity
Recurrence
Mortality
Endoscopic Mucosal Resection
Therapeutics

Keywords

  • Adenoma
  • Colonic polyps
  • Colonoscopy
  • Endoscopic resection
  • Polypectomy

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Update on Difficult Polypectomy Techniques. / Ngamruengphong, Saowanee; Pohl, Heiko; Haito-Chavez, Yamile; Khashab, Mouen.

In: Current Gastroenterology Reports, Vol. 18, No. 1, 01.01.2016, p. 3.

Research output: Contribution to journalReview article

Ngamruengphong, Saowanee ; Pohl, Heiko ; Haito-Chavez, Yamile ; Khashab, Mouen. / Update on Difficult Polypectomy Techniques. In: Current Gastroenterology Reports. 2016 ; Vol. 18, No. 1. pp. 3.
@article{3924895a03804e81bf9d33025f55acf5,
title = "Update on Difficult Polypectomy Techniques",
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.",
keywords = "Adenoma, Colonic polyps, Colonoscopy, Endoscopic resection, Polypectomy",
author = "Saowanee Ngamruengphong and Heiko Pohl and Yamile Haito-Chavez and Mouen Khashab",
year = "2016",
month = "1",
day = "1",
doi = "10.1007/s11894-015-0476-7",
language = "English (US)",
volume = "18",
pages = "3",
journal = "Current Gastroenterology Reports",
issn = "1522-8037",
publisher = "Current Medicine Group",
number = "1",

}

TY - JOUR

T1 - Update on Difficult Polypectomy Techniques

AU - Ngamruengphong, Saowanee

AU - Pohl, Heiko

AU - Haito-Chavez, Yamile

AU - Khashab, Mouen

PY - 2016/1/1

Y1 - 2016/1/1

N2 - 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.

AB - 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.

KW - Adenoma

KW - Colonic polyps

KW - Colonoscopy

KW - Endoscopic resection

KW - Polypectomy

UR - http://www.scopus.com/inward/record.url?scp=84987806891&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84987806891&partnerID=8YFLogxK

U2 - 10.1007/s11894-015-0476-7

DO - 10.1007/s11894-015-0476-7

M3 - Review article

C2 - 26714965

AN - SCOPUS:84952882034

VL - 18

SP - 3

JO - Current Gastroenterology Reports

JF - Current Gastroenterology Reports

SN - 1522-8037

IS - 1

ER -