SNARE TIP SOFT COAGULATION OF THE MUCOSAL DEFECT MARGIN FOLLOWING COLONIC ENDOSCOPIC MUCOSAL RESECTION (EMR) REDUCES RECURRENCE IN A ‘REAL LIFE’ SETTING

2020 ◽  
Author(s):  
MA Arisha ◽  
A Koritni ◽  
I Maza ◽  
E Half ◽  
H Awadie ◽  
...  
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Real Life ◽  
Mucosal Resection ◽  
Mucosal Defect ◽  
Real Life Setting ◽  
Soft Coagulation ◽  
Defect Margin

scholarly journals Mo1784 SNARE TIP SOFT COAGULATION OF THE MUCOSAL DEFECT MARGIN FOLLOWING COLONIC EMR REDUCES RECURRENCE IN A “REAL LIFE” SETTING

2020 ◽  
Vol 91 (6) ◽  
pp. AB497-AB498
Author(s):  
Muhammad Abu Arisha ◽  
Alexander Korytny ◽  
Itay Maza ◽  
Elizabeth E. Half ◽  
suzan banna ◽  
...  
Keyword(s):  
Real Life ◽  
Mucosal Defect ◽  
Real Life Setting ◽  
Soft Coagulation ◽  
Defect Margin

scholarly journals 1116 THERMAL ABLATION OF THE MUCOSAL DEFECT MARGIN AFTER ENDOSCOPIC MUCOSAL RESECTION - A PROSPECTIVE, INTERNATIONAL, MULTI-CENTER TRIAL.

2020 ◽  
Vol 91 (6) ◽  
pp. AB99-AB100
Author(s):  
Mayenaaz Sidhu ◽  
David J. Tate ◽  
Luke F. Hourigan ◽  
Spiro Raftopoulos ◽  
Alan Moss ◽  
...  
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Thermal Ablation ◽  
Mucosal Resection ◽  
Mucosal Defect ◽  
Defect Margin

Outcomes of thermal ablation of the defect margin after duodenal endoscopic mucosal resection (with videos)

2020 ◽  
Author(s):  
Mayenaaz Sidhu ◽  
Jessica A. Fritzsche ◽  
Amir Klein ◽  
Neal Shahidi ◽  
Sergei Vosko ◽  
...  
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Thermal Ablation ◽  
Mucosal Resection ◽  
Defect Margin

scholarly journals Snare tip soft coagulation (STSC) after endoscopic mucosal resection (EMR) of large (> 20 mm) non pedunculated colorectal polyps: a systematic review and meta-analysis

2022 ◽  
Vol 10 (01) ◽  
pp. E74-E81
Author(s):  
Saurabh Chandan ◽  
Antonio Facciorusso ◽  
Daryl Ramai ◽  
Smit Deliwala ◽  
Babu P. Mohan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Endoscopic Mucosal Resection ◽  
Meta Analysis ◽  
Colorectal Polyps ◽  
Resection Margins ◽  
Effective Technique ◽  
Delayed Bleeding ◽  
Adenoma Recurrence ◽  
Mucosal Resection ◽  
Soft Coagulation

Abstract Background and study aims Endoscopic mucosal resection (EMR) of laterally spreading tumors (LSTs) > 20 mm in size can be challenging. Piecemeal EMR of these lesions results in high rates of adenoma recurrence at first surveillance colonoscopy (SC1). Snare tip soft coagulation (STSC) of post resection margins is a safe and effective technique to prevent adenoma recurrence. We conducted a systematic review and meta-analysis to evaluate the effectiveness and safety of this technique. Patients and methods Multiple databases were searched through April 2021 for studies that reported on outcomes of post EMR STSC for LSTs > 20 mm in size. Meta-analysis was performed to determine pooled odds of adenoma recurrence as well as pooled proportion of adverse events including intraprocedural and delayed bleeding as well as intraprocedural perforation events. Results Six studies including two randomized controlled trials (RCT) and four cohort studies with 2122 patients were included in the final analysis. Overall pooled odds of adenoma recurrence at SC1 with post EMR STSC compared to no STSC was 0.27 (95 % 0.18–0.42; I2 = 0 %), P < 0.001. Pooled rate of adenoma recurrence at SC1 in post EMR STSC cohort was 6 %. Rates of intraprocedural bleeding, delayed bleeding and intraprocedural perforation were 10.3 %, 6.5 % and 2 % respectively. Conclusions Our results show that thermal ablation of resection margins with STSC in LSTs > 20 mm is a safe and effective technique in reducing the incidence of adenoma recurrence.

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