Over-the-Scope Clip Defect Closure Following Endoscopic Mucosal Resection Throughout the Gastrointestinal Tract: A Case Series

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S1074-S1075
Author(s):  
Kyle Kreitman ◽  
Patrick Hickey ◽  
Shashin Shah ◽  
Hiral Shah
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Mucosal Resection ◽  
Case Series ◽  
Defect Closure ◽  
Mucosal Resection ◽  
Over The Scope Clip

scholarly journals Asymptomatic free gas post Endoscopic Mucosal Resection (EMR) - Is surgical intervention always necessary?

2020 ◽  
pp. 19-26
Author(s):  
Shafquat Zaman ◽  
Hayaka Amada ◽  
Pratik Bhattachayra ◽  
Stephen Stonelake ◽  
Mark Goldstein ◽  
...  
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Surgical Intervention ◽  
Bowel Perforation ◽  
Case Series ◽  
Colonic Polyps ◽  
Cost Effective ◽  
Direct Result ◽  
Free Gas ◽  
Mucosal Resection ◽  
Emergency Surgical Intervention

Background& Objectives Endoscopic mucosal resection (EMR) is an efficient, cost-effective and minimally-invasive mode of treatment of colonic polyps. Colonic perforation post EMR is one of the potential complications associated with this procedure. Some patients may present with asymptomatic free gas on imaging and therefore not necessarily require intervention. Methods We present a case series of patients undergoing EMR who were found to have intra-abdominal free gas or ‘bowel perforation’ on imaging post procedure. They were all asymptomatic and did not warrant emergency surgical intervention. In addition, we aim to provide a review of the existing literature on ‘bowel perforation’ post EMR and discuss its management. Results & Conclusion Through this case series we highlight the importance of assessing patients clinically and not treating the radiological findings alone. Clinicians must be aware of the possibility of patients with asymptomatic free gas post EMR as a direct result of the injectate during the procedure or due to the passage of air or CO2 from the distended colon. As the popularity of this procedure increases, it is crucial that clinicians, surgeons and endoscopists are all aware of its associated complications.

Endoscopic Mucosal Resection for Early Cancers of the Upper Gastrointestinal Tract

2005 ◽  
Vol 23 (20) ◽  
pp. 4490-4498 ◽  
Author(s):  
Roy Soetikno ◽  
Tonya Kaltenbach ◽  
Ronald Yeh ◽  
Takuji Gotoda
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Mucosal Resection ◽  
Standard Technique ◽  
Upper Gastrointestinal Tract ◽  
Major Surgery ◽  
En Bloc ◽  
Mucosal Resection ◽  
Efficacious Treatment ◽  
Invasive Techniques ◽  
Upper Gastrointestinal

The purpose of this literature review is to examine recent advances in technique and technology of endoscopic mucosal resection of superficial early cancers of the upper gastrointestinal tract. Endoscopic mucosal resection (EMR) of superficial early cancers of the upper gastrointestinal tract is standard technique in Japan and is increasingly used in Western countries. Newer techniques of EMR allow removal of larger lesions en-bloc. These minimally invasive techniques, when applied correctly, allow safe and efficacious treatment in situations that would otherwise require major surgery. Through the establishment of long-term outcomes data, standardization of endoscopic and pathologic reporting, and newer EMR technology and techniques, the future treatment of early cancers in the upper gastrointestinal tract may be achieved primarily through the endoscope.

Endoscopic Mucosal Resection in Early Barrett's and Gastric Carcinoma: A Case Series

2009 ◽  
Vol 69 (5) ◽  
pp. AB340
Author(s):  
Sandra Meinzer ◽  
Achim Lutterer ◽  
Bernd Köhrer ◽  
Dirk Brenke ◽  
Thomas Rüdiger ◽  
...  
Keyword(s):  
Gastric Carcinoma ◽  
Endoscopic Mucosal Resection ◽  
Case Series ◽  
Mucosal Resection
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