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

Arvind J. Trindade, Nikhil A. Kumta, Manoop S. Bhutani, Vinay Chandrasekhara, Pichamol Jirapinyo, Kumar Krishnan, Joshua Melson, Rahul Pannala, Mansour A. Parsi, Allison R. Schulman, Guru Trikudanathan, Rabindra R. Watson, John T. Maple, David R. Lichtenstein

Research output: Contribution to journalArticle

Abstract

Background and Aims: 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: 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: 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: Several technologies and techniques discussed in this document may aid in the prevention and/or resection of fibrotic and nonlifting polyps.

Original languageEnglish (US)
Pages (from-to)474-482
Number of pages9
JournalGastrointestinal endoscopy
Volume92
Issue number3
DOIs
StatePublished - Sep 2020

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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  • Cite this

    Trindade, A. J., Kumta, N. A., Bhutani, M. S., Chandrasekhara, V., Jirapinyo, P., Krishnan, K., Melson, J., Pannala, R., Parsi, M. A., Schulman, A. R., Trikudanathan, G., Watson, R. R., Maple, J. T., & Lichtenstein, D. R. (2020). Devices and techniques for endoscopic treatment of residual and fibrotic colorectal polyps (with videos). Gastrointestinal endoscopy, 92(3), 474-482. https://doi.org/10.1016/j.gie.2020.03.018